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he purpose of this study was to find out whether telerehabilitation after rotator cuff surgery can help reduce pain, improve shoulder movement, increase muscle strength, enhance functional ability, and improve quality of life compared to conventional physiotherapy. The study included 30 participants who had undergone rotator cuff surgery at least six weeks earlier. They were divided into two groups: a telerehabilitation group (n=20) and a conventional physiotherapy control group (n=10). Both groups followed an eight-week exercise program, which included range of motion, stretching, strengthening, and stabilization exercises.
The study found that both groups improved in pain, shoulder mobility, muscle strength, function, and quality of life. Participants in the telerehabilitation group showed particularly greater improvements in shoulder flexion, flexor muscles, external rotator muscles, and overall quality of life. These results suggest that telerehabilitation may be an effective alternative to traditional physiotherapy after rotator cuff surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telerehabilitation | Experimental | 8-week telerehabilitation program including range of motion, stretching, strengthening, and stabilization exercises |
|
| Conventional Physiotherapy | Active Comparator | 8-week conventional face-to-face physiotherapy program including range of motion, stretching, strengthening, and stabilization exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telerehabilitation exercise program | Other | 8-week telerehabilitation program including range of motion, stretching, strengthening, and stabilization exercise |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity (Visual Analog Scale [VAS], 0-10 points) | Pain intensity was assessed before and after the 8-week intervention using the Visual Analog Scale (VAS) during activity, at rest, and at night. Scores range from 0 (no pain) to 10 (worst imaginable pain), with higher scores indicating worse pain. Changes were compared between the telerehabilitation group and the conventional physiotherapy control group. | Baseline and after 8-week intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder range of motion (Goniometer, degrees) | Shoulder flexion, extension, abduction, adduction, internal rotation, and external rotation were measured using a goniometer before and after the 8-week intervention. Normal ranges for adults are: flexion 0-180°, extension 0-45°, abduction 0-180°, adduction 0-45°, internal rotation 0-70°, external rotation 0-90°. Changes were compared between the telerehabilitation group and control group. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beykent University Hospital | Istanbul | Istanbul | 34500 | Turkey (Türkiye) |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Jan 24, 2025 | Oct 1, 2025 | ICF_000.pdf |
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| D010146 | Pain |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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Participants were assigned to two groups: a telerehabilitation group (n=20) and a conventional physiotherapy control group (n=10). Both groups followed an eight-week exercise program, including range of motion, stretching, strengthening, and stabilization exercises. Outcomes such as pain, shoulder mobility, muscle strength, functional ability, and quality of life were compared between the groups.
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| Conventional physiotherapy program | Other | 8-week conventional face-to-face physiotherapy program including range of motion, stretching, strengthening, and stabilization exercises |
|
| Baseline and after 8-week intervention |
| Muscle strength (Manual Muscle Testing, 0-5 scale) | Muscle strength of shoulder flexors, extensors, abductors, adductors, internal and external rotators was assessed using manual muscle testing before and after the 8-week intervention. Scores range from 0 (no contraction) to 5 (normal strength), with higher scores indicating stronger muscles. Changes were compared between groups. | Baseline and after 8-week intervention |
| Quality of life (Western Ontario Rotator Cuff Index [WORC], 0-2100 points) | Quality of life was assessed before and after the 8-week intervention using the WORC questionnaire. Scores range from 0 (best quality of life) to 2100 (worst quality of life), with lower scores indicating better quality of life. Changes were compared between the telerehabilitation group and control group. | Baseline and after 8-week intervention |
| Functional status (Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaire, 0-100 points) | Functional status was measured before and after the 8-week intervention using the DASH questionnaire. Scores for each subscale (function, symptoms, social/role function) were calculated separately. Scores range from 0 (no disability) to 100 (maximum disability), with higher scores indicating worse functional status. Changes were compared between the telerehabilitation group and control group. | Baseline and after 8-week intervention. |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |