RecruitingNot ApplicableNCT05450510

Slow and Accelerated Rehabilitation Protocols

Effects of Slow and Accelerated Rehabilitation Protocols After Latissimus Dorsi Transfer in Massive, Irreparable Rotator Cuff Tears

Sponsor

Hacettepe University

Enrollment

38 participants

Start Date

Apr 27, 2022

Study Type

INTERVENTIONAL

Conditions

Rotator Cuff Tears Pain, Shoulder rotator cuff injuries

Summary

Latissimus dorsi transfer is an established treatment option with favorable results in massive, irreparable rotator cuff tears, however, it is controversial if earlier motion is detrimental or beneficial to the postoperative goal of reduced pain and improved clinical outcomes. Therefore, the aim of this study is to compare the effects of slow and accelerated rehabilitation protocols after latissimus dorsi transfer in massive, irreparable rotator cuff tears.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria7

being in the age range of 18-65 years
being diagnosed with massive, irreparable rotator cuff tears based on magnetic resonance imaging and clinical continuity tests
symptoms are unresponsive to conservative care including steroid injections and physiotherapy for at least 6 months
having a good command of the Turkish language
scoring above 24 in the Mini Mental State Test
≥80% compliance in completing the post-ARCR Phase 1 trainings
volunteering to participate in the study

Exclusion Criteria13

diabetes mellitus
neurological problems
cervical disc herniation
visual, verbal, and/or cognitive defects (aphasia, unilateral neglect, etc.)
systemic inflammatory problems
hypermobility, trauma, and/or inflammation that could be a contraindication for mobilization
former shoulder fractures on the affected side
advanced glenohumeral arthritis (Hamada grade 3),
deltoid muscle dysfunction,
irreparable subscapularis tears,
active infection,
shoulder stiffness,
a history of previous shoulder surgery

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Interventions

OTHERAccelerated (ACCEL) protocol group

After randomization and initial evaluations, patients will be referred to Physiotherapy and Rehabilitation clinics for a 8-week-long Phase 2 and Phase 3 trainings.

OTHERSlow (SLOW) protocol group

After randomization and initial evaluations, patients will be referred to Physiotherapy and Rehabilitation clinics for a 14-week-long Phase 2 and Phase 3 trainings.