Effect of Video-Assisted Training on Upper Extremity Problems and Functions in Patients Undergoing Rotator Cuff Repair

Mersin University

Status: Completed

Conditions: Rotator Cuff Repair

Treatments: Other: video-assisted training

Study type: Interventional

Funder types: Other

Identifiers

NCT04374331

Gulay Altun

Details and patient eligibility

About

This randomized controlled trial evaluates the effect of video-assisted training (VAT) on upper extremity problems and functions in rotator cuff repair (RCR) patients. The hypothesis of this study is that VAT decreases upper extremity problems and increases functions after RCR.

Full description

Methods: Forty-eight elective RCR patients were randomly assigned to VAT and control groups. VAT group (n=24) received VAT including early post-operative care for RCR, activities of daily living (ADL) and gradual exercise program while control group (n=24) received routine care. Primary outcomes were upper extremity problems and functions, assessed using Disabilities of the Arm, Shoulder and Hand (DASH) and Modified Constant-Murley (MCM) scores. Secondary outcomes were complications within three months. Outcomes were collected at baseline, after six weeks and three months.

Enrollment: 48 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Patients who

• underwent elective RCR for the first time;
• whose arm was suspended and fixed for up to three weeks after RCR;
• had an SMMT score of ≥23 points;

Exclusion Criteria: Patients who

• had been diagnosed with a psychiatric illness;
• have any history of an upper extremity fracture or a rheumatologic disease;

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Video-Assisted Training Group

Experimental group

Description:

The patients in the VAT group watch a training video in the patient rooms before RCR in addition to the routine treatment and care in the unit.

Treatment:

Other: video-assisted training

control group

No Intervention group

Description:

The control group received the routine treatment and care in the unit. The routine treatment and care of the unit includes verbal briefing by physicians and nurses about the surgical procedure before RCR, cold application and analgesic application for pain control after RCR, using arm sling, verbal discharge training (e.g., drug use, exercises, follow-up time, etc.) and discharge on the first post-operative day in the absence of complications. In addition, patients are invited to weekly controls to explain how to do the exercises and, if necessary, they are referred to physiotherapy.