Effectiveness of Telerehabilitation on Subacromial Pain Syndrome

Hasan Kalyoncu University

Status: Completed

Conditions: Subacromial Pain Syndrome

Treatments: Other: Telerehabilitation Group; Other: Manual Therapy Group; Other: Home Exercise Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05200130

2021/074

Details and patient eligibility

About

The aim of this study is to evaluate the effectiveness of supervised exercise therapy with active soft tissue and joint mobilization.

The effectiveness of telerehabilitation- active mobilization and exercises in the evaluation of pain and function in patients with subacromial pain syndrome will be examined and compared with face-to-face treatment, which is passive manual therapy.

Full description

Shoulder pain is common in the population. Various treatment modalities are used. Due to the Coronavirus disease (COVID-19), the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. In addition, as a new treatment application, its effectiveness will be measured in patients with shoulder pain.

Enrollment: 60 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individuals between the ages of 18-50 who complain of shoulder pain
• Individuals diagnosed with a partial tear of the rotator cuff smaller than 1 cm and As a result of the examination performed by the physician stage 1 or 2 subacromial impingement syndrome.
• Two of the following tests are positive Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests
• Presence of shoulder pain lasting longer than 6 weeks that limits activity.
• Being literate and not having cognitive dysfunction.

Exclusion criteria

• Presence of other orthopedic, neurological and systemic problems affecting the neck, shoulder and back complex,
• Patients with heart failure and using a pacemaker,
• Labral tears and other intraarticular structural pathologies
• Signs of adhesive capsulitis
• Grade 3 or full thickness rotator cuff tear
• BMİ > 30 kg/m
• Having been included in a physical therapy program related to the same side shoulder joint in the last 1 year
• Using non-steroidal anti-inflammatory drugs.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Home exercise group

Active Comparator group

Description:

The home exercise program will be explained to the patients in the control group by the physiotherapist and the relevant brochures will be delivered to the patients. Home exercise program will take 30-45 min. İt will be applied 5 days a week for 8 weeks. Patients will receive a reminder message from the physiotherapist once a week.

Treatment:

Other: Home Exercise Group

Manual Therapy Group

Active Comparator group

Description:

Patients in the Manual Therapy Group will receive one-to-one physiotherapy sessions in the hospital 2 days a week for 8 weeks. In these sessions, soft tissue and joint mobilizations and exercises will be applied by physiotherapist.

Treatment:

Other: Manual Therapy Group

Telerehabilitation Supported Group

Experimental group

Description:

Telerehabilitation program will be applied 2 days a week for 8 weeks to patients in the telerehabilitation group. İt will take 30-45 min. A physiotherapist will meet with patients via videoconferencing over the internet and guide the program.

Treatment:

Other: Telerehabilitation Group