Efficacy of Adding Early Scapular Muscles Strengthening Exercise After Rotator Cuff Repair on Scapula Kinematics

Cairo University (CU)

Status: Enrolling

Conditions: Supraspinatus Tear; Rotator Cuff Injuries; Rotator Cuff Repair Rehabilition

Treatments: Other: Rehabilition protocol after rotator cuff repair surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT06851650

P.T.REC/012/005178

Details and patient eligibility

About

The study investigates the effect of accelerate rehabilitation protocol(adding scapular strengthen exercises (lower trapezius and serratus anterior) from week 1) after arthroscopic rotator cuff repair on scapular upward rotation during shoulder elevation.

Full description

the study will consist of 2 group Both groups will participate in an accelerated rehabilitation program starting the first week after surgery till week 12, but they will follow different protocols. Accelerated rehabilitation protocol with Early Strengthening of Scapular stabilizer muscle (LT and SA) and GH Active range of motion protocol will be starting gradual active ROM for GH from week 3 post operative till week 12 and gradual scapular muscles strengthening exercises (serratus anterior, lower trapezius) from day 1 while Accelerated rehabilitation protocol with Delay strengthening of Scapular stabilizer muscles and Active GH range of motion protocol will start active ROM for GH and scapular activation exercises (protraction, retraction, and depression) from week 6 till week 12. Patients will wear the sling for the first 6 weeks or as the physician recommends and remove it only during the session and home program.

7 The outcomes will be measured 3 times, at week 3 as a baseline for assessment, then reassess at weeks 6, and 12

Enrollment: 44 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

1. Patients after arthroscopic rotator cuff repair.
2. Both gender between age 30 to 50 years
3. Small and medium supraspinatus tear

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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44 participants in 2 patient groups

Early strengthening of Scapular stabilizer muscle and GH Active range of motion

Experimental group

Description:

Act as study group will receive accelerated protocol with early strengthening of scapular stabilizer muscle of lower trapezius, and serratus anterior and early active GH range of motion (AESA) rehabilitation program.

Treatment:

Other: Rehabilition protocol after rotator cuff repair surgery

Delay strengthening of Scapular stabilizer muscles and GH Active range of motion

Active Comparator group

Description:

Act as control group will receive Accelerated protocol with delay strengthening of scapular stabilizer muscles and GH active range of motion (ADSA) rehabilitation program

Treatment:

Other: Rehabilition protocol after rotator cuff repair surgery