Telerehabilitation in Shoulder Pathology

Instituto de Investigación Sanitaria Aragón

Status: Enrolling

Conditions: Rotator Cuff Pathology

Treatments: Procedure: telerehabilitation in physiotherapy; Procedure: face to face physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07321444

C.P.-C.I. PI21-403

Details and patient eligibility

About

A randomized clinical trial will be conducted to evaluate the effectiveness of telerehabilitation compared to in-person physiotherapy in the treatment of rotator cuff injuries of the shoulder. Follow-up assessments will be performed at 2, 5, and 8 weeks. Scales will be used to evaluate shoulder function, quality of life, pain perception, and satisfaction with the digital tool.

Full description

Digital health is undergoing significant development in various healthcare settings, especially in primary care. Digital physiotherapy, or telerehabilitation, is a resource that promotes self-care and allows for remote monitoring and follow-up. This study focuses on its application to degenerative rotator cuff disease of the shoulder. This is justified by its high prevalence and the geographical dispersion of the population served by the Primary Care Physiotherapy Unit of Teruel Ensanche. Objectives: The main objective is to evaluate the effectiveness of a primary care telerehabilitation program for patients with degenerative rotator cuff disease of the shoulder, compared to traditional physiotherapy. Secondary objectives are to assess patients' perception and satisfaction with this intervention and to analyze the usability and acceptance of the telerehabilitation program. Methodology: A 12-week randomized clinical trial will be conducted at the Teruel Ensanche Health Center. A sample of 68 adults aged 34 to 87 years with degenerative rotator cuff disease of the shoulder was estimated. Participants require internet access and an electronic device. The variables measured: shoulder function (Constant-Murley test), degree of disability (DASH questionnaire), quality of life (COOP/WONCA questionnaire), and pain perception (numerical rating scale). The intervention group (IG) receive an individualized program with remotely guided and supervised exercises, supplemented by a weekly in-person session. The control group (CG) receive standard treatment: 10 in-person physiotherapy sessions, followed by unsupervised home exercises. Assessments will be conducte at baseline and at 2, 5, 8, and 12 weeks.

Enrollment: 68 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Minimum age 18.
• Diagnosis of degenerative shoulder rotator cuff disease.
• Internet access.
• Access to a video calling device.

Exclusion criteria

• Previous shoulder surgery.
• Cognitive impairment that prevents them from performing the task.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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68 participants in 2 patient groups

Telerehabilitation

Experimental group

Description:

exercises supervised by videoconference

Treatment:

Procedure: telerehabilitation in physiotherapy

Face to face physiotherapy

Active Comparator group

Description:

Face to face exercise sessions in the physiotherapy room

Treatment:

Procedure: face to face physiotherapy