The Effectiveness of Telerehabilitation in Patients With Subacromial Pain Syndrome

Bezmialem Vakif University

Status: Withdrawn

Conditions: Subacromial Pain Syndrome

Treatments: Other: Telerehabilitation; Other: Standard Physiotherapy; Other: Home Exercise Group

Study type: Interventional

Funder types: Other

Identifiers

NCT04738461

BI280121

Details and patient eligibility

About

The main hypothesis of the study is that telerehabilitation is an effective treatment method and it is not inferior than standard physiotherapy.The aim of this study is to evaluate the effectiveness of telerehabilitation in patients with subacromial pain syndrome by comparing it with standard physiotherapy.

Full description

Subacromial pain syndrome formerly known as subacromial impingement syndrome is the cause of approximately 44% to 65% of pain complaints related to the shoulder. Methods such as immobilization, drug therapy, injection techniques, physical therapy modalities and therapeutic exercises, manual therapy, acupuncture and surgery can be used in the treatment of the disease. Due to the Coronavirus disease 2019 (COVID-19) pandemic that started in Wuhan province of China in December 2019, 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. Although there are many studies on the effectiveness of telerehabilitation in the literature, there is no study on the superiority of telerehabilitation, physical therapy under supervision and home exercise program over each other.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having subacromial pain for at least 2 weeks
• Positive result of Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests .
• To have internet access and equipment to participate in videoconference .
• Being literate and not having cognitive dysfunction.

Exclusion criteria

• Positive drop arm test
• Signs of adhesive capsulitis (restriction in range of motion-especially in abduction and external rotation)
• Grade 3 or full thickness rotator cuff tear
• Labral tears and other intraarticular structural pathologies
• History of shoulder surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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0 participants in 3 patient groups

Telerehabilitation

Experimental group

Description:

Telerehabilitation program will be applied 5 days a week for 3 weeks to patients in the telerehabilitation group. A physiatrist will meet with patients via videoconferencing over the internet and guide the program.

Treatment:

Other: Telerehabilitation

Standard Physiotherapy

Active Comparator group

Description:

Patients in the standard physiotherapy group will receive one-to-one physiotherapy sessions in the hospital 5 days a week for 3 weeks. In these sessions, active-passive exercises accompanied by a physiotherapist and physical therapy methods (electrotherapy and thermotherapy) will be applied in accordance with the standard procedure according to the patient's needs.

Treatment:

Other: Standard Physiotherapy

Home exercise group

Active Comparator group

Description:

The home exercise program was explained to the patients in the control group by the physiotherapist and the relevant brochures were delivered to the patients. Home exercise program will consist of telerehabilitation group exercises. However, patients will be not under any supervision and exercise themselves at home.

Treatment:

Other: Home Exercise Group