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Effect of Postoperative Immobilization on Healing After Rotator Cuff Arthroscopic Repair

Primary Purpose

Rotator Cuff Tear

Status
Unknown status
Phase
Not Applicable
Locations
Argentina
Study Type
Interventional
Intervention
Postoperative early passive motion
Sling
Sponsored by
Hospital Italiano de Buenos Aires
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rotator Cuff Tear

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients skeletally mature (older 18 years old)
  • Small or medium rupture of rotator cuff
  • Repaired with arthroscopic double row technique

Exclusion Criteria:

  • Impossibility to perform MRI (claustrophobic, pacemaker, heart or brain metallic implants)
  • AC arthritis with mumford procedure
  • Smokers
  • Diabetes
  • Postoperative complication (severe pain, thrombosis, infection)
  • Psychiatric disorder

Sites / Locations

  • Hospital Italiano de Buenos AiresRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

No Intervention

Arm Label

Early passive motion

Immobilization

Arm Description

Pendulum exercises starting on the first postoperative day. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises were not permitted until four weeks after surgery.

Immobilization with sling during a month. Pendulum exercises starting on the fourth postoperative week. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises.

Outcomes

Primary Outcome Measures

MRI

Secondary Outcome Measures

ASES (American Shoulder and Elbow Surgeons Subjective Shoulder Scale)
The ASES is 100-point standardized shoulder-assessment self-report form, 50 points of which are derived from patient self-report of pain on a visual analog scale and 50 points of which are computed from a formula using the cumulative score of 10 activities of daily living derived using a four-point ordinal scale.
Range of Motion
VAS of pain
visual analogue scale of pain
WORC
The Western Ontario Rotator Cuff Index (WORC) is a self-report questionnaire developed specifically to evaluate disability in persons with pathology of the rotator cuff of the shoulder.

Full Information

First Posted
December 24, 2011
Last Updated
January 9, 2012
Sponsor
Hospital Italiano de Buenos Aires
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1. Study Identification

Unique Protocol Identification Number
NCT01502098
Brief Title
Effect of Postoperative Immobilization on Healing After Rotator Cuff Arthroscopic Repair
Official Title
Effect of Postoperative Immobilization on Healing After Rotator Cuff Arthroscopic Repair With Double Row Technique in Small or Medium Ruptures. Prospective, Comparative and Randomized.
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Unknown status
Study Start Date
January 2012 (undefined)
Primary Completion Date
June 2013 (Anticipated)
Study Completion Date
December 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hospital Italiano de Buenos Aires

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study aims to establish whether one month postoperative immobilization compared early passive motion after rotator cuff arthroscopic repair in small or medium ruptures with double row technique has any healing significance.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rotator Cuff Tear

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
114 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Early passive motion
Arm Type
Active Comparator
Arm Description
Pendulum exercises starting on the first postoperative day. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises were not permitted until four weeks after surgery.
Arm Title
Immobilization
Arm Type
No Intervention
Arm Description
Immobilization with sling during a month. Pendulum exercises starting on the fourth postoperative week. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises.
Intervention Type
Procedure
Intervention Name(s)
Postoperative early passive motion
Intervention Description
Shoulder exercises starting on the first postoperative day
Intervention Type
Other
Intervention Name(s)
Sling
Intervention Description
Sling for 4 weeks
Primary Outcome Measure Information:
Title
MRI
Time Frame
6 months
Secondary Outcome Measure Information:
Title
ASES (American Shoulder and Elbow Surgeons Subjective Shoulder Scale)
Description
The ASES is 100-point standardized shoulder-assessment self-report form, 50 points of which are derived from patient self-report of pain on a visual analog scale and 50 points of which are computed from a formula using the cumulative score of 10 activities of daily living derived using a four-point ordinal scale.
Time Frame
1, 3, 6 months
Title
Range of Motion
Time Frame
1, 3, 6 months
Title
VAS of pain
Description
visual analogue scale of pain
Time Frame
1, 3, 6 months
Title
WORC
Description
The Western Ontario Rotator Cuff Index (WORC) is a self-report questionnaire developed specifically to evaluate disability in persons with pathology of the rotator cuff of the shoulder.
Time Frame
1, 3, 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients skeletally mature (older 18 years old) Small or medium rupture of rotator cuff Repaired with arthroscopic double row technique Exclusion Criteria: Impossibility to perform MRI (claustrophobic, pacemaker, heart or brain metallic implants) AC arthritis with mumford procedure Smokers Diabetes Postoperative complication (severe pain, thrombosis, infection) Psychiatric disorder
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Juan M. Lopez Ovenza, MD
Phone
15-5-9249686
Email
juanmanuel.lopez@hospitalitaliano.org.ar
Facility Information:
Facility Name
Hospital Italiano de Buenos Aires
City
Buenos Aires
ZIP/Postal Code
1118
Country
Argentina
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juan Manuel Lopez Ovenza, MD
Email
juanmanuel.lopez@hospitalitaliano.org.ar

12. IPD Sharing Statement

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Effect of Postoperative Immobilization on Healing After Rotator Cuff Arthroscopic Repair

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