Slow and Accelerated Rehabilitation Protocols
Rotator Cuff Injuries, Rotator Cuff Tears, Pain, Shoulder
About this trial
This is an interventional treatment trial for Rotator Cuff Injuries focused on measuring Rotator Cuff Injuries, tear, pain, shoulder
Eligibility Criteria
Inclusion Criteria:
- being in the age range of 18-65 years
- being diagnosed with massive, irreparable rotator cuff tears based on magnetic resonance imaging and clinical continuity tests
- symptoms are unresponsive to conservative care including steroid injections and physiotherapy for at least 6 months
- having a good command of the Turkish language
- scoring above 24 in the Mini Mental State Test
- ≥80% compliance in completing the post-ARCR Phase 1 trainings
- volunteering to participate in the study
Exclusion Criteria:
- diabetes mellitus
- neurological problems
- cervical disc herniation
- visual, verbal, and/or cognitive defects (aphasia, unilateral neglect, etc.)
- systemic inflammatory problems
- hypermobility, trauma, and/or inflammation that could be a contraindication for mobilization
- former shoulder fractures on the affected side
- advanced glenohumeral arthritis (Hamada grade 3),
- deltoid muscle dysfunction,
- irreparable subscapularis tears,
- active infection,
- shoulder stiffness,
- a history of previous shoulder surgery
Sites / Locations
- Kırşehir Ahi Evran UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Accelerated (ACCEL) physiotherapy group
Slow (SLOW) physiotherapy group
They will be referred to Physiotherapy and Rehabilitation clinics for a 8-week-long Phase 2 and Phase 3 trainings. The training program includes the following exercises: cold-pack ; TENS (60-120 Hz); soft tissue massage, joint mobilizations; mobility exercises; stretching, controlled strengthening and endurance exercises.
They will be referred to Physiotherapy and Rehabilitation clinics for a 14-week-long Phase 2 and Phase 3 trainings. The training program includes the following exercises: cold-pack ; TENS (60-120 Hz); soft tissue massage, joint mobilizations; mobility exercises; stretching, controlled strengthening and endurance exercises.