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Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals

Primary Purpose

Shoulder Impingement Syndrome, Quality of Life, Satisfaction

Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
Control, no Proprioception
Experimental, Proprioceptive exercises
Sponsored by
University of Sao Paulo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shoulder Impingement Syndrome focused on measuring Nursing staff, Physical Therapy (Specialty)

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • working as a nurse
  • technician or nursing assistant in the hospital
  • make medical diagnosis of disorder in the rotator cuff (impingement, injury or rupture of the cuff)
  • does not make a medical diagnosis of cognitive impairment
  • were receiving no another type of treatment for shoulder pain (eg medicines,acupuncture, massage)
  • availability and interest in participating in therapy and accept to participate in the survey.

Exclusion Criteria:

  • patients with pain that would prohibit their participation in the program with a medical diagnosis of cognitive impairment,
  • associated with debilitating diseases,
  • previous surgery of the shoulder,
  • other specific conditions of the shoulder joint (adhesive capsulitis,
  • degenerative osteoarthritis of the glenohumeral joint,
  • tendon calcification) and do not accept to join the study.

Sites / Locations

  • Hospital of Clinics, University of Medicine of Ribeirao Preto

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

No proprioception

Proprioceptive exercises

Arm Description

Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, in addition to cryotherapy reduction of pain.

Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, proprioception exercises to improve motor control, besides cryotherapy for reduction of pain.

Outcomes

Primary Outcome Measures

Indicators of quality of life (WORC - Western Ontario Rotator Cuff The Index)
The WORC was selected to be a reliable tool for measuring quality of life for patients with rotator cuff disorder,available in Portuguese and validated for Brazilian culture by Lopes et al (2008). The WORC consists of 21 items and has five fields, and you can get the total for each domain separately. The domains are: physical symptoms, sports and recreation, work, lifestyle and emotions. The total score ranges from zero to 2100. Thus, zero implies no reduction in quality of life and the worst score is 2100.

Secondary Outcome Measures

Questionnaire used was the Job Satisfaction Scale - Occupational Stress Indicator (OSI).
This scale allows for the measurement of satisfaction with 22 aspects of psychosocial work using Likert scales of six points, ranging from huge to enormous satisfaction dissatisfaction. Such a tool available in Portuguese was validated by Cooper, Sloan and Williams (1988). The sum of these measures provides an indicator of job satisfaction given by a global score that ranges from 22 to 123 points. There's a cutoff point defined herein

Full Information

First Posted
October 25, 2011
Last Updated
November 4, 2011
Sponsor
University of Sao Paulo
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1. Study Identification

Unique Protocol Identification Number
NCT01465932
Brief Title
Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals
Official Title
Evaluation of the Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals According to Indicators of Quality of Life and Job Satisfaction
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
July 2010 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
August 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Sao Paulo

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The program of stretching, strengthening and proprioception is more effective than stretching and strengthening program in nursing, with rotator cuff disorder, according to indicators of quality of life and job satisfaction.
Detailed Description
The study will be conducted at the Rehabilitation Centre of the Hospital of the Medical School of Ribeirão Preto, University of São Paulo (USP-HCFMRP). The study will be conducted with nursing staff (nurses, technicians and nursing assistants) HCFMRP-USP. The sample will consist of nursing workers sent by request for referral to a medical diagnosis of rotator cuff disorder in the period May 2010 to August 2011. There was no sample size calculation for this study because the number of subjects directly depends on the demand of patients referred to the Department of Physical Therapy Rehabilitation Center (CER) in the period of data collection. All patients who met the study inclusion criteria were invited to participate. So, once met the inclusion criteria of the sample, the subjects were randomly allocated to Group 1 (control) or 2 (experimental). Group 1 was formed by the subjects in the control group in which they were performed stretching exercises, cryotherapy and strengthening the shoulder. Group 2 was formed by the subjects in the experimental group were performed in which stretching exercises, strengthening, and cryotherapy proprioceção shoulder.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement Syndrome, Quality of Life, Satisfaction
Keywords
Nursing staff, Physical Therapy (Specialty)

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
No proprioception
Arm Type
Active Comparator
Arm Description
Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, in addition to cryotherapy reduction of pain.
Arm Title
Proprioceptive exercises
Arm Type
Experimental
Arm Description
Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, proprioception exercises to improve motor control, besides cryotherapy for reduction of pain.
Intervention Type
Other
Intervention Name(s)
Control, no Proprioception
Other Intervention Name(s)
No proprioception
Intervention Description
The period of data collection period was from June 2010 to August 2011. All subjects who met the inclusion criteria, were randomly allocated to group 1 (control) or group 2 (experimental). Both groups consisted of 12 physical therapy sessions, taking place 2 times a week for 6 weeks. After randomization, subjects were allocated to group 1 (control group) underwent cervical stretching exercises, strengthening the scapular muscles and rotator cuff and cryotherapy.
Intervention Type
Other
Intervention Name(s)
Experimental, Proprioceptive exercises
Other Intervention Name(s)
Proprioceptive exercises
Intervention Description
The period of data collection period was from June 2010 to August 2011. All subjects who met the inclusion criteria, were randomly allocated to group 1 (control) or group 2 (experimental). Both groups consisted of 12 physical therapy sessions, taking place 2 times a week for 6 weeks. After randomization, subjects were allocated to group 2 (experimental group) underwent cervical stretching exercises, strengthening the scapular muscles and rotator cuff exercises and cryotherapy as well as proprioceptive sensory-motor
Primary Outcome Measure Information:
Title
Indicators of quality of life (WORC - Western Ontario Rotator Cuff The Index)
Description
The WORC was selected to be a reliable tool for measuring quality of life for patients with rotator cuff disorder,available in Portuguese and validated for Brazilian culture by Lopes et al (2008). The WORC consists of 21 items and has five fields, and you can get the total for each domain separately. The domains are: physical symptoms, sports and recreation, work, lifestyle and emotions. The total score ranges from zero to 2100. Thus, zero implies no reduction in quality of life and the worst score is 2100.
Time Frame
This scale is applied one day before and one day after the application of physical therapy intervention programs
Secondary Outcome Measure Information:
Title
Questionnaire used was the Job Satisfaction Scale - Occupational Stress Indicator (OSI).
Description
This scale allows for the measurement of satisfaction with 22 aspects of psychosocial work using Likert scales of six points, ranging from huge to enormous satisfaction dissatisfaction. Such a tool available in Portuguese was validated by Cooper, Sloan and Williams (1988). The sum of these measures provides an indicator of job satisfaction given by a global score that ranges from 22 to 123 points. There's a cutoff point defined herein
Time Frame
This scale is applied one day before and one day after the application of physical therapy intervention programs

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: working as a nurse technician or nursing assistant in the hospital make medical diagnosis of disorder in the rotator cuff (impingement, injury or rupture of the cuff) does not make a medical diagnosis of cognitive impairment were receiving no another type of treatment for shoulder pain (eg medicines,acupuncture, massage) availability and interest in participating in therapy and accept to participate in the survey. Exclusion Criteria: patients with pain that would prohibit their participation in the program with a medical diagnosis of cognitive impairment, associated with debilitating diseases, previous surgery of the shoulder, other specific conditions of the shoulder joint (adhesive capsulitis, degenerative osteoarthritis of the glenohumeral joint, tendon calcification) and do not accept to join the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lisandra V. Martins, postgraduate
Organizational Affiliation
University of Sao Paulo
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Maria HP Marziale
Organizational Affiliation
University of São Paulo
Official's Role
Study Director
Facility Information:
Facility Name
Hospital of Clinics, University of Medicine of Ribeirao Preto
City
Ribeirao Preto
State/Province
Sao Paulo
ZIP/Postal Code
055
Country
Brazil

12. IPD Sharing Statement

Citations:
PubMed Identifier
23117648
Citation
Martins LV, Marziale MH. Assessment of proprioceptive exercises in the treatment of rotator cuff disorders in nursing professionals: a randomized controlled clinical trial. Rev Bras Fisioter. 2012 Nov-Dec;16(6):502-9. doi: 10.1590/s1413-35552012005000057. Epub 2012 Nov 2.
Results Reference
derived

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Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals

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