There are very few studies in the literature about conservative treatment of massive rotator cuff (RC) tears. Whether the treatment of massive RC tears is conservative or surgical is decided according to the age, activity level, expectation and additional pathologies of the patient. The aim of conservative treatment is to make the patient functionally independent and to reduce pain. In recent years, there are different opinions in the literature about the effectiveness of conservative treatment of massive RC tears. However, in recent biomechanical studies, it has been reported that the RC and the deltoid, which remain intact in massive RC tears, can function well together. The hypothesis of this study is that the deltoid-focused physiotherapy program, where strengthening exercises are performed with EMG biofeedback, will give more positive results in terms of range of motion (ROM), functional status, muscle strength, pain and patients satisfaction. aim of our study is to investigate the efficacy of electromyographic biofeedback (EMG-BF) device which was added to deltoid focused conservative treatment program in massive RC tears.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
36
Exercises and rehabilitation for massive rotator cuff tears
Istanbul University Cerrahpaşa
Istanbul, Turkey (Türkiye)
American shoulder and elbow (ASES) score
The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is a standard shoulder assessment form, which is comprised of objective and subjective sections and prepared by shoulder and elbow surgeons.
Time frame: 12 months
Deltoid Strength
Measurement of the strength of the deltoid muscle with a digital dynamometer.
Time frame: 12 months
Range of Motion (ROM)
Active ROM will evaluate with a universal goniometer.
Time frame: 12 months
Numeric Pain Rating Scale (NPRS)
Participants' level of pain will assess by numeric pain rating scale (NPRS).
Time frame: 12 months
Global rating of change scale (GRCS)
The global rating of change scale (GRCS) which is five-point Likert scale will be use to evaluate the difference between the participants' health status from their perspective. It is ranging from -2 (very much worse), through 0 (unchanged) to +2 (much better).
Time frame: 12 months
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