This is a prospective longitudinal observational cohort study of patients with shoulder disorders undergoing a standardized rehabilitation program supported by the REHABI digital automated model in a private physiotherapy clinic. The study aims to describe clinical outcomes in routine practice and to optimize a 24-test functional assessment battery based on deficit prevalence, magnitude, and responsiveness.
This is a prospective longitudinal observational cohort study of 129 adult patients (≥18 and ≤71 years) with acute non-traumatic shoulder pain and/or dysfunction treated in a private sports physiotherapy clinic in Pamplona, Spain. All patients undergo a standardized rehabilitation program supported by the REHABI automated digital model, which links quantified deficits obtained from a 24-test functional assessment battery to specific exercise prescriptions and progression rules. The study aims to describe clinical outcomes in routine practice (global clinical deficit score, shoulder pain intensity, number of treatment sessions, and days to discharge) and to optimize the initial 24-test battery based on deficit prevalence, magnitude, and responsiveness to change between baseline and discharge. The main objectives are: (1) to evaluate the clinical effectiveness and feasibility of the REHABI model in routine clinical practice; and (2) to reduce the initial 24-test assessment battery to a smaller core set of tests using mixed criteria based on prevalence, magnitude of deficit, and responsiveness to change.
Study Type
OBSERVATIONAL
Enrollment
129
Lorena Castaño de Egues
Noáin, Navarre, Spain
Change in global clinical deficit score from baseline to discharge
Global clinical score summarizing the number and magnitude of positive findings in the functional test battery. Higher scores indicate greater functional deficit. Change is calculated as discharge score minus baseline score.
Time frame: Baseline and discharge (approximately 1-6 months after baseline, depending on clinical evolution)
Change in selected functional tests from the optimized core battery
Change in performance on selected shoulder functional tests (e.g., Yocum, Speed, Jobe, external rotation at 90° abduction, etc.) identified as part of the optimized core test battery.
Time frame: Baseline and discharge (ranging from 1 month to 6 month after baseline)
Number of rehabilitation sessions until discharge
Total number of physiotherapy sessions attended from baseline to discharge within the REHABI program.
Time frame: From baseline to discharge (approximately 1-6 months)
Days from baseline to clinical discharge
Number of days between the first assessment and the discharge visit recorded in the REHABI system.
Time frame: Baseline to discharge (ranging from 1 to 6 months)
Change in shoulder pain intensity (Numeric Rating Scale, 0-10)
Shoulder pain intensity during movement, measured using an 11-point Numeric Rating Scale (EVA 0-10). Change is calculated as discharge score minus baseline score.
Time frame: Baseline and discharge (approximately 1-6 months)
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