The goal of this intent-to-treat study is to evaluate the efficacy of H-Wave Device Stimulation following rotator cuff repair surgery. It is hypothesized that HWDS initiated immediately upon home arrival following rotator cuff repair will not only result in earlier range of motion recovery, but also in better pain relief, medication reduction, sleep quality, and functional recovery. The participants will be randomized into two groups: (a) Routine post-surgical care: standard protocols per procedure, including access to opioid and non-opioid pain medications, (b) Routine post-surgical care plus H-Wave® Device Stimulation (HWDS); and will be followed for 3 months post-surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Routine post-surgical care plus H-Wave® Device Stimulation (HWDS)
Routine post-surgical care: standard protocols per procedure, including access to opioid and non-opioid pain medications
Sano
Overland Park, Kansas, United States
Sano
Kansas City, Missouri, United States
Sano
Lee's Summit, Missouri, United States
Sano
Raymore, Missouri, United States
Change in Pain Medication Usage
Amount of opioids (converted into morphine milligram equivalents) and other polypharmacy will be recorded, and change in usage of pain medications at follow-up visit(s) compared to baseline will be determined.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in pain intensity assessed via Visual Analogue Scale (VAS)
0-10 Visual Analog Scale (0 = no pain, 10 = worst imaginable) will be used. Change in Pain intensity at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in pain intensity assessed via Brief Pain Inventory (BPI)
BPI Pain Items will be used (0- no pain, 10- pain as bad as you can imagine). Change in Pain intensity at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in Function assessed via American Shoulder and Elbow Surgeons Score (ASES)
Patient-reported improvement in functional improvement assessed via ASES. It involves pain and activities of daily living (0- unable to do, 3- not difficult) questionnaire. Change in function at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in functional outcomes assessed via University of California, Los Angeles (UCLA) Shoulder Score
UCLA shoulder score records patient-reported date (pain, function and satisfaction) along with clinician-reported findings (range of motion). Scores range from 0 to 35 with a score of 0 indicating worse shoulder function and 35 indicating better shoulder function. Change at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 2 months and 3 months
Change in Single Assessment Numeric Evaluation (SANE)
Patient will report their affected joint and opposite side as a percentage of normal (0 to 100% scale with 100% being normal). Change at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in Sleep Quality assessed via Brief Pittsburg Sleep Quality Index (B-PSQI)
Rated on a scale of 0-21 (Score of 0-5: Good sleeper; \>5: Poor sleeper). Change in sleep quality at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 6-8days, 3-4weeks, 2 months and 3 months
Change in Active/Passive Range of Motion (AROM/PROM)
Clinician will record Active and Passive Range of Motion for both Unaffected and Affected Shoulders. Change at follow-up visit(s) compared to baseline will be evaluated.
Time frame: Baseline, 2 months and 3 months
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