Effect of Postoperative Immobilization on Healing After Rotator Cuff Arthroscopic Repair
Study Details
Study Description
Brief Summary
The study aims to establish whether one month postoperative immobilization compared early passive motion after rotator cuff arthroscopic repair in small or medium ruptures with double row technique has any healing significance.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Early passive motion Pendulum exercises starting on the first postoperative day. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises were not permitted until four weeks after surgery. |
Procedure: Postoperative early passive motion
Shoulder exercises starting on the first postoperative day
|
No Intervention: Immobilization Immobilization with sling during a month. Pendulum exercises starting on the fourth postoperative week. The patients are instructed to commence passive range-of-motion exercises in the plane of the scapula with the assistance with the contralateral limb. Active motion exercises. |
Other: Sling
Sling for 4 weeks
|
Outcome Measures
Primary Outcome Measures
- MRI [6 months]
Secondary Outcome Measures
- ASES (American Shoulder and Elbow Surgeons Subjective Shoulder Scale) [1, 3, 6 months]
The ASES is 100-point standardized shoulder-assessment self-report form, 50 points of which are derived from patient self-report of pain on a visual analog scale and 50 points of which are computed from a formula using the cumulative score of 10 activities of daily living derived using a four-point ordinal scale.
- Range of Motion [1, 3, 6 months]
- VAS of pain [1, 3, 6 months]
visual analogue scale of pain
- WORC [1, 3, 6 months]
The Western Ontario Rotator Cuff Index (WORC) is a self-report questionnaire developed specifically to evaluate disability in persons with pathology of the rotator cuff of the shoulder.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients skeletally mature (older 18 years old)
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Small or medium rupture of rotator cuff
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Repaired with arthroscopic double row technique
Exclusion Criteria:
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Impossibility to perform MRI (claustrophobic, pacemaker, heart or brain metallic implants)
-
AC arthritis with mumford procedure
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Smokers
-
Diabetes
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Postoperative complication (severe pain, thrombosis, infection)
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Psychiatric disorder
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Hospital Italiano de Buenos Aires | Buenos Aires | Argentina | 1118 |
Sponsors and Collaborators
- Hospital Italiano de Buenos Aires
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CEPI:1780