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NCT Number: NCT06156423

Investigation of the Effect of Motor Control Exercises in Patients Undergoing Rotator Cuff Surgery

The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.

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Key information

Conditions

Rotator Cuff Tears Rotator Cuff Injuries Rupture Shoulder Injuries Tendon Injuries Wounds and Injuries

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sinem Yenil

Denizli, 20060, Turkey (Türkiye)

About this study

Treatment of rotator cuff tears can be conservative or surgical. The aim of rehabilitation postoperative period, is to reduce pain, increase joint range of motion (ROM), and enable the patient to return to normal functional activities as soon as possible while preventing the repaired tissue from tearing again.

Motor control training based on motor control theory reorganizes the cerebral cortex. In people with shoulder pain, a scapulothoracic posture retraining program reduces shoulder pain and improves scapulothoracic movement and muscle activation patterns and shoulder function. Therefore, rehabilitation should include correct positioning of the scapulothoracic joint through active muscle activation (motor control training) and retraining. However, the evidence is still limited and the effect of motor control exercises is not yet fully understood. Over the last 15 years, telerehabilitation in the broader field of telehealth has been used to help patients in rural areas improve healthcare and access services to reduce cost and transportation issues. Studies on the upper extremity have also begun to increase in recent years. The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Undergone rotator cuff surgery
  • being 18 years of age
  • agree to participate in the study,
  • allowed early rehabilitation after surgery,
  • can speak and understand Turkish
  • can make video conferences and phone calls.

Exclusion criteria

  • have had previous surgery on the affected shoulder,
  • have neurological deficits and motor control disorders,
  • have systemic rheumatological disease,
  • have developed any complications that may affect rehabilitation in the shoulder,
  • have had revision surgery on the affected shoulder.

Treatment and study plan

Motor control exercise

Other

Motor control exercises include stabilization exercises for the scapula with external focus by activating the correct alignment and kinetic chain by providing verbal feedback and visual feedback.

Standard Exercise

Other

The standard rehabilitation group received a rehabilitation program via video call 3 days a week for 12 weeks.

Primary outcomes

  1. Pain Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Pain assessment will be evaluated with the Visual Analog Scale (VAS) before surgery, at the 6th week and at the 12th week after surgery, during activity, rest and sleep. As the score increases, it indicates that the pain increases.

  2. Shoulder Range of Motion Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Range of motion of the shoulder will be evaluated with a electrogoniometer. Evaluations will be made actively for shoulder flexion, abduction, internal and external rotation and active total elevation

  3. Active Internal Rotation Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    In active internal rotation of the shoulder, the distance between the thumb and the T5 spinous process will be measured with a tape measure.

  4. Scapular Dyskinesis Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Scapular dyskinesis will be evaluated with the lateral scapular glide test.

  5. Shoulder muscle strength assessment

    Time frame: Preoperative and postoperative 12th week

    Shoulder abduction, flexion, internal and external rotation and scaption muscle strength will be measured with a dynamometer.

  6. Grip strength assessment

    Time frame: Preoperative and postoperative 12th week

    Grip strength will be evaluated with a Jamar hand dynamometer.

  7. Shoulder function assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Shoulder function will be evaluated with Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. The total score is 100, with higher scores indicating more disability.

  8. Shoulder function assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Other shoulder function assessment will be evaluated with American Shoulder and Elbow Surgeons Scale (ASES). A combination of these scores will yield an ASES score ranging from 0 (absence of function) to 100 (normal function).

  9. Kinesiophobia Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Kinesiophobia assessment will be evaluated with Tampa Scale of Kinesiophobia. The total score varies between 17-68. A high score on the scale indicates that the person has a high level of kinesiophobia.

  10. Sleep quality assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Sleep quality will be evaluated with Pittsburgh Sleep Quality Index (PSQI). The overall score ranges from 0 to 21. Lower scores indicate better sleep quality.

  11. Quality of Life Assessment

    Time frame: Preoperative, postoperative 6th week and postoperative 12th week

    Quality of life will be evaluated with the Western Ontario Rotator Cuff Index (WORC), specific to rotator cuff injuries. The total score ranges from 0 to 2100, with lower scores indicating higher quality of life.

Sponsors and collaborators

Lead sponsor

Pamukkale University

Other

Registry information

Official study title

Investigation of the Effect of Motor Control Exercises Given With Telerehabilitation on Shoulder Function and Quality of Life in Patients Undergoing Rotator Cuff Surgery

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Dec 5, 2023
Registry last updated
Jan 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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