Ezgi Türkmen1, Yıldız Analay Akbaba2, Süleyman Altun3. 1. Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Institute of Graduate Education, Istanbul, Turkey. Electronic address: ezgi.turkmen.49@hotmail.com. 2. Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey. 3. Department of Orthopaedics and Traumatology, Bakırkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Abstract
BACKGROUND:Video-based rehabilitation programs, which are also used in the treatment of neurological disorders, could be a beneficial treatment option for patients who cannot receive treatment. PURPOSE: To determine the efficacy of video-based rehabilitation program in the conservative treatment of partial rotator cuff tears in comparison to a physiotherapist-supervised rehabilitation program. STUDY DESIGN: A randomized controlled clinical trial. METHODS:Thirty-three voluntary patients with partial rotator cuff tear were randomized into two groups: video-based rehabilitation (VBR) group and physiotherapist-supervised rehabilitation (PSR) group, for a common 6 weeks rehabilitation program. After drop outs, thirty participants (mean ± SD age, 50.60 ± 8.54 years; 10 female) were finally completed the trial. Active shoulder range of motion, pain, functional status, and health-related quality of life of the patients were assessed before and after treatment. Also, treatment satisfaction level was assessed at the end of the treatment. RESULTS: There was statistically significant improvement in terms of active shoulder range of motion values (mean differences at 95% confidence interval for abduction: 30.75-51.37 in the VBR group, 34.20-54.45 in the PSR group, P = .001 in both groups) and secondary outcome measures within both groups (P < .05). However, there were no statistically significant differences in terms of all outcome measures between groups (P > .05). The level of satisfaction from treatment in the PSR group was higher than that in the VBR group. CONCLUSION: A video-based rehabilitation program is an effective option in terms of shoulder range of motion, pain, functionality, and quality of life and has a comparable success level with a PSR program in the conservative treatment of partial rotator cuff tears.
RCT Entities:
BACKGROUND: Video-based rehabilitation programs, which are also used in the treatment of neurological disorders, could be a beneficial treatment option for patients who cannot receive treatment. PURPOSE: To determine the efficacy of video-based rehabilitation program in the conservative treatment of partial rotator cuff tears in comparison to a physiotherapist-supervised rehabilitation program. STUDY DESIGN: A randomized controlled clinical trial. METHODS: Thirty-three voluntarypatients with partial rotator cuff tear were randomized into two groups: video-based rehabilitation (VBR) group and physiotherapist-supervised rehabilitation (PSR) group, for a common 6 weeks rehabilitation program. After drop outs, thirty participants (mean ± SD age, 50.60 ± 8.54 years; 10 female) were finally completed the trial. Active shoulder range of motion, pain, functional status, and health-related quality of life of the patients were assessed before and after treatment. Also, treatment satisfaction level was assessed at the end of the treatment. RESULTS: There was statistically significant improvement in terms of active shoulder range of motion values (mean differences at 95% confidence interval for abduction: 30.75-51.37 in the VBR group, 34.20-54.45 in the PSR group, P = .001 in both groups) and secondary outcome measures within both groups (P < .05). However, there were no statistically significant differences in terms of all outcome measures between groups (P > .05). The level of satisfaction from treatment in the PSR group was higher than that in the VBR group. CONCLUSION: A video-based rehabilitation program is an effective option in terms of shoulder range of motion, pain, functionality, and quality of life and has a comparable success level with a PSR program in the conservative treatment of partial rotator cuff tears.
Authors: Sally Hopewell; David J Keene; Peter Heine; Ioana R Marian; Melina Dritsaki; Lucy Cureton; Susan J Dutton; Helen Dakin; Andrew Carr; Willie Hamilton; Zara Hansen; Anju Jaggi; Chris Littlewood; Karen Barker; Alastair Gray; Sarah E Lamb Journal: Health Technol Assess Date: 2021-08 Impact factor: 4.106
Authors: Sally Hopewell; David J Keene; Ioana R Marian; Melina Dritsaki; Peter Heine; Lucy Cureton; Susan J Dutton; Helen Dakin; Andrew Carr; Willie Hamilton; Zara Hansen; Anju Jaggi; Chris Littlewood; Karen L Barker; Alastair Gray; Sarah E Lamb Journal: Lancet Date: 2021-07-12 Impact factor: 79.321