Effectiveness of Core Stabilization Exercises in Rotator Cuff Injuries
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-60
SponsorAhi Evran University Education and Research Hospital
About this trial
The aim of this study is to investigate the effectiveness of core stabilization exercises added to conventional physical therapy in patients aged 40-60 with rotator cuff tears, compared to classic trunk and abdominal muscle strengthening exercises.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 40 to 60 years with a partial supraspinatus tear detected by MRI, reported by a radiologist, and confirmed by a physiatrist.
Patients who test positive for at least two of the Jobe, Hawkins and Neer tests during the physical examination
Patients with a visual analog scale (VAS) score between 3.5 and 7.4 millimeters (mm)
Disqualifiers
Participants do not wish to continue treatment for any reason
Complete or massive rotator cuff tear
Use of non-steroidal or steroidal anti-inflammatory drugs
If they have received shoulder injections or physical therapy within the three months prior to the study
Trial design
Design model
Parallel
Treatments tested in this trial
Core Stabilization Exercises
Other interventionThe program will be set up as a 35-minute session, including a 5-minute warm-up, three days a week for four weeks, under the supervision of a physical therapist. Before starting the exercise, the pelvis will be moved forward and backward to teach the lumbar and pelvic neutral positions by contracting and pulling the abdominal muscles to reduce lumbar lordosis. A neutral position will be established before each session, and care will be taken to maintain the neutral position throughout the exercise. The exercises consist of three levels and will be applied gradually. The exercises given at the beginning will be made more difficult individually according to the patients' progress. When the patient can maintain the exercise position for more than 5 seconds, they will move on to the next level. A deep breath will be taken before starting the exercise, and the breath will be exhaled during the movement. The contraction of the transversus abdominis muscle should continue while exhaling.
Classic Trunk and Abdominal Strengthening Program
Other interventionThe program will be set up for 3 days a week over 4 weeks, consisting of a 35-minute session including a 5-minute warm-up, supervised by a physical therapist. Classic Williams 1-2-3 and McKenzie exercises will be provided.
Conventional Rehabilitation
Other intervention1. Passive, assisted active, and active shoulder flexion, abduction, external rotation, and internal rotation exercises in the supine position 2. Active shoulder range of motion (ROM) exercises in a sitting or standing position 3. Shoulder flexion strengthening exercises 4. Shoulder external rotator and internal rotator strengthening exercises 5. Exercises to strengthen the lower, middle trapezius, and serratus anterior muscles 6. Posterior capsule stretching exercises 7. TENS (20 minutes) 8. Cold pack (10 minutes)
Treatment groups
69 Participants
are divided into 3 treatment groupsGroup A: Core Stabilization GroupActive comparator 2 interventions
Group B: Classic Body Exercise GroupActive comparator 2 interventions
Group C: Control GroupPlacebo comparator 1 intervention
Trial outcomes
Primary outcomes
1
Visual Analog Scale
Pain intensity on the VAS (visual analog scale) is generally rated as "no pain" 0 points and "the most severe pain imaginable" 10 points (10 cm scale). Pain intensity scoring ranges are specified as \<3 mild pain, 3-6 moderate pain, \>6 severe pain.
Time frame
Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)Secondary outcomes
1
Tendon Thickness
The supraspinatus tendon will be evaluated using USG.
Time frame
Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)2
Shoulder Pain and Disability Index (SPADI)
The SPADI questionnaire is a measure consisting of a total of 13 questions with two subscales: pain and disability. The total score and all subscale scores are evaluated on a scale of 0-100. A high result indicates significant shoulder pain and restricted shoulder movement.
Time frame
Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)3
Range Of Motion (ROM)
Shoulder ROM is measured using a universal goniometer. Shoulder flexion, extension, abduction, internal rotation, and external rotation ranges are measured in the supine position.
Time frame
Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)4
Core Muscle Strength
Core muscle endurance will be assessed using the McGill core muscle endurance tests, which include the core flexor endurance test, core extensor endurance test, and core right and left side endurance tests. A stopwatch will be used for measurements, and scores will be recorded in seconds. Tests will be terminated when the test position deteriorates or when participants indicate they cannot continue the test.
Time frame
Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)Sponsors and contacts
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Source ClinicalTrials.gov