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Rotator Cuff Injuries clinical trials

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NCT ID: NCT06192459 Recruiting - Rotator Cuff Tears Clinical Trials

Effect of the Muscle Strength and Range of Motion Training for Post-platelet Rich Plasma Injection in People With Rotator Cuff Partial Tear

Start date: October 6, 2023
Phase: N/A
Study type: Interventional

Background: Although it is known that Platelet-Rich Plasma injections have a remarkable pain relief effect for patients with partial tears of the rotator cuff in the shoulder joint, many patients still experience limited muscle strength and joint mobility recovery. Patients often inquire about post-Platelet-Rich Plasma injection rehabilitation and precautions. Therefore, it is necessary to design a comprehensive post-injection rehabilitation and training plan to improve the quality of treatment. However, previous literature on post-Platelet-Rich Plasma injection treatment seems to have inconsistent rehabilitation plans. One major reason for this inconsistency might be the lack of sufficient evidence or unclear rehabilitation effectiveness, leading to poor patient compliance. The underlying cause of these issues is the absence of a standardized and effective rehabilitation plan. Hence, it is essential to develop a standardized rehabilitation plan to enhance treatment effectiveness. Method: The investigators designed a non-blinded, randomized, crossover trial to observe the potential benefits of muscle strength and joint mobility rehabilitation intervention one month after PRP injection treatment for patients with partial tears of the rotator cuff. Patients were randomly divided into two groups. One group received only standard physical therapy (magneto-therapy, low-energy laser, electrotherapy, etc.), while the other group underwent muscle strength and joint mobility training in addition to standard physical therapy. There were three assessment time points: pre-assessment (one week after Platelet-Rich Plasma injection), after the first stage of treatment (three weeks of rehabilitation training + standard physical therapy/standard physical therapy following the first Platelet-Rich Plasma injection treatment), and after the second stage of treatment (three weeks of rehabilitation training + standard physical therapy/standard physical therapy following the second Platelet-Rich Plasma injection treatment). The assessment methods included quantifying muscle strength using a hand-held dynamometer (Manual Muscle Test) and measuring three shoulder joint angles (abduction, external rotation, internal rotation). The Shoulder Pain and Disability Index recorded changes and progress in each value at different treatment stages. Analysis: A repeated-measures Analysis of Variance model was used to analyze the trial's effects and correlations. We also analyzed whether the dose-effect existed concerning the use of time/frequency.

NCT ID: NCT06160427 Recruiting - Shoulder Pain Clinical Trials

Connective Tissue Matrix for Rotator Cuff Tendinopathy

Start date: December 4, 2023
Phase: Phase 4
Study type: Interventional

The purpose of this research study is to determine if the effectiveness of a single injection of CTM Boost in the treatment of patients with rotator cuff tendinopathy (RCT) is as effective as a single injection of platelet rich plasma (PRP) in reducing the symptoms of RCT.

NCT ID: NCT06156423 Recruiting - Rotator Cuff Tears Clinical Trials

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

Start date: September 10, 2023
Phase: N/A
Study type: Interventional

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.

NCT ID: NCT06120998 Recruiting - Rotator Cuff Tear Clinical Trials

Quality of Life After Arthroscopic Rotator Cuff Repair

Start date: September 1, 2020
Phase:
Study type: Observational

The goal of this longitudinal study is to understand the postoperative quality of life and dynamic trajectory of shoulder function in individuals with rotator cuff tears.

NCT ID: NCT06112444 Recruiting - Clinical trials for Rotator Cuff Injuries

Validity And Reliability Study Of The Turkish Version Of Short Western Ontario Rotator Cuff Index

Start date: September 1, 2023
Phase:
Study type: Observational

The purpose of this study is to examine the psychometric properties of a Turkish shortened version of the Western Ontario Rotator Cuff Index (SHORTWORC).

NCT ID: NCT06092996 Recruiting - Clinical trials for Shoulder Osteoarthritis

Sling vs No Sling After Reverse Total Shoulder Arthroplasty

Start date: December 7, 2023
Phase: N/A
Study type: Interventional

This study involves patients who will be undergoing a reverse total shoulder replacement at Duke University. 100 eligible will be randomly assigned into one of two groups, a sling or no sling group. Patients in the sling group will wear a sling for three weeks after their surgery while the no sling group will only wear a sling three days after their surgery. Patients will follow their doctors normal follow up visit schedule after surgery, with visits at 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and 2 years.

NCT ID: NCT06088667 Recruiting - Rotator Cuff Tears Clinical Trials

Fascial Release After Arthroscopic Rotator Cuff Repair

Start date: July 15, 2023
Phase: N/A
Study type: Interventional

Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment method that can be used for myofascial restriction and fascial release. IASTM is used to reduce pain in the area where the pathology is located, increase range of motion (ROM), improve movement function and provide a mobilizing effect. When the literature was examined, no study was found examining the effectiveness of the IASTM technique, which is known to require less effort and stimulate healing compared to manual interventions, in the rehabilitation period after rotator cuff arthroscopic surgery. Therefore, our study aimed to examine the effects of instrument-assisted fascial mobilization given in addition to conventional rehabilitation on long-term pain, function, joint range of motion, fear of movement, and daily living activities in patients who have passed 4 weeks after rotator cuff arthroscopic surgery and are candidates for rehabilitation.

NCT ID: NCT06081088 Recruiting - Pain Clinical Trials

Graded Motor Imagery Training in Shoulder Impingement Syndrome

Start date: October 16, 2023
Phase: N/A
Study type: Interventional

The aim of this study is to investigate the effects of Graded Motor Imagery (GMI) training on pain, functionality, disability and daily living activities in patients diagnosed with Shoulder Impingement Syndrome.

NCT ID: NCT06079944 Recruiting - Clinical trials for Shoulder Impingement Syndrome

Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome

Start date: March 1, 2023
Phase: N/A
Study type: Interventional

A randomized control trial will be done on diagnosed Shoulder impingemnet patients with physical therapy screening in Fauji Foundation Hospital Rawalpindi. There is a growing demand on finding treatments which can be more beneficial and can be started early on in the treatment phase, nowadays. The purpose of the study is to determine the "effects of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome" using the resistance band and multipulley system. The traditional physical therapy will include hot pack placed on shoulder and neck region for ten minutes, Transcutaneous electrical nerve stimular will be used and the electrodes will be placed on the desired area (shoulder complex) the intensity will be increased manually according to the capacity of the patient and the treatment time will be of 15 minutes, stretching exercises such as doorway stretch and foam roll supine stretch will be done in the hospital for first 3 weeks and the next 3 weeks will be for home exercises moving from 5 repetitions to 20 repetitions for a set of 3. stretch will be hold for 30 seconds

NCT ID: NCT06076902 Recruiting - Rotator Cuff Tears Clinical Trials

Patch Study (Patch-augmented Rotator Cuff Repair)

Start date: April 6, 2023
Phase: N/A
Study type: Interventional

This single-center, prospective, randomized controlled study will compare patients allocated to two treatment arms who are undergoing surgery to repair rotator cuff tears: (1) arthroscopic rotator cuff reconstruction using fixation with anchors augmented with a synthetic polyester patch, and (2) arthroscopic rotator cuff reconstruction using fixation with anchors and no augmentation with a synthetic polyester patch. The primary objective is to compare complications (primarily retear rates) and the secondary objective is to compare mid- and long-term clinical and radiological outcomes using standard orthopedic assessments, such as the subjective shoulder value and the Constant-Murley score.