Clinical Trials Logo

Clinical Trial Summary

Rotator cuff syndrome is one of the most common problems in the shoulder, starting as acute tendinopathy and progressing to partial and full thickness tears. Shoulder pain causes a decrease in shoulder joint movement, joint position sense, upper extremity function and quality of life. Among the most commonly used conservative treatment methods; Joint range of motion exercises, stretching exercises, strengthening exercises, mobilization and electrotherapy method are included. Nowadays, with the widespread use of technology in rehabilitation, video-based games have begun to be used for rehabilitative purposes in addition to conservative approaches. Although the effectiveness of video-based games has been extensively studied in diseases such as cerebral palsy, stroke and parkinsonism, there are a limited number of studies in the field of orthopedic rehabilitation, especially in shoulder rehabilitation. Basic body awareness therapy is used to treat chronic musculoskeletal-related painful conditions. In the literature, basic body awareness therapy has been studied in patient groups such as mental health, stroke patient groups, chronic musculoskeletal problems, chronic waist and neck pain, scoliosis and knee osteoarthritis. Studies have shown that the TBFT method provides improvements in individuals' body awareness, mobility in daily living activities, health-related quality of life, body image and pain intensity. However, no studies have been found in which basic body awareness therapy was used in the field of shoulder rehabilitation. Our study aims to compare the effectiveness of a rehabilitative game exercise program and body awareness training in terms of pain, joint range of motion, shoulder functionality, proprioception, body awareness, shoulder-related quality of life, kinesiophobia and patient satisfaction in individuals with Rotator cuff syndrome.


Clinical Trial Description

It is one of the most common problems in the shoulder, which begins as acute tendinopathy in rotator cuff surgery and can progress to partial and full thickness tears. The most commonly affected muscle is supraspinatus and infraspinatus, followed in second place. The shoulder joint is an important and complex joint in terms of both mobility and stability. Having a wide joint range of motion makes stabilization of this joint difficult. Passive (bone, capsule, ligament) and active (muscles) structures play an important role in ensuring stability. The stabilization mechanism is under the control of the central nervous system. The sensorimotor system is responsible for all proprioceptive information, motor or neuromuscular responses and central integration, and plays a role in maintaining the balance of static and dynamic stabilizers around the joint.Proprioceptive sensory input is one of the most important structures of the sensorimotor system. Insufficiency in proprioceptive sense is one of the factors that predispose to injuries, and studies have shown that proprioceptive deficit is present in common pathologies of the shoulder such as shoulder instability, impingement syndrome, rotator cuff injuries, adhesive capsulitis and osteoarthritis. The first symptom that usually occurs in rotator cuff injuries is pain, and its incidence increases significantly with age.Shoulder pain and increasing shoulder joint movement limitation cause a decrease in shoulder active joint position sense (proprioception), upper extremity function and quality of life. Exercise prescription in general; It focuses on increasing the range of motion of the glenohumeral joint and the flexibility of the muscles in the region, providing scapular control and increasing the muscle strength of the shoulder area. Among the most commonly used conservative treatment methods; Joint range of motion exercises, stretching exercises, strengthening exercises, mobilization and electrotherapy method are included. Today, with the widespread use of technology in rehabilitation, video-based games have begun to be used for rehabilitative purposes in addition to conservative approaches. Products such as Nintendo Wii, Microsoft Kinect and Fizyosoft can be given as examples of video-based games. Video-based game exercise programs are defined as a combination of physical movements and games designed to increase the physical activity level and functionality of individuals. Although the effectiveness of video-based games in neurorehabilitation has been extensively studied in diseases such as cerebral palsy, stroke and parkinsonism, there are a limited number of studies in the field of orthopedic rehabilitation, especially in the treatment protocols of patients with rotator cuff injury and subacromial impingment syndrome. Basic Body Awareness Therapy is an existential treatment approach targeting mind-body integrity that is frequently used in the rehabilitation of patients with psychiatric disorders and chronic musculoskeletal problems. Basic body awareness therapy is used in the treatment of painful conditions related to the chronic musculoskeletal system. In the literature, it has been seen that basic body awareness therapy has been studied in patient groups such as mental health, stroke patient groups, chronic musculoskeletal problems, chronic waist and neck pain, scoliosis and knee osteoarthritis. It has been shown in the studies examined that the basic body awareness therapy method, which provides integration of mind-body integrity, provides improvement in individuals' body awareness, mobility in daily living activities, health-related quality of life, body image and pain intensity findings. However, no studies have been found in which basic body awareness therapy was used in the field of shoulder rehabilitation. The aim of our study is to compare the effectiveness of a rehabilitative game exercise program and body awareness training in terms of pain, joint range of motion, shoulder functionality, proprioception, body awareness, shoulder-related quality of life, kinesiophobia and patient satisfaction in individuals with Rotator cuff syndrome. In addition to conventional methods, the rehabilitative game exercise programWe predict that body awareness training will bring a different perspective to the field of shoulder rehabilitation. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT06228625
Study type Interventional
Source Medipol University
Contact Özlem Görgülü Göksu, PT, MSc
Phone +905386301995
Email ozlemgrgl94@gmail.com
Status Recruiting
Phase N/A
Start date January 2, 2024
Completion date December 2, 2025

See also
  Status Clinical Trial Phase
Not yet recruiting NCT05817578 - Profiling the RCRSP Patient: a Pain Phenotype Classification Algorithm
Completed NCT05561452 - The Efficacy of PRP Injection in the Treatment of Rotator Cuff Syndrome N/A
Recruiting NCT05648032 - PLT and Steroid in Lateral Epicondylopathy and Supraspinatus Calcific Tendinopathy Phase 3
Completed NCT05584345 - Investigation of the Effect of Respiratory Exercises on Pain and Functionality in Individuals With Rotator Cuff Syndrome N/A
Completed NCT05863806 - Mulligan Mobilization vs Transverse Friction Massage in Rotator Cuff Syndrome N/A
Recruiting NCT06194435 - Teleexercise for Rotator Cuff Syndrome: A Comparison N/A
Completed NCT01355549 - Platelet-Rich Plasma Therapy for Shoulder Pain in Persons With Spinal Cord Injury Phase 1
Not yet recruiting NCT05829096 - The COMBINED Study to Integrate Health Behaviour Change for People With a Rotator Cuff Disorder N/A
Completed NCT04716855 - Evaluation of Functional Status, Physical Activity and Quality of Life in Patients With Rotator Cuff Syndrome
Completed NCT01996904 - Prospective Randomized Comparative Study of Outcome of Subscapularis Tear N/A
Completed NCT02493660 - A Pivotal Study to Assess the InSpaceā„¢ Device for Treatment of Full Thickness Massive Rotator Cuff Tears N/A
Completed NCT02495818 - Suprascapular Nerve Block Guided by Ultrasound Phase 2
Not yet recruiting NCT06435494 - Cross-sectorial Use of Patient-Reported Outcomes in Chronic Degenerative Shoulder Conditions N/A
Completed NCT02655848 - Tenotomy or Tenodesis of Long Head Biceps in Arthroscopic Rotator Cuff Repair N/A
Not yet recruiting NCT05976035 - Exercise vs. Supplements in Rotator Cuff-Related Shoulder Pain N/A
Not yet recruiting NCT06016439 - Outcomes of Massive Rotator Cuff Tendon Tear Treatment. N/A
Not yet recruiting NCT06276192 - Digital Physiotherapy Treatment for Patients With Subacromial Pain Compared to Usual Physiotherapy in Primary Care N/A
Active, not recruiting NCT02725320 - Rotator Cuff Surgical Outcomes in Women
Completed NCT01987973 - Allograft Reconstruction of Massive Rotator Cuff Tears vs Partial Repair Alone N/A
Not yet recruiting NCT06318403 - Estradiol Supplementation and Rotator Cuff Repair Phase 2