Comparing slow and accelerated rehabilitation after shoulder surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effects of two different rehabilitation protocols—slow and accelerated—following latissimus dorsi transfer surgery for patients with massive, irreparable rotator cuff tears. The research will involve patients aged 18-65 who have not responded to conservative treatments for at least six months. Participants will be assessed based on their recovery outcomes, including pain reduction and functional improvement, to determine which rehabilitation approach yields better results. The study will utilize a randomized design to ensure robust comparisons between the two protocols.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* being in the age range of 18-65 years
* being diagnosed with massive, irreparable rotator cuff tears based on magnetic resonance imaging and clinical continuity tests
* symptoms are unresponsive to conservative care including steroid injections and physiotherapy for at least 6 months
* having a good command of the Turkish language
* scoring above 24 in the Mini Mental State Test
* ≥80% compliance in completing the post-ARCR Phase 1 trainings
* volunteering to participate in the study

Exclusion Criteria:

* diabetes mellitus
* neurological problems
* cervical disc herniation
* visual, verbal, and/or cognitive defects (aphasia, unilateral neglect, etc.)
* systemic inflammatory problems
* hypermobility, trauma, and/or inflammation that could be a contraindication for mobilization
* former shoulder fractures on the affected side
* advanced glenohumeral arthritis (Hamada grade 3),
* deltoid muscle dysfunction,
* irreparable subscapularis tears,
* active infection,
* shoulder stiffness,
* a history of previous shoulder surgery

Where it's running

• Kırşehir Ahi Evran University
  Kırşehir, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Caner KARARTI, Asst. Prof.
• Email: fzt.caner.92@gmail.com
• Phone: +903862805362

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.