Effectiveness of Core Stabilization Exercises in Rotator Cuff Injuries

Официальное название

Investigation of the Effectiveness of Core Stabilization Exercises in Patients With Rotator Cuff Tear

Обзор

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.

Подробное описание

Rotator cuff tears are classified as full-thickness and partial tears. Partial tears are a clinical condition commonly seen in the early stages but can often be treated with conservative methods. Partial tears can develop as a result of repetitive microtraumas, postural abnormalities, muscle imbalances, and deficiencies in the biomechanical chain. This condition affects not only the local shoulder muscles but also the scapulothoracic rhythm and trunk control. Recent studies have shown that shoulder function is closely related not only to local muscle strength but also to the integrity of the kinetic chain. The trunk (core) muscles are particularly critical for maintaining posture, transferring force during upper extremity movements, and stabilizing the distal segments. Inadequate trunk stabilization can lead to increased loads on the shoulder joint and elevated stress on the rotator cuff. Therefore, the aim of this thesis study is to examine the effectiveness of core stabilization exercises applied to individuals diagnosed with rotator cuff partial tears on pain, shoulder function, and clinical recovery, and to contribute scientifically to conservative rehabilitation approaches.

Вмешательства

• Другое Core Stabilization Exercises
  The 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 exerci
• Другое Classic Trunk and Abdominal Strengthening Program
  The 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.
• Другое Conventional Rehabilitation
  1. 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. Co

Первичные конечные точки

• Visual Analog Scale [Срок оценки: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)]

Вторичные конечные точки (4)

• Tendon Thickness [Срок оценки: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)]
• Shoulder Pain and Disability Index (SPADI) [Срок оценки: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)]
• Range Of Motion (ROM) [Срок оценки: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)]
• Core Muscle Strength [Срок оценки: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)]

Критерии участия

Критерии включения

• 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)

Критерии исключения

• 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
• History of acute trauma
• Presence of neurological disease
• History of surgery on the treated shoulder
• Symptomatic acromioclavicular joint arthritis
• Frozen shoulder

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Kırşehir Ahi Evran University — Kırşehir

Идентификаторы

NCT: NCT07377292 · AhievranUERH-FTR-SD-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗