Phase 4
N=189
Early Mobilization Following Mini-Open Rotator Cuff Repair
Full Thickness Rotator Cuff Tears
Bottom Line
View on ClinicalTrials.gov: NCT01741272 ↗Enrolled (actual)
189
Serious AEs
0.0%
Results posted
Mar 2015
Primary outcome: Primary: Change in Range of Motion (ROM)From Baseline to 24 Months — 124.4; 120.2; 73.2; 84.1 degrees
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Sling (Procedure); No sling (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Alberta
- Primary completion
- Jan 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Range of Motion (ROM)From Baseline to 24 Months |
124.4; 120.2; 73.2; 84.1; 118.5; 120.0 | — |
| SECONDARY Pain Questionnaire |
4.0; 4.0; 2.3; 2.4; 1.3; 1.4 | — |
| SECONDARY WORC Questionnaire |
40.1; 40.1; 90.9; 89.4 | — |
| SECONDARY Abduction Strength Using the Power Component of the Constant Score |
8.7; 8.3; 16.5; 16.3 | — |
| SECONDARY Complications |
20; 17 | — |
Summary
The primary objective of this study is to determine if early active range of motion after mini-open rotator cuff repair in adults results in improved shoulder range of motion at 6 weeks and 3 months after surgery. The secondary objective of this study is to determine if early mobilization improves disease-specific quality of life and promotes earlier return to work/function.
Hypothesis: Adults undergoing mini-open rotator cuff repair will have faster recovery of range of motion, improved disease specific quality of life and earlier return to work/function if allowed to begin early active range of motion compared to subjects who are immobilized in a sling for 6 weeks.
Eligibility Criteria
Inclusion Criteria
Clinical:
- males and females over 18 years of age
- failed non-operative management defined as persistent pain and/or disability following 3 months of conservative medical treatment including analgesic/anti-inflammatory medications, intra-articular corticosteroids, activity modification and physical therapy.
Radiological:
- confirmed full-thickness rotator cuff tear on arthrogram or MRI
Surgical:
- full-thickness tear of the rotator cuff confirmed through arthroscopy
- rotator cuff repairable using mini-open approach
Exclusion Criteria
- previous shoulder surgery
- previous fracture of scapula or humerus
- history of charcot joint or inflammatory arthropathy
- cervical radiculopathy
- active joint or systemic infection
- neurological disorder
- significant paralysis of the rotator cuff, deltoid or shoulder girdle musculature
- major medical illness (life expectancy less than 2 years or unacceptably high operative risk)
- unable to speak or read English
- immunosuppressive therapy or chronic steroids (eg. prednisone)
- patient unwilling to be followed for 2 years
- psychiatric illness that precludes informed consent
Data sourced from ClinicalTrials.gov (NCT01741272). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.