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Phase 4 N=189 Randomized Single-blind Treatment

Early Mobilization Following Mini-Open Rotator Cuff Repair

Full Thickness Rotator Cuff Tears

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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