Smart Physiotherapy Activity Recognition System (SPARS) for Rotator Cuff Injury
Phase-Based Progress Estimates
Effectiveness
Safety
Sunnybrook Holland Orthopaedic & Arthritic Centre, Toronto, CanadaRotator Cuff InjurySmart Physiotherapy Activity Recognition System (SPARS) - Device
Study Summary
This trial is testing a new way to measure whether patients are doing their prescribed physiotherapy exercises correctly at home, in order to improve recovery after shoulder injuries.
Treatment Effectiveness
Effectiveness Progress
Study Objectives
1 Primary · 5 Secondary · Reporting Duration: Up to 1 year
Up to 1 year
Numeric Pain Rating Scale (NPRS)
The Disabilities of the Arm, Shoulder and Hand (DASH) Score
Work status
Up to 12 weeks
Shoulder active range of motion
Strength testing
Up to 3-5 months
Physiotherapy participation (smart watch inertial data)
Trial Safety
Safety Progress
Trial Design
2 Treatment Groups
OHIP (funded) Patient Population
1 of 2
Injured Worker Population
1 of 2
Active Control
Experimental Treatment
120 Total Participants · 2 Treatment Groups
Primary Treatment: Smart Physiotherapy Activity Recognition System (SPARS) · No Placebo Group · N/A
Injured Worker Population
Device
Experimental Group · 1 Intervention: Smart Physiotherapy Activity Recognition System (SPARS) · Intervention Types: DeviceOHIP (funded) Patient Population
Device
ActiveComparator Group · 1 Intervention: Smart Physiotherapy Activity Recognition System (SPARS) · Intervention Types: DeviceTrial Logistics
Trial Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to 1 year
Who is running the clinical trial?
Sunnybrook Health Sciences CentreLead Sponsor
607 Previous Clinical Trials
1,468,123 Total Patients Enrolled
Robin RichardsPrincipal InvestigatorSunnybrook Health Sciences Centre
Eligibility Criteria
Age 18+ · All Participants · 4 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:You are able to do exercises at home as instructed by the study.
You have been diagnosed with shoulder injuries such as rotator cuff tendinosis, shoulder impingement syndrome or a rotator cuff tear.
You are 18 years old or older, regardless of gender.
You plan to treat your condition with non-invasive methods.
References
- Jack, Kirsten, Sionnadh Mairi McLean, Jennifer Klaber Moffett, and Eric Gardiner. 2010. “Barriers to Treatment Adherence in Physiotherapy Outpatient Clinics: A Systematic Review”. Manual Therapy. Elsevier BV. doi:10.1016/j.math.2009.12.004.
- Thomson, Sophie, Chris Jukes, and Jeremy Lewis. 2016. “Rehabilitation Following Surgical Repair of the Rotator Cuff: A Systematic Review”. Physiotherapy. Elsevier BV. doi:10.1016/j.physio.2015.08.003.
- Bollen, J. C., S. G. Dean, R. J. Siegert, T. E. Howe, and V. A. Goodwin. 2014. “A Systematic Review of Measures of Self-reported Adherence to Unsupervised Home-based Rehabilitation Exercise Programmes, and Their Psychometric Properties”. BMJ Open. BMJ. doi:10.1136/bmjopen-2014-005044.
- Staples, Margaret P., Andrew Forbes, Sally Green, and Rachelle Buchbinder. 2010. “Shoulder-specific Disability Measures Showed Acceptable Construct Validity and Responsiveness”. Journal of Clinical Epidemiology. Elsevier BV. doi:10.1016/j.jclinepi.2009.03.023.
- Littlewood, Chris, Marcus Bateman, David Clark, James Selfe, Duncan Watkinson, Mike Walton, and Lennard Funk. 2015. “Rehabilitation Following Rotator Cuff Repair: A Systematic Review”. Shoulder & Elbow. SAGE Publications. doi:10.1177/1758573214567702.
- Faber, Mathilde, Malene H. Andersen, Claus Sevel, Kristian Thorborg, Thomas Bandholm, and Michael Rathleff. 2015. “The Majority Are Not Performing Home-exercises Correctly Two Weeks After Their Initial Instruction—an Assessor-blinded Study”. Peerj. PeerJ. doi:10.7717/peerj.1102.
- Burns, David M, Nathan Leung, Michael Hardisty, Cari M Whyne, Patrick Henry, and Stewart McLachlin. 2018. “Shoulder Physiotherapy Exercise Recognition: Machine Learning the Inertial Signals from a Smartwatch”. Physiological Measurement. IOP Publishing. doi:10.1088/1361-6579/aacfd9.
- Gummesson, Christina, Isam Atroshi, and Charlotte Ekdahl. 2003. “The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Questionnaire: Longitudinal Construct Validity and Measuring Self-rated Health Change After Surgery”. BMC Musculoskeletal Disorders. Springer Science and Business Media LLC. doi:10.1186/1471-2474-4-11.
- Jack K, McLean SM, Moffett JK, Gardiner E. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther. 2010 Jun;15(3):220-8. doi: 10.1016/j.math.2009.12.004. Epub 2010 Feb 16.
- Littlewood C, Bateman M, Clark D, Selfe J, Watkinson D, Walton M, Funk L. Rehabilitation following rotator cuff repair: a systematic review. Shoulder Elbow. 2015 Apr;7(2):115-24. doi: 10.1177/1758573214567702. Epub 2015 Jan 29.
- Bollen JC, Dean SG, Siegert RJ, Howe TE, Goodwin VA. A systematic review of measures of self-reported adherence to unsupervised home-based rehabilitation exercise programmes, and their psychometric properties. BMJ Open. 2014 Jun 27;4(6):e005044. doi: 10.1136/bmjopen-2014-005044.
- Thomson S, Jukes C, Lewis J. Rehabilitation following surgical repair of the rotator cuff: a systematic review. Physiotherapy. 2016 Mar;102(1):20-8. doi: 10.1016/j.physio.2015.08.003. Epub 2015 Sep 8.
- 2019. "Measuring Adherence to Home Shoulder Physiotherapy With Artificial Intelligence". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04629417.
Frequently Asked Questions
Are participants currently being enrolled for this research endeavor?
"According to the information presented on clinicaltrials.gov, this trial is actively looking for participants and was initially posted in May of 2019 with an update made on October 20th 2021." - Anonymous Online Contributor
Unverified Answer
What is the current enrolment rate for this trial?
"Affirmative, clinicaltrials.gov has documented the active recruitment of patients for this trial which was first posted on May 14th 2019 and revised most recently on October 20th 2021. Currently, 120 participants are needed at one site in particular." - Anonymous Online Contributor
Unverified Answer