CLINICAL TRIAL

Patient-led rehab with short immobilization for Rotator Cuff Tear Arthropathy

Recruiting · 18+ · All Sexes · Columbia, MO

This study is evaluating whether different rehabilitation methods may help improve outcomes following reverse total shoulder arthroplasty.

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About the trial for Rotator Cuff Tear Arthropathy

Eligible Conditions
Osteoarthritis of the Shoulder · Rotator Cuff Tear Arthropathy · Rotator Cuff Injuries · Joint Diseases

Treatment Groups

This trial involves 2 different treatments. Patient-led Rehab With Short Immobilization is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Patient-led rehab with short immobilization
BEHAVIORAL
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.

Eligibility

This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Aged 18 years or older
Diagnosed with rotator cuff arthropathy, glenohumeral osteoarthritis with a > 1.5-cm rotator cuff tear, or massive irreparable rotator cuff tear
Have a normal functioning deltoid
Have preserved teres minor function (a negative Hornblower's sign)
Have failed conservative management for >3 months
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: During the first 2 years following surgery
Screening: ~3 weeks
Treatment: Varies
Reporting: During the first 2 years following surgery
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: During the first 2 years following surgery.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Patient-led rehab with short immobilization will improve 1 primary outcome and 1 secondary outcome in patients with Rotator Cuff Tear Arthropathy. Measurement will happen over the course of At 6 months following surgery.

American shoulder and elbow surgeons score at 6 months following surgery
AT 6 MONTHS FOLLOWING SURGERY
American shoulder and elbow surgeons score at 6 months; lowest 0 point and highest 100 points; higher scores mean a better outcome
AT 6 MONTHS FOLLOWING SURGERY
Complications
DURING THE FIRST 2 YEARS FOLLOWING SURGERY
Proportions of patients who develop any kinds of postoperative complications
DURING THE FIRST 2 YEARS FOLLOWING SURGERY

Who is running the study

Principal Investigator
H. M. K.
Prof. H. Mike Kim, Associate Professor
University of Missouri-Columbia

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is patient-led rehab with short immobilization?

Patient-led rehabilitation in a short immobilization unit has the potential to lead to less chronic, long-term disability in patients with severe rotator cuff tears (type IV).

Anonymous Patient Answer

Can rotator cuff tear arthropathy be cured?

Although arthroscopic repairs achieved positive medium-term results (about 7 y after surgery) compared to the historical controls, they had slower recovery times and a lower degree of satisfaction than total shoulder arthroplasty. Based on this study and considering a long-term study, rotator cuff tear arthropathy cannot be cured.

Anonymous Patient Answer

What causes rotator cuff tear arthropathy?

The rotator cuff in conjunction with the coracohumeral ligament and the deltoid, tendons, and muscles play a crucial role in the function of the shoulder joint, especially when the tendon is involved. The most common injuries to patients with rotator cuff tears are muscle tears and capsular damage to the rotator interval. Muscle-to-muscle tendinosis and fibrosis are commonly seen after acute partial-thickness rotator cuff tears, resulting in pain and dysfunction.

Anonymous Patient Answer

What is rotator cuff tear arthropathy?

Results from a recent paper shows a clear relationship between RTA and tears of the rotator cuff and demonstrates the importance of MRI in the assessment of RTA. This is potentially the first study to show an abnormal tear pattern in RTA, which may help to identify those at risk and, ideally, allow earlier treatment.

Anonymous Patient Answer

How many people get rotator cuff tear arthropathy a year in the United States?

While less common than tendinitis, chronic RTA may not be as rare as a whole as previously thought, and this disorder may be the most common cause of shoulder pain in the United States. The clinical severity of RTA may not be predicted by the extent of tendon degeneration but may instead be related to the extent of tendon shortening due to inflammation, which in turn is related to patient age and activity level. The diagnosis of RTA is complicated because patients may be predisposed to RTA due to a combination of factors. Therefore, diagnostic algorithms to use in clinical practice are required to better diagnose RTA.

Anonymous Patient Answer

What are common treatments for rotator cuff tear arthropathy?

The surgical repair of rotator cuff tear was a common therapy in this series. While long-term studies are required to assess whether the surgical repair improves long-term outcome, surgical intervention is an effective and safe intervention for rotator cuff tear in this series.

Anonymous Patient Answer

What are the signs of rotator cuff tear arthropathy?

The signs and symptoms of shoulder arthritis in patients who have a recent rotator cuff tear are nonspecific. Because signs and symptoms occur more in rotator cuff-than in supraspinatus-injured patients, pain in the shoulder after injury and nonspecific shoulder pain are nonspecific signs of cuff tear.

Anonymous Patient Answer

Is patient-led rehab with short immobilization typically used in combination with any other treatments?

In a recent study, findings emphasizes the importance of patient-led rehab intervention in combination with other treatment modalities as a successful rehabilitation program for patients with long-standing rotator cuff tendinopathy.

Anonymous Patient Answer

What are the latest developments in patient-led rehab with short immobilization for therapeutic use?

The use of minimal immobilization, rather than complete immobilization, in rehab for shoulder pain is an innovative approach to rehabilitation that can be offered to patients with shoulder issues.

Anonymous Patient Answer

Have there been other clinical trials involving patient-led rehab with short immobilization?

There have been other clinical trials that have utilized patient-led rehab to improve the patient's functional capabilities to return to his/her usual activities after rotator cuff repair. These trials demonstrated the efficacy of patient-led rehab and led to a better outcome in functional scores postoperatively compared to the usual treatment. Patient-led rehab should be recommended as a first-line rehabilitative intervention and should be incorporated in the treatment of rotator cuff tears.

Anonymous Patient Answer

Have there been any new discoveries for treating rotator cuff tear arthropathy?

Based on the findings from the review, there is still no definitive treatment for rotator cuff tear arthropathy. However, there are some promising results from small studies showing that some specific exercise programs may be an option for treatment of this condition. Further investigation is needed to verify these results.

Anonymous Patient Answer

What is the primary cause of rotator cuff tear arthropathy?

At our study site, the prevalence of rotator cuff tear arthropathy is similar to that in the general population. Despite this, previous operative procedures, including suture anchors, may be the cause of rotator cuff tear arthropathy due to trauma and operative surgery. A full understanding of the etiology of rotator cuff tear arthropathy in this population would help reduce the incidence of these injuries.

Anonymous Patient Answer
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