Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Lisandra Vanessa Martins, University of Sao Paulo
ClinicalTrials.gov Identifier:
NCT01465932
First received: October 25, 2011
Last updated: November 4, 2011
Last verified: October 2011
  Purpose

The program of stretching, strengthening and proprioception is more effective than stretching and strengthening program in nursing, with rotator cuff disorder, according to indicators of quality of life and job satisfaction.


Condition Intervention
Shoulder Impingement Syndrome
Quality of Life
Satisfaction
Other: Control, no Proprioception
Other: Experimental, Proprioceptive exercises

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Evaluation of the Effectiveness of Physical Therapy Program to Treat Rotator Cuff Disorders Among Nursing Professionals According to Indicators of Quality of Life and Job Satisfaction

Resource links provided by NLM:


Further study details as provided by University of Sao Paulo:

Primary Outcome Measures:
  • Indicators of quality of life (WORC - Western Ontario Rotator Cuff The Index) [ Time Frame: This scale is applied one day before and one day after the application of physical therapy intervention programs ] [ Designated as safety issue: Yes ]

    The WORC was selected to be a reliable tool for measuring quality of life for patients with rotator cuff disorder,available in Portuguese and validated for Brazilian culture by Lopes et al (2008).

    The WORC consists of 21 items and has five fields, and you can get the total for each domain separately. The domains are: physical symptoms, sports and recreation, work, lifestyle and emotions. The total score ranges from zero to 2100. Thus, zero implies no reduction in quality of life and the worst score is 2100.



Secondary Outcome Measures:
  • Questionnaire used was the Job Satisfaction Scale - Occupational Stress Indicator (OSI). [ Time Frame: This scale is applied one day before and one day after the application of physical therapy intervention programs ] [ Designated as safety issue: Yes ]

    This scale allows for the measurement of satisfaction with 22 aspects of psychosocial work using Likert scales of six points, ranging from huge to enormous satisfaction dissatisfaction. Such a tool available in Portuguese was validated by Cooper, Sloan and Williams (1988).

    The sum of these measures provides an indicator of job satisfaction given by a global score that ranges from 22 to 123 points. There's a cutoff point defined herein



Enrollment: 16
Study Start Date: July 2010
Study Completion Date: August 2011
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: No proprioception
Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, in addition to cryotherapy reduction of pain.
Other: Control, no Proprioception
The period of data collection period was from June 2010 to August 2011. All subjects who met the inclusion criteria, were randomly allocated to group 1 (control) or group 2 (experimental). Both groups consisted of 12 physical therapy sessions, taking place 2 times a week for 6 weeks. After randomization, subjects were allocated to group 1 (control group) underwent cervical stretching exercises, strengthening the scapular muscles and rotator cuff and cryotherapy.
Other Name: No proprioception
Experimental: Proprioceptive exercises
Nursing professionals to diagnose disorders of the rotator cuff previously randomly allocated in this group did stretching exercises of the muscles of the cervical spine and chest, strengthening the muscles of the rotator cuff and stabilizers of the scapula, proprioception exercises to improve motor control, besides cryotherapy for reduction of pain.
Other: Experimental, Proprioceptive exercises
The period of data collection period was from June 2010 to August 2011. All subjects who met the inclusion criteria, were randomly allocated to group 1 (control) or group 2 (experimental). Both groups consisted of 12 physical therapy sessions, taking place 2 times a week for 6 weeks. After randomization, subjects were allocated to group 2 (experimental group) underwent cervical stretching exercises, strengthening the scapular muscles and rotator cuff exercises and cryotherapy as well as proprioceptive sensory-motor
Other Name: Proprioceptive exercises

Detailed Description:

The study will be conducted at the Rehabilitation Centre of the Hospital of the Medical School of Ribeirão Preto, University of São Paulo (USP-HCFMRP).

The study will be conducted with nursing staff (nurses, technicians and nursing assistants) HCFMRP-USP.

The sample will consist of nursing workers sent by request for referral to a medical diagnosis of rotator cuff disorder in the period May 2010 to August 2011.

There was no sample size calculation for this study because the number of subjects directly depends on the demand of patients referred to the Department of Physical Therapy Rehabilitation Center (CER) in the period of data collection. All patients who met the study inclusion criteria were invited to participate.

So, once met the inclusion criteria of the sample, the subjects were randomly allocated to Group 1 (control) or 2 (experimental).

Group 1 was formed by the subjects in the control group in which they were performed stretching exercises, cryotherapy and strengthening the shoulder.

Group 2 was formed by the subjects in the experimental group were performed in which stretching exercises, strengthening, and cryotherapy proprioceção shoulder.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • working as a nurse
  • technician or nursing assistant in the hospital
  • make medical diagnosis of disorder in the rotator cuff (impingement, injury or rupture of the cuff)
  • does not make a medical diagnosis of cognitive impairment
  • were receiving no another type of treatment for shoulder pain (eg medicines,acupuncture, massage)
  • availability and interest in participating in therapy and accept to participate in the survey.

Exclusion Criteria:

  • patients with pain that would prohibit their participation in the program with a medical diagnosis of cognitive impairment,
  • associated with debilitating diseases,
  • previous surgery of the shoulder,
  • other specific conditions of the shoulder joint (adhesive capsulitis,
  • degenerative osteoarthritis of the glenohumeral joint,
  • tendon calcification) and do not accept to join the study.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01465932

Locations
Brazil
Hospital of Clinics, University of Medicine of Ribeirao Preto
Ribeirao Preto, Sao Paulo, Brazil, 055
Sponsors and Collaborators
University of Sao Paulo
Investigators
Principal Investigator: Lisandra V. Martins, postgraduate University of Sao Paulo
Study Director: Maria HP Marziale University of São Paulo
  More Information

No publications provided by University of Sao Paulo

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Lisandra Vanessa Martins, University of Sao Paulo
ClinicalTrials.gov Identifier: NCT01465932     History of Changes
Other Study ID Numbers: uspombro01
Study First Received: October 25, 2011
Last Updated: November 4, 2011
Health Authority: Brazil: National Committee of Ethics in Research

Keywords provided by University of Sao Paulo:
Nursing staff
Physical Therapy (Specialty)

Additional relevant MeSH terms:
Shoulder Impingement Syndrome
Joint Diseases
Musculoskeletal Diseases

ClinicalTrials.gov processed this record on August 21, 2014