Central Neuromuscular Dysfunction, Functionality, Psychological Status and Rotator Cuff Surgery

Sponsor
Hacettepe University
Study ID
NCT05566470
Status
Enrolling By Invitation

Conditions

  • Rotator Cuff Tears

Eligibility Criteria

Sex
ALL
Age
30 Years - 65 Years
Healthy Volunteers
Accepted

Interventions

  • Assessment of Central Neuromuscular Dysfunction, Shoulder Physical Functionality and Psychological Factors — DIAGNOSTIC_TEST
    Each of the 2 groups will be evaluated in terms of functional level and psychological factors; American Shoulder and Elbow Surgeons evaluation form (ASES), Connor-Davidson Psychological Resilience Scale (CDPRS) and the Depression, Anxiety, Stress-21 Scale (DASS-21) will be used to evaluate these factors. Furthermore, the corticospinal excitability of the deltoid muscle will be assessed with Transcranial Magnetic Stimulation (TMS). Both deltoid muscles of the patient will be evaluated by saving motor evoked potentials signals that respond to TMS, and motor excitability will be compared between the affected arm and the unaffected arm. In addition, the control group will also be assessed in terms of functional level and psychological factors with TMS, ASES, DASS-21 and CPDRS.

Study Details

Considering the fact that The problems experienced by the patients are not only physiological but also psychological and social. Unfortunately, there is no sufficient study focus on all these concepts. Generally, studies focus on only physiological dimensions such as functional level, muscle strength and pain. The aim of this study, in addition to assessment methods commonly used for functional level, muscle strength and pain, is to evaluate central neuromuscular function on individuals who have undergone rotator cuff tear surgery with transcranial magnetic stimulation. Furthermore, psychological resilience, which is considered as a positive psychological trait, will also be evaluated. Until now, only one study has evaluated the role of psychological resilience in the postoperative process of rotator cuff surgery. This study has shown that the correlation between functionality and psychological resilience. As a result of our study, the influence of resiliency on postoperative outcomes following rotator cuff surgery will be determined and central neuromuscular function, shoulder functional level, and psychological resilience changes will be revealed in physiological and psychological concepts. Furthermore, this study may show that psychological resilience has a potential role on predicting functional level and pain. It is planned that the results obtained will guide the postoperative rehabilitation of rotator cuff surgery for further studies on multidimensional perspectives.

Key Dates

First listed
Oct 4, 2022
Start date
Aug 17, 2022
Status verified
Mar 2025
Primary completion
Dec 24, 2025
Completion
Dec 24, 2025

Study Design

Enrollment
34 participants (estimated)

Arms

  • Arm: Control Group
    1\. Healty adults aged between 30-65 years old who do not have any pathology related to the shoulder joint and have not undergone surgery and being a volunteer to participate in the study.
  • Arm: Patient Group
    1. Individuals between 30-65 years old who have been diagnosed with massive rotator cuff tear, 2. At least 6 months have passed after the surgery, 3. In the last 6 months, patients have not undergone shoulder surgery except for rotator cuff tear surgery, 4. Arthroscopic surgical method was performed by Prof. Dr. Gazi Huri, 5. The absence of another lesion involving the shoulder joint, such as SLAP (Superior Labrum Anterior Posterior), recurrent shoulder dislocation, arthroplasty, except for massive complete tear in the patient will be included in the study

Primary Outcome Measure

Transcranial Magnetic Stimulation (TMS) [ Time Frame: 1 day ]

Related Studies