988368
سه شنبه 27 مرداد 1405
دوره 24، شماره 3 - ( 6-1405 )
جلد 24 شماره 3 صفحات 0-0 |
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Kazempour-Mofrad R, Rezasoltani Z, Azizi S, Bagherzadeh Cham M, Dadarkhah A. Comparative Effectiveness of Tele-Rehabilitation Versus In-Clinic Exercise Therapy for Shoulder Tendinopathy: A Prospective, Randomized, Single-Center Clinical Trial. Iranian Rehabilitation Journal 2026; 24 (3)
URL: http://irj.uswr.ac.ir/article-1-2654-fa.html
URL: http://irj.uswr.ac.ir/article-1-2654-fa.html
Comparative Effectiveness of Tele-Rehabilitation Versus In-Clinic Exercise Therapy for Shoulder Tendinopathy: A Prospective, Randomized, Single-Center Clinical Trial. مجله انگلیسی زبان توانبخشی. 1405; 24 (3)
چکیده: (983 مشاهده)
Introduction: Rotator cuff tendinopathy, affecting 15-27% of adults, is a leading cause of shoulder disability with significant socioeconomic impacts. While exercise therapy remains the first-line treatment, tele-rehabilitation emerges as a potentially cost-effective alternative to clinic-based care. This study compares the efficacy of tele-rehabilitation versus in-clinic exercise therapy on pain, disability, function, and quality of life in rotator cuff tendinopathy patients.
Methods: This randomized controlled trial compared tele-rehabilitation versus in-clinic exercise therapy in 40 patients with rotator cuff tendinopathy. Both groups received 10 supervised 45-minute sessions over 4 weeks, performing identical Cadman pendulum and strengthening exercises. Visual Analog Scale, Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and Brief World Health Organization Quality of Life (WHOQOL-BREF) Scale Outcomes were assessed at baseline, post-intervention, and 2-month follow-up using Generalized Linear Mixed-Effects Model analysis.
Results: Both groups demonstrated significant reduction in pain and disability (P<0.001), as well as improvements in DASH questionnaire and WHOQOL-BREF Scale (P<0.001) post-intervention and at 2-month follow-up. However, no significant difference was found between the two groups. While improvement trends were similar between groups (P>0.05), a significant time and group interaction was observed for the DASH questionnaire (P=0.008).
Discussion: Both in-clinic exercise and tele-rehabilitation effectively reduce pain and disability from rotator cuff tendinopathy, improving patients' functional abilities and quality of life. Tele-rehabilitation is particularly valuable as a complementary treatment during pandemics or when access to physical therapy is limited, offering convenience, flexibility, and increased patient adherence.
Methods: This randomized controlled trial compared tele-rehabilitation versus in-clinic exercise therapy in 40 patients with rotator cuff tendinopathy. Both groups received 10 supervised 45-minute sessions over 4 weeks, performing identical Cadman pendulum and strengthening exercises. Visual Analog Scale, Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and Brief World Health Organization Quality of Life (WHOQOL-BREF) Scale Outcomes were assessed at baseline, post-intervention, and 2-month follow-up using Generalized Linear Mixed-Effects Model analysis.
Results: Both groups demonstrated significant reduction in pain and disability (P<0.001), as well as improvements in DASH questionnaire and WHOQOL-BREF Scale (P<0.001) post-intervention and at 2-month follow-up. However, no significant difference was found between the two groups. While improvement trends were similar between groups (P>0.05), a significant time and group interaction was observed for the DASH questionnaire (P=0.008).
Discussion: Both in-clinic exercise and tele-rehabilitation effectively reduce pain and disability from rotator cuff tendinopathy, improving patients' functional abilities and quality of life. Tele-rehabilitation is particularly valuable as a complementary treatment during pandemics or when access to physical therapy is limited, offering convenience, flexibility, and increased patient adherence.
نوع مقاله: پژوهشي |
موضوع مقاله:
طب فیزیکی و توانبخشی
دریافت: 1404/8/11 | پذیرش: 1405/2/29 | انتشار: 1405/7/4
دریافت: 1404/8/11 | پذیرش: 1405/2/29 | انتشار: 1405/7/4
