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Pérez-Porta I, Flórez-García MT, García-Pérez F, Fernández-Matías R, Pérez-Manzanero MÁ, Araujo-Narváez AM, Urraca-Gesto MA, Fernández-Lagarejos C, Plaza-Manzano G, Pérez-Fernández E, Velasco-Arribas M. Effects of a web application based on multimedia animations to support therapeutic exercise for rotator cuff-related shoulder pain: protocol for an open-label randomised controlled trial. BMJ Open 2024; 14:e085381. [PMID: 39038866 PMCID: PMC11404240 DOI: 10.1136/bmjopen-2024-085381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/24/2024] Open
Abstract
INTRODUCTION Rotator cuff-related shoulder pain (RCRSP) is the most common cause of shoulder pain. Currently, exercise is proposed as the first-line treatment for patients suffering from RCRSP. However, adherence to therapeutic exercise programmes can be poor in the long term in a home setting. The aim of this study is to evaluate the effects of adding video animations to a traditional paper-based exercise programme. METHODS AND ANALYSIS A single-centre, randomised, open-labelled clinical trial will be conducted in a hospital in Spain. Adults aged between 18 and 80 years diagnosed with RCRSP who meet the eligibility criteria will be included. Patients (n=132) will be randomised into two groups, with both receiving paper-based exercises, and the experimental group will also be provided with video animations. The participants will receive seven face-to-face physical therapy sessions and will be asked to perform the exercises at home for 6 months. The primary outcome measure will be the Shoulder Pain and Disability Index, measured at baseline, 3 weeks, 3 months (primary analysis) and 6 months. Secondary outcomes will be the patient's pain intensity during the last week (rest, during movement and at night); expectations of improvement; satisfaction with treatment; impression of improvement; perceived usability, usefulness and satisfaction of multimedia animations; and adherence to exercises. Generalised least squares regression models with an autoregressive-moving average lag one correlation structure will be implemented, with an intention-to-treat analysis. ETHICS AND DISSEMINATION This study has been approved by the ethics committee of Hospital Universitario Fundación Alcorcón (Madrid, Spain), reference number CI18/16. All participants will sign an informed consent. The results will be published in a peer-reviewed scientific journal. TRIAL REGISTRATION ClinicalTrials.gov, NCT05770908.
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Affiliation(s)
- Irene Pérez-Porta
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
- International Doctoral School, Universidad Rey Juan Carlos, Mostoles, Madrid, Spain
| | - Mariano Tomás Flórez-García
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
| | - Fernando García-Pérez
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
| | - Rubén Fernández-Matías
- Research Unit, Hospital Universitario Fundacion Alcorcon, Alcorcon, Madrid, Spain
- Doctoral School, Department of Physical Therapy, Universitat de Valencia, Valencia, Comunitat Valenciana, Spain
| | - M Ángeles Pérez-Manzanero
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
| | - Aurora María Araujo-Narváez
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
| | - M Alicia Urraca-Gesto
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
- Department of Physical Therapy, Occupational Therapy, and Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Mostoles, Madrid, Spain
| | - César Fernández-Lagarejos
- Physical Therapy and Rehabilitation Unit, Hospital Universitario Fundación Alcorcón, Alcorcon, Madrid, Spain
| | - Gustavo Plaza-Manzano
- Department of Radiology, Rehabilitation, and Physical Therapy, Universidad Complutense de Madrid, Madrid, Spain
- Fisioterapia Contemporánea (InPhysio) Research Group, Health Research Institute, Hospital Clínico San Carlos, Madrid, Comunidad de Madrid, Spain
| | - Elia Pérez-Fernández
- Research Unit, Hospital Universitario Fundacion Alcorcon, Alcorcon, Madrid, Spain
| | - María Velasco-Arribas
- Research Unit, Hospital Universitario Fundacion Alcorcon, Alcorcon, Madrid, Spain
- Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, Mostoles, Madrid, Spain
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Rizzato A, Pizzichemi M, Gobbi E, Gerardi A, Fortin C, Copcia A, Paoli A, Marcolin G. Correction: Effectiveness and therapeutic compliance of digital therapy in shoulder rehabilitation: a randomized controlled trial. J Neuroeng Rehabil 2024; 21:19. [PMID: 38326815 PMCID: PMC10848488 DOI: 10.1186/s12984-024-01314-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2024] [Indexed: 02/09/2024] Open
Affiliation(s)
- Alex Rizzato
- Department of Biomedical Sciences, University of Padova, Via Marzolo, 3, 35131, Padova, Italy
| | | | - Erica Gobbi
- Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | | | | | - Ancuta Copcia
- Data Medica Group, Synlab S.P.A, CEMES, Padova, Italy
| | - Antonio Paoli
- Department of Biomedical Sciences, University of Padova, Via Marzolo, 3, 35131, Padova, Italy
| | - Giuseppe Marcolin
- Department of Biomedical Sciences, University of Padova, Via Marzolo, 3, 35131, Padova, Italy.
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