Real-time telerehabilitation can effectively improve shoulder symptoms during the pandemic

Authors

DOI:

https://doi.org/10.28957/rcmfr.337

Keywords:

Telerehabilitation, Telemedicine, Physiotherapy, Contracture, Rotator cuff

Abstract

Introduction. The access to rehabilitation services to treat shoulder pain symptoms may be limited by multifactorial difficulties in the healthcare system, but it has also recently been restricted by the social distancing measures implemented to prevent the spread of COVID-19.

Objective. To describe the effect of a remote controlled rehabilitation treatment plan to treat the retraction of the posterior capsule of the shoulder with secondary tendinopathy of the tendon of the supraspinatus muscle of the rotator cuff.

Methods. Prospective observational descriptive study conducted in 15 patients with retraction of the posterior capsule of the shoulder with secondary tendinopathy of the tendon of the supraspinatus muscle of the rotator cuff, treated with telerehabilitation during five weeks. Functional capacity, pain, and mobility of the patients were
evaluated before and after treatment.

Results. The functional capacity, according to the ASES (American Shoulder and Elbow Surgeons) scale,
increased from 51.06±7.15 to 76.07±6.6, while pain, measured with the visual analog pain scale, turned from 6,2±0,971 to 3,26±0,93. All participants recovered their mobility in internal rotation and horizontal adduction.

Conclusions. The implementation of telerehabilitation programs allows to improve the functionality, mobility, and pain associated with the posterior capsular retraction and tendinitis of the rotator cuff. In this sense, it is a viable treatment alternative given the limitation to the access to face-to-face physiotherapy services.

References

Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57(11):649-55. Disponible en: http://dx.doi.org/10.1136/ard.57.11.649

Picavet HSJ, Schouten JSAG. Musculoskelet al pain in the Netherlands: Prevalences, consequences and risk groups, the DMC3-study. Pain. 2003;102(1-2):167-78. Disponible en: http://dx.doi.org/10.1016/s0304-3959(02)00372-x

Bach HG, Goldberg BA. Posterior capsular contracture of the shoulder. J Am Acad Orthop Surg. 2006;14(5):265-77. Disponible en: http://dx.doi.org/10.5435/00124635-200605000-00002

Dashottar A, Borstad J. Posterior Glenohumeral Joint Capsule Contracture. Shoulder Elbow. 2012;4(4). Disponible en: http://dx.doi.org/10.1111/j.1758-5740.2012.00180.x

McClure P, Balaicuis J, Heiland D, Broersma ME, Thorndike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007;37(3):108-14. Disponible en: http://dx.doi.org/10.2519/jospt.2007.2337

Tyler TF, Nicholas SJ, Lee SJ, Mullaney M, McHugh MP. Correction of posterior shoulder tightness is associated with symptom resolution in patients with internal impingement. Am J Sports Med. 2010;38(1):114-9. Disponible en: http://dx.doi.org/10.1177/0363546509346050

Negrini S, Kiekens C, Bernetti A, Capecci M, Ceravolo MG, Lavezzi S, et al. Telemedicine from research to practice during the pandemic “instant paper from the field” on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020;56(3):327-30. Disponible en: http://dx.doi.org/10.23736/S1973-9087.20.06331-5

Tokish JM, Curtin MS, Kim YK, Hawkins RJ, Torry MR. Glenohumeral internal rotation deficit in the asymptomatic professional pitcher and its relationship to humeral retroversion. J Sports Sci Med. 2008;7(1):78-83

Llinás PJ, Escobar SS, López R, Caicedo Á, Herrera G, Martínez-Cano JP. Validación de la versión en español para Colombia de la escala ASES. Artroscopia. 2022 [citado mayo 11 de 2022]; 29(1):22-7. Disponible en: https://revistaartroscopia.com.ar/index.php/revista/article/view/22

Bleakley CM, Costello JT. Do thermal agents affect range of movement and mechanical properties in soft tissues? A systematic review. Arch Phys Med Rehabil. 2013;94(1):149-63. Disponible en: http://dx.doi.org/10.1016/j.apmr.2012.07.023

Kassolik K, Rajkowska-Labon E, Tomasik T, Pisula-Lewadowska A, Gieremek K, Andrzejewski W, et al. Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care. Family Medicine & Primary Care Review. 2017;19(3):323-34. Disponible en: http://dx.doi.org/10.5114/fmpcr.2017.69299

Yamamoto A, Takagishi K, Kobayashi T, Shitara H, Ichinose T, Takasawa E, et al. The impact of faulty posture on rotator cuff tears with and without symptoms. J Shoulder Elbow Surg. 2015;24(3):446-52. Disponible en:

http://dx.doi.org/10.1016/j.jse.2014.07.012

Kibler WB, Kuhn JE, Wilk K, Sciascia A, Moore S, Laudner K, et al. The disabled throwing shoulder: Spectrum of pathology - 10-year update. Arthroscopy. 2013;29(1):141-161.e26. Disponible en: http://dx.doi.org/10.1016/j.arthro.2012.10.009

Bleichert S, Renaud G, MacDermid J, Watson L, Faber K, Lenssen R, et al. Rehabilitation of symptomatic atraumatic degenerative rotator cuff tears: A clinical commentary on assessment and management. J Hand Ther. 2017;30(2):125-35. Disponible en: http://dx.doi.org/10.1016/j.jht.2017.05.006

Başkurt Z, Başkurt F, Gelecek N, Özkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2011;24(3):173-9. Disponible en: http://dx.doi.org/10.3233/BMR-2011-0291

Wilk KE, Hooks TR, Macrina LC. The modified sleeper stretch and modified cross-body stretch to increase shoulder internal rotation range of motion in the overhead throwing athlete. J Orthop Sports Phys Ther. 2013;43(12):891-4. Disponible en: http://dx.doi.org/10.2519/jospt.2013.4990

Borstad JD, Ludewig PM. Comparison of three stretchesfor the pectoralisminor muscle. J Shoulder Elbow Surg. 2006;15(3):324-30. Disponible en: http://dx.doi.org/10.1016/j.jse.2005.08.011

Moore SD, Laudner KG, Mcloda TA, Shaffer MA. The immediate effects of muscle energy technique on posterior shoulder tightness: A randomized controlled trial. J Orthop Sports Phys Ther. 2011;41(6):400-7. Disponible en: http://dx.doi.org/10.2519/jospt.2011.3292

Rosa DP, Borstad JD, Ferreira JK, Camargo PR. The inf luence of glenohumeral joint posterior capsule tightness and impingement symptoms on shoulder impairments and kinematics. Phys Ther. 2019;99(7):870-81. Disponible en: http://dx.doi.org/10.1093/ptj/pzz052

Tahran Ö, Ye?ilyaprak SS. Effects of Modified Posterior Shoulder Stretching Exercises on Shoulder Mobility, Pain, and Dysfunction in Patients With Subacromial Impingement Syndrome. Sports Health. 2020;12(2):139-48. Disponible en: http://dx.doi.org/10.1177/1941738119900532

Yamauchi T, Hasegawa S, Nakamura M, Nishishita S, Yanase K, Fujita K, et al. Effects of two stretching methods on shoulder range of motion and muscle stiffness in baseball players with posterior shoulder tightness: a randomized controlled trial. J Shoulder Elbow Surg. 2016; 25(9):1395-403. Disponible en: http://dx.doi.org/10.1016/j.jse.2016.04.025

Cottrell MA, Galea OA, O’Lear y SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clin Rehabil. 2017;31(5):625-38. Disponible en: http://dx.doi.org/10.1177/0269215516645148

Pastora-Bernal JM, Martín-Valero R, Barón-López FJ, Estebanez-Pérez MJ. Evidence of benefit of telerehabitation after orthopedic surgery: A systematic review. J Med Internet Res. 2017;19(4):e142. Disponible en: http://dx.doi.org/10.2196/jmir.6836

Wang X, Hunter DJ, Vesentini G, Pozzobon D, Ferreira ML. Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: A systematic review and meta-analysis. BMC Musculoskelet Disord. 2019;20(1):506. Disponible en: http://dx.doi.org/10.1186/s12891-019-2900-x

Frederix I, Vanhees L, Dendale P, GoetschalckxK. A review of telerehabilitation forcardiac patients. J Telemed Telecare. 2015;21(1):45-53. Disponible en: http://dx.doi.org/10.1177/1357633X14562732

Marquis N, Larivée P, Saey D, Dubois MF, Tousignant M. In-home pulmonary telerehabilitation for patients with chronic obstructive pulmonar y disease: A pre-experimental study on effectiveness, satisfaction, and adherence. Telemed J E Health. 2015;21(11):870-9. Disponible en: http://dx.doi.org/10.1089/tmj.2014.0198

Chumbler NR, Quigley P, Li X, Morey M, Rose D, Sanford J, et al. Effects of telerehabilitation on physical function and disability for stroke patients: A randomized, controlled trial. Stroke. 2012;43(8):2168-74. Disponible en: http://dx.doi.org/10.1161/STROKEAHA.111.646943

Peretti A, Amenta F, Tayebati SK, Nittari G, Mahdi SS. Telerehabilitation: Review of the State-ofthe-Art and Areas of Application. JMIR Rehabil Assist Technol. 2017;4(2):e7. Disponible en: http://dx.doi.org/10.2196/rehab.7511

Prvu-Bettger J, Green CL, Holmes DN, Chokshi A, Mather RC 3rd, Hoch BT, et al. Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial. J Bone Joint Surg Am. 2020;102(2):101-9. Disponible en: http://dx.doi.org/10.2106/JBJS.19.00695.

Macías-Hernández SI, Vásquez-Sotelo DS, Ferruzca-Navarro MV, Badillo-Sánchez SH, GutiérrezMartínez J, Núñez-Gaona MA, et al. Proposal and evaluation of a telerehabilitation platform designed for patients with partial rotator cuff tears: A preliminary study. Ann Rehabil Med. 2016;40(4):710-7. Disponible en: http://dx.doi.org/10.5535/arm.2016.40.4.710

Heuser A, Kourtev H, Winter S, Fensterheim D, Burdea G, Hentz V, et al. Telerehabilitation using the Rutgers Master II glove following Carpal tunnel release surgery: Proof-of-concept. IEEE Trans Neural SystRehabil Eng. 2007;15(1):43-9. Disponible en: http://dx.doi.org/10.1109/TNSRE.2007.891393

Cabana F, Pagé C, Svotelis A, Langlois-Michaud S, Tousignant M. Is an in-home telerehabilitation program for people with proximal humerus fracture as effective as a conventional face-to face rehabilitation program? A study protocol for a noninferiority randomized clinical trial. BMC Sports Sci Med Rehabil. 2016;8(1):27. Disponible en: http://dx.doi.org/10.1186/s13102-016-0051-z

Eriksson L, Lindström B, Gard G, Lysholm J. Physiotherapy at a distance: A controlled study of rehabilitation at home after a shoulder joint operation. J Telemed Telecare. 2009;15(5):215-20. Disponible en: http://dx.doi.org/10.1258/jtt.2009.081003

How to Cite

1.
Gutiérrez Zúñiga D, Valbuena Bernal F, Robayo V, Largacha M. Real-time telerehabilitation can effectively improve shoulder symptoms during the pandemic . Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2022 Jun. 29 [cited 2024 May 18];32(1):56-67. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/337

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2022-06-29

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