Effect of Motor Imagery Training on Pain, Functionality, Proprioception and Kinesiophobia in Partial Rotator Cuff Tear

Condition(s) studied

Investigational drug(s) / intervention(s)

Traditional Physiotherapy: Hotpack, Tens and Ultrasound application

Motor Imagery Training: Kinesthetic and visual motor imagery will be applied.

Study summary

The aim of this study is to investigate the effects of motor imagery training on pain, functionality, proprioception and kinesiophobia in patients with partial rotator cuff tears. Participants will be randomly assigned to traditional physiotherapy and motor imagery groups. Interventions will be performed with a physiotherapist for a total of 20 sessions for 4 weeks, 5 days a week. The intervention program will be determined by the Specialist Physical Therapy Physician. Data will be collected before the study, at the end of the training in the 4th week and at the 8th week (follow-up evaluation). Motor imagery ability will be assessed with the Movement Imagery Questionnaire (MIQ-R), pain will be assessed with the Numerical Assessment Scale for functionality with the DASH, proprioception will be assessed with the inclinometer and kinesiophobia will be assessed with the Tampa Kinesiophobia Scale.

Eligibility

Primary outcome measure(s)

• Standardized Mini Mental Test — a day before the rehabilitation
  The Standardized Mini Mental Test is a short, efficient and standard method that can be preferred in determining the cognitive level of the individual. It is collected under five headings: orientation, recording memory, attention and calculation, recall and language. There are eleven items that individuals will answer. It is evaluated out of a total of 30 points. The threshold value was determined as 24 points in the Turkish validity and reliability study.
• Numerical Rating Scale — a day before the rehabilitation
  Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.
• Numerical Rating Scale — up to 4 weeks
  Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.
• Numerical Rating Scale — up to 8 weeks
  Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.
• Disabilities of the arm, shoulder, and hand — a day before the rehabilitation
  Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.
• Disabilities of the arm, shoulder, and hand — up to 4 weeks
  Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.
• Disabilities of the arm, shoulder, and hand — up to 8 weeks
  Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.
• Tampa Kinesiophobia Scale — a day before the rehabilitation
  The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.
• Tampa Kinesiophobia Scale — up to 4 weeks
  The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.
• Tampa Kinesiophobia Scale — up to 8 weeks
  The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.

Trial sites (1)

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