The Effect of Early-Phase Graded Motor Imagery Following Massive Rotator Cuff Repair.

Condition(s) studied

Investigational drug(s) / intervention(s)

Graded Motor İmagery: The graded motor imagery program will include laterality recognition training, motor imagery exercises, and mirror therapy tasks aimed at activating cortical motor networks without physical shoulder movement during the early postoperative phase.

Study summary

Massive rotator cuff tears are associated with significant pain, functional limitations, and prolonged rehabilitation following surgical repair. In the early postoperative phase, rehabilitation protocols are often limited due to surgical protection requirements, which may delay the restoration of motor control and shoulder function. Graded motor imagery (GMI), a movement representation technique that includes laterality recognition, motor imagery, and mirror therapy, has been shown to modulate cortical processing and improve pain and motor function in various musculoskeletal and neurological conditions. However, its potential role in early postoperative shoulder rehabilitation has not been adequately investigated.

Eligibility

Primary outcome measure(s)

• Pain Intensity (Numeric Rating Scale, NRS) — Baseline (postoperative day 0), 2 weeks, 4 weeks, 6 weeks, and 12 weeks after surgery.
  Pain intensity will be assessed using the Numeric Rating Scale (NRS), where participants rate their average shoulder pain over the past 24 hours on a scale from 0 (no pain) to 10 (worst imaginable pain). Pain will be evaluated at rest, during activity, and at night.
• Subjective Shoulder Value (SSV) — Baseline (postoperative day 0), 2 weeks, 4 weeks, 6 weeks, and 12 weeks.
  Participants will rate the overall function of their shoulder on a 10-cm scale ranging from "as bad as it could be" to "as good as it could be."
• Passive Shoulder Range of Motion — 4 weeks, 6 weeks, and 12 weeks after surgery.
  Passive shoulder range of motion will be measured using a goniometer.

Trial sites (1)

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