Comparing the Effects of Tele-Physical therapy and Supervised Physical Therapy on Pain, Range of Motion, Function, and Satisfaction in Patients with Sub Acromial Pain Syndrome: A Protocol of Randomized Clinical Trial

Abstract

Background: Subacromial Pain Syndrome (SAPS) is one of the most common causes of shoulder pain, leading to long-lasting disability if left untreated or if there is no access to a rehabilitation center. Treating musculoskeletal shoulder pain is challenging; however, evidence suggests that a combination of Exercise Therapy (ET) and Manual Therapy (MT) can be an effective approach for addressing shoulder dysfunctions. To ensure timely treatment and prevent the pain from becoming chronic, tele-physical therapy appears to be an effective method for properly delivering ET and MT Methods: A prospective, assessor-blind, randomized controlled clinical trial study protocol include 33 patients with Subacromial Pain Syndrome (SAPS). These patients will be divided into three groups (11 participants in each group): the Control group (supervised Exercise Therapy (ET) + Manual Therapy (MT)), the Videoconferencing group (ET + self-release therapy), and the Video-based group (ET + self-release therapy). Self-release therapies include self-joint mobilization and self-myofascial release with a tennis ball. MT includes joint mobilization techniques and transverse friction massages. ET consists of stretching and strengthening exercises. Each patient in the three groups will receive 10 sessions of ET and MT over three weeks. Assessments will be conducted three times: at baseline, midterm, and post-treatment. The Visual Analogue Scale, function by the Shoulder Pain and Disability Index, and Range of Motion will measure pain. The Telehealth Satisfaction Scale and Physical Therapy Patient Satisfaction Questionnaire will also be assessed. Results: Repeated measures ANOVA will be used for analysis of data after data gathering Conclusion:This trial will focus on the assessment of tele-physical therapy based on ET and myofascial release, in comparison to a face-to-face approach with supervised ET and MT, on pain, function, Range of Motion, and patient satisfaction.

Keywords

• myofascial release
• shoulder impingement syndrome
• shoulder pains
• tele-rehabilitation