About this trial
Latissimus dorsi transfer is an established treatment option with favorable results in massive, irreparable rotator cuff tears, however, it is controversial if earlier motion is detrimental or beneficial to the postoperative goal of reduced pain and improved clinical outcomes. Therefore, the aim of this study is to compare the effects of slow and accelerated rehabilitation protocols after latissimus dorsi transfer in massive, irreparable rotator cuff tears.
Eligibility criteria
Qualifiers
being in the age range of 18-65 years
being diagnosed with massive, irreparable rotator cuff tears based on magnetic resonance imaging and clinical continuity tests
symptoms are unresponsive to conservative care including steroid injections and physiotherapy for at least 6 months
having a good command of the Turkish language
Disqualifiers
diabetes mellitus
neurological problems
cervical disc herniation
visual, verbal, and/or cognitive defects (aphasia, unilateral neglect, etc.)
Trial design
Treatments tested in this trial
- Accelerated (ACCEL) protocol group
- Slow (SLOW) protocol group