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Ann Rehabil Med. 2016 Aug;40(4):710-717. English. Original Article.
Macías-Hernández SI , Vásquez-Sotelo DS , Ferruzca-Navarro MV , Badillo Sánchez SH , Gutiérrez-Martínez J , Núñez-Gaona MA , Meneses HA , Velez-Gutiérrez OB , Tapia-Ferrusco I , Soria-Bastida MD , Coronado-Zarco R , Morones-Alba JD .
Orthopedic Rehabilitation Division, Instituto Nacional de Rehabilitación, Mexico City, Mexico.
Department of Industrial Design, UAM-Azcapotzalco, Mexico City, Mexico.
Subdirection of Technology/Biomedical Engineering, Instituto Nacional de Rehabilitación, Mexico City, Mexico.
Physical Therapy Division, Instituto Nacional de Rehabilitación, Mexico City, Mexico.

OBJECTIVE: To propose and evaluate the effectiveness of a telerehabilitation platform designed for patients with rotator cuff (RC) tears. METHODS: During the first study phase, a virtual service platform that included information on RC tear pathology, joint care, and a series of instructions regarding therapeutic exercise was designed and created. Subsequently, in the clinical phase, a quasi-experimental study was performed. The platform was tested on patients and evaluated at baseline and at 1, 2, 3, and 6 months with respect to their pain levels and functionality on the Constant-Murley (CM) scale. RESULTS: Eleven patients were included, 5 women and 6 men, with a median age of 55 years (range, 42–68 years). Pain diminished from a baseline value of 64 mm (range, 40–80 mm) to 16 mm (range, 0–30 mm) at 6 months (p<0.001). Points on the CM scale rose from a baseline value of 54 points (range, 51–66 points) to 85 points (range, 70–100 points) at 6 months (p=0.001). Functionality in daily living and work activities, movement, and strength exhibited significant changes at 6 months (p<0.05). CONCLUSION: Significant changes were observed in pain and functionality in this group of participants who used a telerehabilitation platform. To the best of our knowledge, this is the first study that included a specific program for RC tears.

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