Wu, Ashley T.

March 7, 2021
2A – BSPT Ms. Jamirose Kris Valenciano

RESEARCH STUDY DESIGNS

The first RCT study is on TENS' effect as a viable treatment method for pt. with

c/o pain and functional disability d/t rotator cuff disease. Seventy homogenous SPADI

participants without a cognitive disability can participate for five consecutive days and

screen for bleeding disorders, cardiac pacemakers, or any upper limbs' nerve injuries.

Results showed a significant impact in reducing pain level and functional disability level

among patients with rotator cuff disease in the control group but transcutaneous

electrical nerve stimulation therapy and standard treatment has a more significant role

in reducing pain level and functional disability level among patients with rotator cuff

disease than the control group. The second RCT study uses relaxation exercise for pt—

c/o pain p/o rotator cuff repair. One hundred fifty-one total participants received nerve

blocker (pre-op), oxycodone, acetaminophen, and cryotherapy (post-op), but seventy-

five underwent relaxation education on breathing techniques; the rest did not. It initially

showed no significant difference, but forty-three of the controlled group reported

relaxation techniques decreased their pain levels at two weeks. The conclusion

revealed no difference in pain measures between the treatment and control groups, but

relaxation techniques can be used to implement a nonpharmacologic strategy to

decrease narcotics consumption significantly.

These two RCT studies showed how detailed methodology and empirical results

matter, especially in the field of the PT profession, as the smallest mistake might put our

pt. 's lives and license in danger. With the correct modality and parameters, we can help

our pt. better, primarily as our field mostly uses exercises as treatment, knowing that
breathing exercise affects a person's pain level, combining it with accurate exercise

prescription would make an intervention effective, encouraging our patients and future

people to undergo physical rehabilitation.

References:

RANI, P. U. S. H. P. A., KALYANI, V. A. S. A. N. T. H. A., GOYAL, T. A. R. U. N.,

YADAV, R. A. J. K. U. M. A. R., & MISHRA, R. A. K. H. I. (2020). EFFECT of
TRANSCUTANEOUS electrical nerve STIMULATION therapy on pain and
functional DISABILITY level among patients With rotator CUFF DISEASE- a
randomized controlled trial. International Journal of Physiotherapy, 7(1).
https://doi.org/10.15621/ijphy/2020/v7i1/193667

Weekes, D. G., Wicks, E. D., Campbell, R. E., Hadley, C., Carter, A., Chaudhry, Z., …
Tjoumakaris, F. P. (2019). Do Relaxation Exercises Decrease Postoperative Pain
after Rotator Cuff Repair? A Randomized Controlled Trial. Orthopaedic Journal of
Sports Medicine, 7(7_suppl5). https://doi.org/10.1177/2325967119s00380