Eccentric or Concentric Contralateral Training in Rehabilitation After Shoulder Surgery With Elbow Immobilization

Launched by CENTRE HOSPITALIER INTERCOMMUNAL DE TOULON LA SEYNE SUR MER · Mar 31, 2025

Keywords

ClinConnect Summary

This clinical trial is studying how different types of exercise for the non-injured arm can help patients recover from shoulder surgery while their elbow is immobilized. When a patient's arm is held still after surgery, they can lose muscle strength and size, which can slow down recovery. The researchers want to see if two types of training—eccentric (where muscles stretch while working) and concentric (where muscles shorten while working)—can help maintain muscle function in the injured arm better than no exercise at all.

To participate in this study, you must be an adult (18 years or older) who is scheduled for shoulder surgery and will need to keep your elbow immobilized for 4 to 6 weeks. You should not have any serious neurological conditions or recent injuries to your upper limbs. The study involves a few visits where you will be assessed before surgery, during the immobilization period, and at follow-ups after the immobilization is removed. Participants will be randomly placed in one of three groups: one with no training, one doing eccentric training, and one doing concentric training. The goal is to find out which method helps with faster recovery and better overall outcomes for patients like you.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult patient (≥ 18 years old) undergoing shoulder surgery (i.e., Bankart procedure, rotator cuff repair, arthroplasty)
• • With an indication for immobilization, expected to last 4 to 6 weeks
• • Free from any neurological pathology
• • Having provided their informed consent before any participation in the research
• Exclusion Criteria:
• • Having a medical contraindication to the practice of physical and sports activities
• • Presenting an expected modification of their physical activity of the non-immobilized limb
• • Having suffered an injury to the upper limbs in the last 6 months
• • Having already undergone surgery on the upper limbs
• • Pregnant, parturient, and breastfeeding women
• • Presenting a medically established alteration of their cognitive functions
• • Subject under guardianship, curatorship, family empowerment, or judicial safeguard
• • Not affiliated or beneficiary of health insurance coverage
• • Any other reason that, in the investigator's opinion, could interfere with the evaluation of the study objectives