Study of Mobilization With Movement for Improving Pain and Function in Adults With Rotator Cuff Lesions A Comparison With Conventional Physiotherapy and Virtual Reality Task Training

What this Trial Is About

Rotator cuff lesions are a common cause of shoulder pain and reduced function, especially in middle-aged and older adults. This trial investigates the effects of Mobilization with Movement MWM, a manual therapy technique, on pain, function, and shoulder joint position sense in people with rotator cuff lesions. Researchers aim to find out if MWM offers benefits beyond conventional physiotherapy or task-oriented virtual reality training for improving shoulder health and proprioception. Participants with rotator cuff lesions will be randomly assigned to one of three groups the MWM group receiving manual therapy combined with active, pain-free shoulder movements the conventional physiotherapy group receiving standard exercises and physical therapy without MWM techniques or the control group engaging in task-oriented training through virtual reality exercises simulating daily activities. Treatments will be delivered by trained physiotherapists following standardized protocols over an 8-week intervention period. Participants will be evaluated before and after the intervention using the Quick Disabilities of the Arm, Shoulder and Hand QuickDASH questionnaire to assess functional disability, pain intensity scales, and a shoulder joint position sense test involving active repositioning with a laser pointer. The study will also monitor changes in proprioceptive accuracy and shoulder function to determine MWMs role in conservative rehabilitation. All procedures are conducted under ethical standards with informed consent, and the trial concludes with assessments after the 8-week program.

Effect of Mobilization With Movement in Patients With Rotator Cuff Lesions