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WithdrawnNCT03488433Updated Dec 19, 2019

Abduction Brace Versus Antirotation Sling for Immobilization Following Reverse Shoulder Arthroplasty and Rotator Cuff Repair

An interventional study of Abduction brace and Antirotation sling in Rotator Cuff Tear Arthropathy and Rotator Cuff Tear, sponsored by Milton S. Hershey Medical Center. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-19.

Sponsored by Milton S. Hershey Medical Center · Not applicable, Interventional, and Treatment

Why this study was withdrawn
PI institutional transition prior to enrollment
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 19 studies in Rotator Cuff Tear Arthropathy with a site in United States — 5 open to participants now, 7 under way, none of them phase 3. Rotator Cuff Tear Arthropathy · United States.

Enrollment
11th of 12
0 · median 94
Started
2019
with 2 others
No phase
11 of 19
2 open now
Registered
6th of 19
by date
Lead sponsor
1 of 19
Milton S. Hershey Medical Center

Among the 19 studies in Rotator Cuff Tear Arthropathy with a site in United States, this one is the 11th largest by enrollment of the 12 interventional ones that give a count, is one of 3 that started in 2019, is one of 11 with no phase, and was the 6th registered.

Rotator Cuff Tear Arthropathy

57 studies on the registry are indexed under Rotator Cuff Tear Arthropathy; 15 are open to participants now.

Browse Rotator Cuff Tear Arthropathy studies →

Open to participants now

5 of the 19 studies in Rotator Cuff Tear Arthropathy with a site in United States are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 12 Rotator Cuff Tear Arthropathy studies recruiting now, 6 (50%) set no upper age limit and 2 (17%) stop at 75 or younger; 1 takes children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Rotator Cuff Tear Arthropathy with a site in United States, or all of them as a file.
02

Study summary

To compare the functional and anatomical outcomes, and patient satisfaction and compliance between two different postoperative immobilization methods - abduction shoulder brace versus simple arm sling - following 2 common shoulder surgical procedures - rotator cuff repair (RCR) and reverse total shoulder arthroplasty (RTSA) through a prospective randomized clinical trial.

Read the detailed description

Scientific Background and Gaps Rotator cuff repair and reverse total shoulder arthroplasty are common procedures that aim to provide patients with less pain, better shoulder function, and overall improved quality of life. The number of these procedures performed annually has increased dramatically, and improved outcomes have been demonstrated for each intervention. Part of the success of these operations is dependent on postoperative rehabilitation and patient compliance. Shoulder immobilization versus early range of motion following each procedure has conflicting data, and recent studies have shown that the method of shoulder immobilization may not influence clinical outcomes. Previous studies, both clinical and biomechanical, have demonstrated that arm position following RCR impacts tension and stress placed on the repair, but few have shown whether this translates to improved patient outcomes. Some surgeons prefer simple arm slings for the above-named procedures, while others opt for the abduction brace. Multiple studies have shown the optimal shoulder position that places the least amount of tension on the RCR, or soft tissue envelope following RTSA, however there is no consensus as to the optimal postoperative immobilization technique that significantly affects patient outcomes. An antirotation sling is significantly cheaper than an abduction shoulder brace, and our anecdotal experience is that patients experience more difficulties with an abduction shoulder brace than an antirotation sling. Our study aims to determine whether patient outcomes are significantly affected by immobilization with an abduction brace or simple arm sling. Our hypothesis is that antirotation slings are no better or worse than shoulder abduction braces in regards to shoulder range of motion, satisfaction and compliance with the immobilization method, and pain.

Study Rationale There is a lack of evidence regarding abduction braces versus simple arm slings for postoperative immobilization following rotator cuff repair and reverse total shoulder arthroplasty. A better understanding of outcomes between each device will allow for more options available to the patient and surgeon, as well as a potential for decreased cost to the patient as there is a substantial difference in cost between the two devices.

03

Conditions studied

  • Rotator Cuff Tear Arthropathy
  • Rotator Cuff Tear

Keywords

  • Postoperative shoulder immobilization
  • Reverse total shoulder arthroplasty
  • Neutral rotation shoulder brace
  • Antirotation sling
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patients 18 years and above
  • male or female Rotator cuff tear patients - adults with a small or medium-sized (less than 3 cm in the anteroposterior dimension) full-thickness tear of supraspinatus and/or infraspinatus tendon, diagnosed with MRI or ultrasound, unresponsive to conservative therapy for >3 months

Reverse total shoulder arthroplasty patients - adults with rotator cuff arthropathy, glenohumeral joint arthritis with significant glenoid wear or retroversion requiring reverse arthroplasty or massive irreparable rotator cuff tear, functional deltoid, as demonstrated on x-rays, MRI, and physical exam. Failed conservative management for >3 months

Exclusion criteria

Exclusion Criteria:

  • younger than 18 years old
  • chronic opiate use, fibromyalgia
  • Rotator cuff repair patients - no previous rotator cuff repair surgery, no concomitant preoperative stiffness (definition: \< 30 degree passive external rotation, \< 100 degree passive forward elevation), no concomitant full-thickness subscapularis tear, no neurologic disorder affecting the ipsilateral upper extremity, no concomitant cervical pathology, partial thickness tear, large or massive tears (>3cm in the anteroposterior dimension), glenohumeral or rotator cuff arthropathy, history of rheumatoid arthritis.
  • Reverse total shoulder arthroplasty patients -no concomitant preoperative stiffness (definition: \< 30 degree passive external rotation, \< 100 degree passive forward elevation), no concomitant neurologic disorder affecting the ipsilateral upper extremity, no concomitant cervical pathology.

arthroplasty for fracture, revision surgery, insufficient bone stock requiring hemiarthroplasty, deltoid dysfunction, history of rheumatoid arthritis.

  • prisoners
  • non English speaking or unable to understand consent
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Antirotation sling

    Patients who undergo reverse shoulder arthroplasty or rotator cuff repair will be randomly assigned to this group.

    Device: Antirotation sling

  • Active comparator
    abduction brace

    Patients who undergo reverse shoulder arthroplasty or rotator cuff repair will be randomly assigned to this group.

    Device: Abduction brace

Interventions

  • DeviceAbduction brace

    Donjoy Ultrasling IV

  • DeviceAntirotation sling

    Donjoy shoulder immobilizer

06

What researchers measure

Primary outcomes

  1. Postoperative range of motion

    Both active and passive range of motion will be measured in forward elevation, external rotation at the side, internal rotation at extension, external rotation at abduction, and internal rotation at abduction by the examiners using a handheld goniometer. Multiple time points are for assessing the changes in motion.

    Time frame: Measured at 6 weeks, 12 weeks, 5 months, and 12 months following the index procedure.

Secondary outcomes

  1. Visual analog scale (VAS) pain score

    Measures subjective pain; minimum 0, maximum 10 with 0 being a pain-free condition and 10 being the worst pain ever experienced

    Time frame: Measured at 6 weeks, 12 weeks, and 5 months, and 12 months after surgery

  2. American Shoulder and Elbow Surgeons (ASES) score

    Measures patient's subjective shoulder function using a series of survey questions regarding subjective rating of range of motion, strength, use, and pain of the shoulder; minimum 0 to maximum 100 with 0 being the worst shoulder function and 100 being the best shoulder function

    Time frame: Assessed at 5 and 12 months after surgery

  3. Patient compliance 5-point Likert-type scale

    Measure compliance with their assigned immobilization method measured using a 5-point Likert-type scale (Question: Did you wear the sling as instructed in the protocol? Not at all, occasionally, about a half of the time, for the most part, yes definitely)

    Time frame: Assessed at 12 weeks after surgery

  4. Patient satisfaction 5-point Likert-type scale

    Measures overall patient satisfaction with their immobilization method using a 5-point Likert-type scale (Question: Are you satisfied with the immobilization method using the sling you wore? Not at all, not much, so-so, pretty much, yes definitely)

    Time frame: Measured at 12 weeks

  5. Complications

    Such as shoulder dislocations, wound healing issue, pain development at areas other than the operated shoulder due to the immobilization, etc

    Time frame: Assessed at 12 months after surgery

  6. QuickDASH (Disability of arm, shoulder, and hand) score system

    Measures the extent of subjective disability of upper extremity; consisted of survey questions regarding subjective pain and function of the upper extremity; Minimum 0, maximum 100 with 0 being no disability and 100 being most severe disability)

    Time frame: Assessed at 5 and 12 months after surgery

07

Study locations

1 site
  • University of Missouri
    Columbia, Missouri 65212, United States
08

References and documents

Publications

  • Kiet TK, Feeley BT, Naimark M, Gajiu T, Hall SL, Chung TT, Ma CB. Outcomes after shoulder replacement: comparison between reverse and anatomic total shoulder arthroplasty. J Shoulder Elbow Surg. 2015 Feb;24(2):179-85. doi: 10.1016/j.jse.2014.06.039. Epub 2014 Sep 9. PubMed 25213827 ↗
  • Lambers Heerspink FO, van Raay JJ, Koorevaar RC, van Eerden PJ, Westerbeek RE, van 't Riet E, van den Akker-Scheek I, Diercks RL. Comparing surgical repair with conservative treatment for degenerative rotator cuff tears: a randomized controlled trial. J Shoulder Elbow Surg. 2015 Aug;24(8):1274-81. doi: 10.1016/j.jse.2015.05.040. PubMed 26189808 ↗
  • Hollman F, Wolterbeek N, Zijl JAC, van Egeraat SPM, Wessel RN. Abduction Brace Versus Antirotation Sling After Arthroscopic Cuff Repair: The Effects on Pain and Function. Arthroscopy. 2017 Sep;33(9):1618-1626. doi: 10.1016/j.arthro.2017.02.010. Epub 2017 Apr 17. PubMed 28427872 ↗
  • Zuckerman JD, Leblanc JM, Choueka J, Kummer F. The effect of arm position and capsular release on rotator cuff repair. A biomechanical study. J Bone Joint Surg Br. 1991 May;73(3):402-5. doi: 10.1302/0301-620X.73B3.1670437. PubMed 1670437 ↗
  • Conti M, Garofalo R, Castagna A. Does a brace influence clinical outcomes after arthroscopic rotator cuff repair? Musculoskelet Surg. 2015 Sep;99 Suppl 1:S31-5. doi: 10.1007/s12306-015-0357-0. Epub 2015 May 10. PubMed 25957544 ↗
  • Jackson M, Tetreault P, Allard P, Begon M. Optimal shoulder immobilization postures following surgical repair of rotator cuff tears: a simulation analysis. J Shoulder Elbow Surg. 2013 Aug;22(8):1011-8. doi: 10.1016/j.jse.2012.10.042. Epub 2013 Jan 24. PubMed 23352183 ↗
  • Pedowitz RA, Yamaguchi K, Ahmad CS, Burks RT, Flatow EL, Green A, Iannotti JP, Miller BS, Tashjian RZ, Watters WC 3rd, Weber K, Turkelson CM, Wies JL, Anderson S, St Andre J, Boyer K, Raymond L, Sluka P, McGowan R; American Academy of Orthopaedic Surgeons. Optimizing the management of rotator cuff problems. J Am Acad Orthop Surg. 2011 Jun;19(6):368-79. doi: 10.5435/00124635-201106000-00007. PubMed 21628648 ↗
  • Hatakeyama Y, Itoi E, Pradhan RL, Urayama M, Sato K. Effect of arm elevation and rotation on the strain in the repaired rotator cuff tendon. A cadaveric study. Am J Sports Med. 2001 Nov-Dec;29(6):788-94. doi: 10.1177/03635465010290061901. PubMed 11734494 ↗
  • Mall NA, Tanaka MJ, Choi LS, Paletta GA Jr. Factors affecting rotator cuff healing. J Bone Joint Surg Am. 2014 May 7;96(9):778-88. doi: 10.2106/JBJS.M.00583. PubMed 24806015 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2019 to primary completion in Dec 2019, 1 month.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 21, 2017
First posted
Apr 5, 2018
StartActual
Nov 1, 2019
Primary completionActual
Dec 16, 2019
CompletionActual
Dec 16, 2019
Last update
Dec 19, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03488433
Responsible party
H Mike Kim (Associate Professor, University of Missouri-Columbia) — Principal investigator
First posted
Apr 5, 2018
Start date
Nov 1, 2019
Primary completion
Dec 16, 2019
Completion
Dec 16, 2019
Last update
Dec 19, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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