{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T20:40:07Z","timestamp":1748205607829,"version":"3.41.0"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>We evaluated the efficacy of adding balance training to a physical therapy program on postural control and health-related quality of life in patients with rotator cuff disease. Forty-two participants were randomly allocated to the control and intervention groups. Both groups received physical therapy (education, stretching, supervised strength training, and home exercise program) 3 days\/week for 6 weeks. The intervention group was instructed to perform balance exercises at home. The primary outcomes were the stability index, the Fourier transformation (F5 and F6), the weight distribution index, and the fall index, as assessed by the posturography during eight conditions with different combinations of standing (solid surface, pillows, and different head positions) and vision (eyes open\/closed). The secondary outcomes included the Western Ontario Rotator Cuff Index to assess the health-related quality of life, the Shoulder Pain and Disability Index, and the Numeric Pain Rating Scale. The adherence to in-person and home-based therapy was high (&gt;83%). The intervention group significantly improved the stability index, F5, and F6 parameters but each in only one condition (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.05). No significant improvement was found in the conditions for the other primary outcomes and in the health-related quality of life. (<jats:italic toggle=\"yes\">P<\/jats:italic> &gt; 0.05). We conclude that adding the balance training protocol to the physical therapy program does not improve postural control and health-related quality of life in patients with rotator cuff disease.<\/jats:p>","DOI":"10.1097\/mrr.0000000000000521","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T08:02:58Z","timestamp":1644307378000},"page":"146-153","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of balance training on postural control in patients with rotator cuff disease: a randomized controlled study"],"prefix":"10.1097","volume":"45","author":[{"given":"Ertan","family":"\u015eahino\u011flu","sequence":"first","affiliation":[{"name":"Dr. \u0130smail Atabek Physical Therapy and Rehabilitation Center, \u0130zmir"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bayram","family":"\u00dcnver","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy and Rehabilitation, Dokuz Eyl\u00fcl University, \u0130zmir"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serkan","family":"Erku\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Van Training and Research Hospital, Van"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamil","family":"Yamak","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Health Sciences, \u0130zmir Bozyaka Education and Research Hospital, \u0130zmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"R1-20250525","doi-asserted-by":"crossref","first-page":"196","DOI":"10.32098\/mltj.03.2013.11","article-title":"Impingement is not impingement: The case for calling it \u201cRotator Cuff Disease.\u201d","volume":"3","author":"McFarland","year":"2013","journal-title":"Muscles Ligaments Tendons"},{"key":"R2-20250525","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1302\/0301-620X.96B3.32336","article-title":"An epidemiological study of rotator cuff pathology using The Health Improvement Network database.","volume":"96-B","author":"White","year":"2014","journal-title":"Bone Joint J"},{"key":"R3-20250525","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1067\/mse.2000.108962","article-title":"A prospective, multipractice study of shoulder function and health status in patients with documented rotator cuff tears.","volume":"9","author":"Smith","year":"2000","journal-title":"J Shoulder Elbow Surg"},{"key":"R4-20250525","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.pmr.2004.03.002","article-title":"Rotator cuff disease.","volume":"15","author":"Barr","year":"2004","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"R5-20250525","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.physio.2011.08.002","article-title":"Exercise for rotator cuff tendinopathy: a systematic review.","volume":"98","author":"Littlewood","year":"2012","journal-title":"Physiotherapy"},{"key":"R6-20250525","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1016\/j.jse.2013.01.026","article-title":"Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study.","volume":"22","author":"Kuhn","year":"2013","journal-title":"J Shoulder Elbow Surg"},{"key":"R7-20250525","doi-asserted-by":"crossref","first-page":"314","DOI":"10.3109\/17453674.2014.920991","article-title":"Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association.","volume":"85","author":"Diercks","year":"2014","journal-title":"Acta Orthop"},{"key":"R8-20250525","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jse.2008.06.004","article-title":"Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol.","volume":"18","author":"Kuhn","year":"2009","journal-title":"J Shoulder Elbow Surg"},{"key":"R9-20250525","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.math.2016.05.337","article-title":"Effectiveness of scapula-focused approaches in patients with rotator cuff related shoulder pain: a systematic review and meta-analysis.","volume":"25","author":"Bury","year":"2016","journal-title":"Man Ther"},{"key":"R10-20250525","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1186\/1471-2474-14-282","article-title":"Balance ability and postural stability among patients with painful shoulder disorders and healthy controls.","volume":"14","author":"Baierle","year":"2013","journal-title":"BMC Musculoskelet Disord"},{"key":"R11-20250525","first-page":"8","article-title":"Is there a relation between shoulder dysfunction and core instability?","volume":"9","author":"Radwan","year":"2014","journal-title":"Int J Sports Phys Ther"},{"key":"R12-20250525","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ptsp.2018.08.008","article-title":"Core stability, shoulder peak torque and function in throwing athletes with and without shoulder pain.","volume":"34","author":"Pogetti","year":"2018","journal-title":"Phys Ther Sport"},{"key":"R13-20250525","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1046\/j.0269-4727.2003.00521.x","article-title":"Use of health-related quality of life in prescribing research. Part 1: why evaluate health-related quality of life?","volume":"28","author":"Calvert","year":"2003","journal-title":"J Clin Pharm Ther"},{"key":"R14-20250525","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1017\/S0033291798006667","article-title":"Development of the World Health Organization WHOQOL-BREF quality of life assessment.","volume":"28","year":"1998","journal-title":"Psychol Med"},{"key":"R15-20250525","doi-asserted-by":"crossref","first-page":"542","DOI":"10.2519\/jospt.2011.3413","article-title":"Efficacy of trunk balance exercises for individuals with chronic low back pain: a randomized clinical trial.","volume":"41","author":"Gatti","year":"2001","journal-title":"J Orthop Sports Phys Ther"},{"key":"R16-20250525","doi-asserted-by":"crossref","first-page":"578","DOI":"10.4085\/1062-6050-387-16","article-title":"Balance- and strength-training protocols to improve chronic ankle instability deficits, part II: assessing patient-reported outcome measures.","volume":"53","author":"Hall","year":"2018","journal-title":"J Athl Train"},{"key":"R17-20250525","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1093\/gerona\/gly271","article-title":"Effect of balance training after hip fracture surgery: a systematic review and meta-analysis of randomized controlled studies.","volume":"74","author":"Lee","year":"2019","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"R18-20250525","first-page":"751","article-title":"Efficacy of home-based kinesthesia, balance & agility exercise training among persons with symptomatic knee osteoarthritis.","volume":"11","author":"Rogers","year":"2012","journal-title":"J Sports Sci Med"},{"key":"R19-20250525","first-page":"34","article-title":"Proprioceptive neuromuscular facilitation techniques in sports medicine: a reassessment.","volume":"32","author":"Surburg","year":"1997","journal-title":"J Athl Train"},{"key":"R20-20250525","doi-asserted-by":"crossref","first-page":"E18","DOI":"10.1136\/bjsm.2003.010967","article-title":"Effect of submaximal contraction intensity in contract-relax proprioceptive neuromuscular facilitation stretching.","volume":"38","author":"Feland","year":"2004","journal-title":"Br J Sports Med"},{"key":"R21-20250525","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/PHM.0b013e3181ddccd2","article-title":"Postural control in elderly persons with osteoporosis: efficacy of an intervention program to improve balance and muscle strength: a randomized controlled trial.","volume":"89","author":"Burke","year":"2010","journal-title":"Am J Phys Med Rehabil"},{"key":"R22-20250525","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4085\/1062-6050-45.4.392","article-title":"Balance training for neuromuscular control and performance enhancement: a systematic review.","volume":"45","author":"Zech","year":"2010","journal-title":"J Athl Train"},{"key":"R23-20250525","doi-asserted-by":"crossref","first-page":"635","DOI":"10.2466\/pms.1991.73.2.635","article-title":"Application of tetra-ataxiametric posturography in clinical and developmental diagnosis.","volume":"73","author":"Kohen-Raz","year":"1991","journal-title":"Percept Mot Skills"},{"key":"R25-20250525","first-page":"893","article-title":"Test-retest reliability of Tetrax\u00ae static posturography system in young adults with low physical activity level.","volume":"10","author":"Akkaya","year":"2015","journal-title":"Int J Sports Phys Ther"},{"key":"R26-20250525","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/00042752-200303000-00004","article-title":"The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: the Western Ontario Rotator Cuff Index.","volume":"13","author":"Kirkley","year":"2003","journal-title":"Clin J Sport Med"},{"key":"R27-20250525","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1002\/art.1790040403","article-title":"Development of a shoulder pain and disability index.","volume":"4","author":"Roach","year":"1991","journal-title":"Arthritis Care Res"},{"key":"R28-20250525","first-page":"727","article-title":"Measuring shoulder function with the Shoulder Pain and Disability Index.","volume":"22","author":"Williams","year":"1995","journal-title":"J Rheumatol"},{"key":"R29-20250525","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1016\/j.jse.2008.12.015","article-title":"Psychometric properties of the shortened disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH) and Numeric Pain Rating Scale in patients with shoulder pain.","volume":"18","author":"Mintken","year":"2009","journal-title":"J Shoulder Elbow Surg"},{"key":"R30-20250525","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0966-6362(01)00156-4","article-title":"Attention and the control of posture and gait: a review of an emerging area of research.","volume":"16","author":"Woollacott","year":"2002","journal-title":"Gait Posture"},{"key":"R31-20250525","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u201cMini-mental state\u201d. A practical method for grading the cognitive state of patients for the clinician.","volume":"12","author":"Folstein","year":"1975","journal-title":"J Psychiatr Res"},{"key":"R32-20250525","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.","volume":"39","author":"Faul","year":"2007","journal-title":"Behav Res Methods"},{"key":"R33-20250525","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1037\/a0024338","article-title":"Effect size estimates: current use, calculations, and interpretation.","volume":"141","author":"Fritz","year":"2012","journal-title":"J Exp Psychol Gen"},{"key":"R34-20250525","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1177\/0031512520930868","article-title":"A proposed postural control theory synthesizing optimal feedback control theory, postural motor learning, and cerebellar supervision learning.","volume":"127","author":"Morelli","year":"2020","journal-title":"Percept Mot Skills"},{"key":"R35-20250525","doi-asserted-by":"crossref","first-page":"648354","DOI":"10.3389\/fnins.2021.648354","article-title":"Effects of transcranial direct current stimulation combined with physical training on the excitability of the motor cortex, physical performance, and motor learning: a systematic review.","volume":"15","author":"Wang","year":"2021","journal-title":"Front Neurosci"},{"key":"R36-20250525","doi-asserted-by":"crossref","first-page":"2161","DOI":"10.1093\/brain\/awn154","article-title":"Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain.","volume":"131","author":"Tsao","year":"2008","journal-title":"Brain"},{"key":"R37-20250525","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.jocn.2019.07.017","article-title":"Concurrent postural training and M1 anodal transcranial direct current stimulation improve postural impairment in patients with chronic low back pain.","volume":"68","author":"Jafarzadeh","year":"2019","journal-title":"J Clin Neurosci"},{"key":"R38-20250525","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.clinph.2014.05.035","article-title":"Alterations in central motor representation increase over time in individuals with rotator cuff tendinopathy.","volume":"126","author":"Ngomo","year":"2015","journal-title":"Clin Neurophysiol"},{"key":"R39-20250525","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1007\/s00296-016-3646-5","article-title":"The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises.","volume":"37","author":"Kuru \u00c7olak","year":"2017","journal-title":"Rheumatol Int"},{"key":"R40-20250525","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1016\/j.apmr.2017.03.032","article-title":"Supervised or unsupervised rehabilitation after total hip replacement provides similar improvements for patients: a randomized controlled trial.","volume":"98","author":"Coulter","year":"2017","journal-title":"Arch Phys Med Rehabil"}],"container-title":["International Journal of Rehabilitation Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MRR.0000000000000521","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T20:04:37Z","timestamp":1748203477000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MRR.0000000000000521"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,7]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/mrr.0000000000000521","relation":{},"ISSN":["0342-5282"],"issn-type":[{"type":"print","value":"0342-5282"}],"subject":[],"published":{"date-parts":[[2022,2,7]]}}}