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Digital Rehabilitation Following Ultrasound-Guided Injection for Chronic Rotator Cuff Injury: Randomized Controlled

Zifu He^1,2, Yuemin Zhang², Liyan Shi²

¹School of Gongli Hospital Medical Technology, University of Shanghai for Science and Technology, Shanghai, China.

Journal of Medical Internet Research

|June 10, 2026

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This summary is machine-generated.

Digital rehabilitation systems combined with ultrasound-guided injections significantly improve shoulder function and range of motion in chronic rotator cuff injuries compared to traditional exercises.

Area of Science:

Orthopedics
Physical Medicine and Rehabilitation
Digital Health

Background:

Chronic rotator cuff injuries (CRCIs) cause shoulder pain and dysfunction.
Ultrasound-guided injections offer pain relief but rehabilitation adherence and accuracy can be issues.
Digital therapeutics show potential to improve patient engagement and movement accuracy in rehabilitation.

Purpose of the Study:

To compare the efficacy of ultrasound-guided injection plus a Digital Rehabilitation System (DRS) versus traditional exercise for CRCIs.
To evaluate effects on pain intensity and shoulder function.

Main Methods:

A single-center, randomized controlled trial involving 60 participants with CRCIs.
Participants received ultrasound-guided injections followed by either traditional exercises (Group C) or DRS training (Group D) for 3 months.

Keywords:

digital therapeutics injection therapy rehabilitation exercise rotator cuff injury system proficiency

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Outcomes included Constant-Murley Score, UCLA Shoulder Scale, pain scores, and range of motion (ROM).

Main Results:

The DRS group (Group D) showed significantly greater improvements in Constant-Murley Score, UCLA Shoulder Scale, and pain reduction compared to the traditional group (Group C).
Significant improvements in shoulder ROM were observed in both groups, with greater gains in the DRS group.
Subgroup analysis indicated enhanced benefits for participants with no or mild shoulder motion restrictions in the digital therapy group.

Conclusions:

Combining ultrasound-guided injections with DRS training is more effective than traditional exercise for improving shoulder ROM and function in CRCIs.
The digital approach shows particular benefit for patients with limited initial shoulder mobility.