INTERNATIONAL JOURNAL OF BIOMETEOROLOGY, cilt.70, sa.1, ss.1-10, 2026 (SCI-Expanded, Scopus)
The aim of this study was evaluating the effect of peloidotherapy, included in the postoperative rehabilitation, on func-
tional outcomes in patients who have undergone surgical treatment for rotator cuff tears (RCTs) and superior labrum
anterior-posterior SLAP tears, and to assess the short-term clinical outcomes of the early rehabilitation protocol. The study
was prospective, randomized, controlled, and single-blind. Sixty patients were sequentially enrolled and randomly divided
into two groups (30 each) using a computer-generated random number table. Assessments were performed by a blinded
researcher, and statistical analysis was conducted by a blinded biostatistician. Group 1 received peloidotherapy(44–45 °C),
TENS, and exercise, while Group 2 received a hot pack, TENS, and exercise. Patients were evaluated using VAS, SPADI,
and goniometer measurements before treatment and after. Intra-group analyses showed significant decreases in pain–
activity/rest VAS, and SPADI scores, increases in all shoulder ROM measures. Between groups, flexion, abduction, and
adduction differed significantly, while other shoulder movements and pain–activity/rest VAS, and SPADI scores showed
no significant differences. Comparison of difference scores showed no significant changes except for adduction, which
differed significantly between groups. A significant between-group difference was observed only in the number of patients
achieving MCID for disability SPADI. The addition of peloidotherapy to the rehabilitation program after arthroscopic
RCTs and SLAP tear repair has been shown to have similar effects to hot pack application. An early rehabilitation pro-
tocol using peloidotherapy and physiotherapy may improve upper extremity performance and quality of life by speeding
up functional recovery.