Health Condition 1: M999- Biomechanical lesion, unspecified
Conditions
Interventions
Intervention1: Shoulder symptom modification procedure, heavy slow resistance and graduated functional rehabilitation: 12 weeks of supervised interventions consisting of 3 stages of shoulder rehabilit
Sponsors
Pruthviraj R
Eligibility
Inclusion criteria
Inclusion criteria: Age 20 years or older to age 60 years Shoulder pain of at least 3month duration Pain reproduced during resisted testing in functional positions Diagnosis of RCRSP suggested by at least 3 of the following tests being positive Near normal passive range of shoulder flexion / abduction / external rotation Pain may or may not be present during active shoulder external rotation when tested at 0° of shoulder abduction but will increase with resisted external rotation Pain may or may not be present during active shoulder external rotation when tested at 90° of shoulder abduction but will increase with resisted external rotation Pain may or may not be present during active shoulder abduction when tested through range but will increase with resisted abduction Presence of a painful arc of movement. Resistance testing may include manual muscle testing with therapist applied resistance using a hand-held dynamometer or using external weights such as dumbbells
Exclusion criteria
Exclusion criteria: Known calcific tendinopathy based on previous imaging Patients with clinical signs of massive rotator cuff tears as defined by presence of gross weakness of rotator cuff muscles in the absence of pain • Other shoulder disorders eg frozen shoulder severe osteoarthritis fracture acromioclavicular joint pathology history of shoulder dislocation Undergone previous shoulder surgery on same side Presence of significant comorbidity eg neurological disorders rheumatoid arthritis unstable diabetes unstable blood pressure Current carcinoma, TB or HIV Unlikely to be able to perform required clinical assessment tasks Symptomatic cervical spine pathology defined as reproduction of neck shoulder or upper limb symptoms with active physiological cervical spine movement of any of the following movements in isolation or in combination flexion extensions rotation side flexion Symptomatic cervical spine pathology defined as reproduction of neck shoulder or upper limb symptoms Shoulder external rotation less than 45 degrees or 50% of the opposite side Inability to understand written or spoken language Presence of contra indications to laser therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| SPADI Timepoint: Pre intervention and at3,6 and 12 months of after intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Ultrasound scan StrengthTimepoint: at baseline at baseline at 3, 6 and 12 month | — |
Countries
India
Contacts
Public ContactPruthviraj R
Nitte Institute of Physiotherapy
Outcome results
None listed