Condition 1: rotator cuff tendinopathy, partial tear of rotator cuff. Condition 2: Shoulder impingement. Rotator cuff tear or rupture, not specified as traumatic Impingement syndrome of unspecified shoulder
Conditions
Interventions
Intervention 1: Intervention group 1: Platelet rich plasma with high leukocyte 20 cc blood will be centrifuged in two 10- minute steps by Rooyagen kit then the 2 cc of the plas
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: Shoulder pain lasted more than 6 weeks At least 3 positive specific shoulder tests MRI findings implying tendinopathy or partial tear of rotator cuff
Exclusion criteria
Exclusion criteria: Shoulder pain that lasted less than six weeks The presence of sensory or motor disturbances caused by the cervical radiculer pain Evidence from other pathologies that can lead to shoulder pain. For example, the presence of calcified tendonitis or adhesive capsulitis and ... History of shoulder surgery in the last 6 months The presence of inflammatory rhomatologic diseases such as rheumatoid arthritis, fibromyalgia, poly mialia rheumatica and ... Complete rupture of rotator cuff tendons based on MRI findings The presence of ligamentous laxity or shoulder instability based on physical examination History of corticosteroid, analgesic or hyaluronic acid injection in the shoulder joint over the past 3 months History of exercise therapy and physiotherapy modalities over the past 6 weeks The history of treatment with PRP in the last 6 months Use of other therapies during the intervention period Patients request for discontinuing the treatment Contraindications for performing MRI or PRP in patients Any non-rheumatologic inflammatory disease and severe acute infection in patients Thrombocytopenia in patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain amount. Timepoint: Before intervention, 1 ,3 ,6 months after intervention. Method of measurement: Visual Analog Scale.;Function of the patients. Timepoint: Before intervention, 1 ,3 ,6 months after intervention. Method of measurement: WORC & DASH questionnaires. | — |
Secondary
| Measure | Time frame |
|---|---|
| Shoulder range of motion. Timepoint: Before the intervention, 1,3,6 months after intervention. Method of measurement: Goniometry.;Rotator cuff strength. Timepoint: Before the intervention, 1,3,6 months after intervention. Method of measurement: Muscle Manual Test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactParisa Nejati
Iran University of Medical Sciences
Outcome results
None listed