Rotator cuff tendinopathy of the shoulder. Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
Conditions
Interventions
Intervention 1: Intervention group 1: The injection will be performed under ultrasound guide by a sports medicine specialist. Patients will maintain an upright sitting position with shoulder extension
in the second week includes external rotation at zero degrees
In the third week, it includes internal rotation at 0 degrees, and in the fourth week, it includes boat movement at 45 degrees, boat movement at 90 degrees, anterior shoulder stretching and trunk stre
Sponsors
Mazandaran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: Adults (over 20 years) Chronic shoulder pain for more than six months Shoulder ultrasound of the supraspinatus tendon showing chronic tendinopathy such as a tear or tendinosis The average intensity of shoulder pain is more than 3 points on the ten-point Visual Analog Scale (VAS) Agreeing and complying with our study protocol The possibility of signing an informed consent form
Exclusion criteria
Exclusion criteria: Associated with adhesive capsulitis and limited range of motion of the shoulder Shoulder joint replacement Shoulder surgery or arthroscopy of the injured shoulder within the past year Injection of steroid, hyaluronic acid or platelet-rich plasma or any type of prolotherapy injection in the shoulder joint within the last three months Neurological disease that causes weakness on the affected side Impaired cognitive function and inability to complete the questionnaire Concurrent participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average score in the Shoulder Pain and Disability Index (SPADI) of the injured shoulder. Timepoint: At the beginning of the study before the start of the intervention and at the end of the second and sixth weeks after the intervention. Method of measurement: The Shoulder Pain and Disability Index (SPADI) is a self-administered assessment tool used to measure shoulder pain and disability. It has five pain items and eight disability items measured on the Visual Analogue Score. Pain and disability subscales are calculated as the mean of the corresponding items on a 0-100 scale, with the highest score indicating the most severe pain and disability. In this study, the total outcome score used for statistical analysis will be calculated as the sum of pain and disability subscales. | — |
Secondary
| Measure | Time frame |
|---|---|
| Active range of motion of the shoulder. Timepoint: At the beginning of the study before the start of the intervention and at the end of the second and sixth weeks after the intervention. Method of measurement: Active shoulder range of motion, i.e., forward flexion, internal rotation, external rotation, and abduction in standing position, will be assessed using a goniometer. Patients will move their shoulders slowly until they reach an angle at which pain is felt, and this movement will be performed three times to record the average value of the angle.;Supraspinatus tendon thickness. Timepoint: At the beginning of the study before the start of the intervention and at the end of the second and sixth weeks after the intervention. Method of measurement: Using ultrasound, the maximum thickness of the supraspinatus tendon will be measured in millimeters. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHanieh Ahmadi
Mazandaran University of Medical Sciences
Outcome results
None listed