Rotator Cuff Tendinosis
Conditions
Brief summary
The aim of this randomized controlled trial is to evaluate the combined effects of pain neuroscience education plus exercise to exercise alone in the management of patients with chronic rotator cuff tendinopathy regarding pain, function, strength, kinesiophobia, and pain catastrophizing.
Interventions
OTHERPain neuroscience education
Three sessions of pain neuroscience education based on explaining patients: characteristics of acute versus chronic pain, function of acute pain, how acute pain is originated within the nervous system, how acute pain progress to chronic pain, and factors that contribute to central sensitization (e.g., emotions, stress, disease and pain beliefs, behaviors regarding pain...). All the explanations will be conducted using easy-understandable examples and metaphors.
OTHERExercise
Progressive resistance exercise program based on isometric, concentric, eccentric, and pliometric contractions.
Sponsors
Ruben Fernandez Matias
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Researchers involved in recording outcome measures will not be aware of treatment allocation. Patients will be encouraged to not tell the evaluators about the received treatment.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Shoulder pain due to rotator cuff tendinopathy lasting more than 6 months. * Internal Rotation Resisted Strength Test positive. * Test Item Cluster (Hawkins-Kennedy, painful arc, and infraspinatus test) positive.
Exclusion criteria
* History of: tumors, metastasis, osteoporosis, shoulder fractures, shoulder luxation and/or instability, previous shoulder surgery, cervical radiculopathy, full-thickness rotator cuff tears, glenohumeral joint degeneration, inflammatory arthropathy, acromioclavicular joint arthrosis, and rotator cuff calcifications. * Being treated by other physical therapy or medical treatment for their shoulder pain at the time of recruitment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain intensity | Baseline, change from baseline at 4-week, and change from baseline at 12-week | Pain intensity measured with numerical pain rating scale which ranges from 0 points (no pain) to 10 points (worst imaginable pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder disability change | Baseline, change from baseline at 4-week, and change from baseline at 12-week | Shoulder disability measured with Shoulder Pain and Disability Index (SPADI). SPADI ranges from 0% (no disability) to 100% (maximum degree of disability). |
| Kinesiophobia change | Baseline, change from baseline at 4-week, and change from baseline at 12-week | Kinesiophobia measured with Tampa Scale for Kinesiophobia (TSK-11) which ranges from 0% (no kinesiophobia) to 100% (maximum degree of kinesiophobia). |
| Catastrophism change | Baseline, change from baseline at 4-week, and change from baseline at 12-week | Catastrophism measured with Pain Catastrophizing Scale (PCS) which ranges from 0% (no catastrophism) to 100% (maximum degree of catastrophism). |
| Strength change | Baseline, change from baseline at 4-week, and change from baseline at 12-week | Scaption strength at 90º of elevation measured with a hand-held dynamometer |
Countries
Spain
Outcome results
None listed