Rotator Cuff Tendinosis
Conditions
Keywords
Tendinopathy, Rotator Cuff, Global Postural Reeducation, Aerobic Exercice, Shoulder Pain, Quality of life
Brief summary
The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program
Detailed description
Participants who meet the inclusion criteria will be randomly distributed between group 1 "Global Postural Reeducation (GPR)", group 2 "exercise", or group 3 "no physical therapy intervention". Group 1 participants will receive a physical therapy treatment using the GPR method for 6 weeks consisting of 1 weekly session lasting 40 min performing "frog on the ground" and "sitting" poses. Patients in this group will also perform self-postures at home daily for 10 minutes. Group 2 participants perform training for 6 weeks using non-specific aerobic exercise consisting of a daily 20-minutes walk at a speed of 4-5 km/h. Group 3 participants will not receive any physical therapy treatment and will serve as a control group.
Interventions
OTHERGPR Group
6-week treatment using the Global Postural Reeducation (GPR) method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)
OTHERAerobic Exercice Group
6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)
Sponsors
Universidad Francisco de Vitoria
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Shoulder pain with duration of at least 3 months * Positive painful arc test during abduction * At least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test
Exclusion criteria
* Cervical radiculopathy * Moderate or severe degenerative arthropathy * Complete rotator cuff tear * History of shoulder or neck surgery * History of shoulder fractures or dislocation * Frozen shoulder or adhesive capsulitis * Previous interventions with steroid injections or physiotherapy 2 months before the start of the program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in pain and disability after the treatment program | Baseline, one week after the last sessio, 3 months and 6 months after the last session | Shoulder Pain and Disability Index (SPADI). Minimum value=0. Maximun value=100 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in pain after the treatment program | Baseline, one week after the last sessio, 3 months and 6 months after the last session | Numerical Pain Rating Scale (NPRS). Minimum value=0 (no pain). Maximun value=10 (the worst pain imaginable) |
| Changes in pressure pain sensitivity | Pre, Post inmediate, and follow-up at 3 and 6 months | Pressure Pain Thresholds (PPH) |
| Changes in Quality of Life | Baseline, one week after the last session, 3 months and 6 months after the last session | Short-Form 12 Health Status Questionnaire. The response options form Likert-type scales that evaluate intensity or frequency. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average. |
| Changes in Range of Motion | Baseline, one week after the last sessio, 3 months and 6 months after the last session | Goniometer |
Countries
Spain
Contacts
PRINCIPAL_INVESTIGATORJavier Alvarez-González
Francisco de Vitoria University, Madrid, Spain
STUDY_DIRECTORArturo Morales-Muñiz, PhD
Autonomous University of Madrid, Madrid, Spain
STUDY_CHAIRAlfredo Bravo-Sánchez, PhD
Francisco de Vitoria University, Madrid, Spain
Outcome results
None listed