Shoulder Rotator Cuff Tendinopathy, Shoulder Tendinitis
Conditions
Keywords
Shoulder Tendinitis, shoulder rotator cuff tendinopathy, Pilates exercise, diaphragmatic respiratory technique, physical therapy
Brief summary
1. To investigate the effect of Pilates exercises program on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT). 2. To investigate the effect of diaphragm manual therapy techniques on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT). 3. To determine the effect of combination between Pilates exercises program and diaphragm manual therapy techniques on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT).
Detailed description
Musculoskeletal complains are common work-related problems in Egypt. Egyptian preparatory school teachers were 96%. Dental society revealed high response rate (93%) with 53.8% have complains related to neck/shoulder .Physical therapists (PTs) are frequently exposed to work-related musculoskeletal disorders .Shoulder problems represent (47.7%).Printing workers and municipal solid waste collectors are another group having high prevalence of work-related musculoskeletal disorders that might be related to some individual factors (age, BMI, and duration of employment). Since pilates shoulder exercise influence shoulder function and pain and to considering the relationship between shoulder muscles and the thoracic cage expansion. Consequently, it is worthy to investigate the efficacy of Pilates exercises program with diaphragm manual therapy techniques in pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function on patient with rotator cuff tendinopathy aiming for function improvement and pain decrease. Therefore, this study is being conducted for this purpose.
Interventions
OTHERpilates exercise and diaphragm manual technique
pilates exercises
Sponsors
Cairo University
Ministry of Health and Population, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
1. Patients diagnosed with rotator cuff tendinopathy for duration greater than three months (Eda and Emin,2016). 2. 40 and 60 years of age from both genders (Yamamoto et al.,2019) 3. Patient's BMI within normal range between 18.5 and 24.9 (Gumina et al.,2014) 4. patients complain of shoulder pain at the tip of the shoulder and the upper, outer arm. The pain is aggravated by reaching, pushing, pulling, lifting, positioning the arm above the shoulder level, or lying on the side (Stiphen and Micheal,1021). 5. The arm pain during resisted testing (usually abduction and/or lateral rotation) (Eda and Emin,
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Patients diagnosed with rotator cuff tendinopathy for duration greater than three months 2. Body Mass Index between 18.5 and 24.9 3. patients complain of shoulder pain at the tip of the shoulder and the upper, outer arm. 4. pain during resisted arm test (usually abduction and/or lateral rotation) (
Exclusion criteria
* 1\. shoulder stiffness 2. Previous dislocation or sublation of shoulder joint. 3. Previous shoulder surgery 4. Glenohumeral joint and acromioclavicular joint degeneration 5. Neurological deficit in the neck or arm 6. Heavy Smokers. 7. Any Cardiopulmonary pathology. 8. Recent Thoracic surgery 9. Any deformity of spine 10. History of Thyroid Disorders 11. Cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| shoulder pain | 4 weeks | visual analog scale (scale from 0 to 10 where 0 means no pain and 10 means unbearable pain pain threshold will be carried out by pressure algometer |
| strength of shoulder muscle | 4 weeks | hand heled dynamometer |
Countries
Egypt
Contacts
Primary ContactAmaal Ibrahim, professor
Backup ContactGada Abed Allaha, professor
Outcome results
None listed