Chronic Rotator Cuff Tendinopathy
Conditions
Brief summary
To compare the efficacy of dextrose solution injection with ESWT for pain reduction in rotator cuff tendinopathy. Additionally, secondary objective is to evaluate DASH and active range of motion of shoulder joint
Interventions
PROCEDUREProlotherapy
Prolotherapy is an injection of a relatively small volume of an irritant or sclerosing solution at sites of painful ligament and/or tendon insertions, and in adjacent joint space over the course of several treatment sessions
Extracorporeal shock wave therapy (ESWT), a kind of physical modalities, generating acoustic pulses, that are high positive pressure amplitudes, subsequently transferring concentrated energy to small focal distant areas of 2-8 mm in diameter
Sponsors
Mahidol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Chronic shoulder pain for at least 3 months * Unilateral affected side * History of unsuccessful conservative treatment * Age 18 years or older
Exclusion criteria
* Rotator cuff complete tear * Local or generalized arthritis * Previous shoulder surgery * Previous history allergy to local anesthesia * Pregnancy * Current infectious or tumorous disease * Dysfunction in the neck or thoracic region of both * Coagulation disturbance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS score | Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment | Pain reduction VAS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Function DASH score | Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment | Disabilities of the arm, shoulder and hand |
| Shoulder ROM | Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment | Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation |
Countries
Thailand
Outcome results
None listed