Sports Physical Therapy, Tendinopathy
Conditions
Keywords
biceps brachii, tendinopathy, tendon cross-sectional area, shoulder pain
Brief summary
This study was planned to analyze the changes in tendon cross-sectional area and shoulder pain with different exercise approaches applied in biceps brachii long head tendinopathy.
Detailed description
There are different conservative treatment options for biceps brachii long head tendinopathy. However, the exercise approaches that can be applied for biceps brachii tendinopathy are not clear in the literature. This study aims to investigate the effectiveness of exercises that include 12 weeks of eccentric training or combined exercise approaches.
Interventions
OTHEREccentric Exercise
In the eccentric exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, eccentric strengthening exercises for the biceps brachii muscle will be given. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.
OTHERCombined Exercise
In the combined exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, progressive isometric, isotonic and plyometric strengthening training will be given to the biceps brachii muscle. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.
In the control group, strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle will be given. Strengthening exercises for the biceps brachii muscle will not be given in this group. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants in all three groups performed the given exercises without knowing which group they were included in. Outcome assessments will be performed by an investigator who was blinded to group allocation.
Intervention model description
three groups with a conventional therapy control group
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Having shoulder pain lasting 3 months or more * Without a history of surgery, having a diagnosis of shoulder rotator cuff tendinopathy, rotator cuff stage 1-2 tear or subacromial impingement, and having been diagnosed with secondary biceps long head tendinopathy by a physician * Pain level during activity \> 3 according to the visual analog scale * Patients who have been informed about the study and have given written consent to participate in the study will be included in the study.
Exclusion criteria
* Acute shoulder injury * History of shoulder and cervical surgery * Limitation of passive range of motion * History of local corticosteroid injection within the last 12 months * Patients who cannot comply with the exercise program will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tendon Cross-Sectional Area | Baseline and 12 weeks | Ultrasound will be used to measure tendon cross-sectional area. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | Baseline and 12 weeks | The patient will be asked to mark the severity of his/her pain at rest, at night, and during general activity on a 10 cm line without numbers, and the point they mark will be measured in millimeters with a ruler. The left end of the line indicates no pain, corresponding to 0 cm, while the pain level increases towards the right end of the line, which is marked at 10 cm. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactEbru G SEZİK, Msc
Outcome results
None listed