Supraspinatus Tendinitis
Conditions
Brief summary
A randomized controlled trial will be conducted to get the expected outcomes. Patients of both gender groups with unilateral shoulder pain will be selected with age range 40-60 years from Sehat medical complex and randomly allocated into four groups (Group A, B, C and D) of two different trials (Trial I and Trial II). The sample size will be 120 patients for both trials. Musculoskeletal ultrasound, goniometry, pain pressure threshold, dynamometer and functional indices will be used to measure the tendon thickness, range of motion, pain, muscle strength and function level. The group A will get BFRT, Group B will get ESWT, group c will get the combination of both and group D will be the Control group (Routine physical therapy). In Trial II the group A will get BFRT, Group B will get Eccentric Training, Group C will get combination of both A & B and group D will be control group. data will be collected at baseline, 4th week, 8th week and 12 week of interventions. For data analysis SPSS version 25 will be used. Repeated measures ANOVA will be applied to compare the quantitative data within and between the groups. Post-Hoc test Tukey and Bonferroni correction will be used. The level of significance will be set at 5% (P\<0.05).
Detailed description
Musculoskeletal (MSK) disorders affect 1.71 billion people globally. In Pakistan 3.7-20% people are suffering from shoulder pain and while other rotator cuff muscles have been targeted with various therapies singly, neither supraspinatus tendinitis has received its due attention nor has the effect of combination of therapies been explored on it. Additionally, using the technique of MSK ultrasound will give us an objective quantitative basis for the anatomical evaluation. The tendon dimensions and biomechanical measurements of the supraspinatus show marked and differential improvement under the influence of different combinations of physical therapies compared to any single therapy. Objectives:
Interventions
OTHERBlood flow Restriction therapy
BFRT 4 Sets of exercise with restriction cuff 30,15,15,15 with cable system pulley ESWT 10 minutes shocks of 2000 J/session
DEVICEESWT
10 minutes shocks of 2000 J/session
OTHERControl
Electric heating pad (Besmed, Taiwan) 10 minutes, TENS (Comfy Stim, Taiwan Model #: EV-806) 10 minutes
Sponsors
Sehat Medical Complex
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Intervention model description
4 arm RCT parallels study design
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* unilateral shoulder pain * both gender group * two positive tests of (Neer impingement test, Hawkins-Kendy test, Empty can test), * shoulder pain history up to 3 months * not receiving any physiotherapy last 3 months. * not receiving pain medications (NSAIDS) for last 15 days.
Exclusion criteria
* referred shoulder pain * limited shoulder ROM less then 90 degree * previous shoulder surgery, intra articular injection or nerve block last 6 months. * patient with 180 mmHg blood pressure/uncontrolled BP * upper limb fracture, uncontrolled diabetes, open wounds, fistula and vascular surgery. * pregnant woman or 6 month history of pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Joint Range of Motion from 0-180 degree | 12 weeks | shoulder joint ROM will be measured by Goniometer having 360 degree or inclinometer |
| MSK Ultrasound for shoulder | 12 weeks | tendon thickness in long (mm) and short axis (mm) |
| Shoulder Functional scale | 12 weeks | Quick-DASH (Quick-Disability of arm shoulder and hand) functional scale, it is 11 items scale with response range 0-5 on. 0 is no disability and 100 shows severe disability. The scale have 5 response options much worse, somewhat worse, unchanged, somewhat better, much better |
| Shoulder Joint PAIN | 12 WEEKS | NPRS 0-10 , 10 is the worse imaginable pain and 0 is no pain |
| Shoulder Muscle Strength | 12 weeks | Manual muscle testing and Dynamometer |
Countries
Pakistan
Contacts
CONTACTimran Ghafoor, M Phil
CONTACTSahar Ijaz, PhD Anatomy
Outcome results
None listed