Tendinopathy
Conditions
Interventions
This is an experimental study protocol of the randomized, triple-blind clinical trial type. A total of 40 people who meet the eligibility criteria will be allocated into two groups (G1: active tDCS +
E02.331.750
Sponsors
Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte - FACISA/UFRN
Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte - FACISA/UFRN
Eligibility
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Men and women who have a clinical and/or imaging diagnosis (ultrasound or magnetic resonance imaging) of shoulder tendinopathy, accompanied by pain for more than three months during resisted abduction and external rotation movements of the shoulder and have shoulder pain; report pain =3 on the Numerical Pain Scale; age between 18 and 65 years old; have central pain sensitization according to the Central Sensitization Questionnaire Brazilian Portuguese Central Sensitization Inventory – BP and not present neuropathic pain; not have a neurological deficit that could compromise the follow-up and understanding of interventions; do not use implanted metallic devices, in addition to not being pregnant; not be undergoing any other medication or physiotherapeutic treatment for tendinopathy throughout the study; Individuals with initial pain intensity less than 3 (END < 3) will not be included in the study, to avoid ground effect bias
Exclusion criteria
Exclusion criteria: Individuals with complete rotator cuff tear; report pain and/or irradiation to the spinal region; have other disorders such as frozen shoulder, severe osteoarthritis, fracture and dislocation; those who had a corticosteroid injection in the last 6 weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that the combination of transcranial direct current stimulation with physical exercise may present differences in pain outcomes in patients with chronic shoulder tendinopathy. This outcome will be measured using the Numerical Pain Scale (NDS), which is widely used in research and clinical practice. It consists of 11 items, where 0 is considered no pain and 10 is the worst pain possible | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected that the combination of transcranial direct current stimulation with physical exercise may present differences in the outcome of physical function in patients with chronic shoulder tendinopathy. Physical function will be assessed by the questionnaire in the Brazilian and validated version of the Shoulder Pain and Disability Index (SPADI-BRASIL), which is composed of 13 items subdivided into pain (5 items) and disability (8 items), in which participants they are instructed to complete each item on a scale of 0 to 10; and by the wall push up test, in which the number of times participants will be able to perform the following movement will be assessed: standing, slightly leaning forward and in parallel with the wall and hands flat on it, perform flexion and extension of the elbows, propelling your body against the wall in a harmonious and rhythmic manner for 30 seconds;It is expected that the combination of transcranial direct current stimulation with physical exercise may present differences in the global perception of change in patients with chronic shoulder tendinopathy. The assessment of the global perception of change will be carried out using the “Patient Global Impression of Change” instrument in the version adapted to Brazilian Portuguese, consisting of a Likert-type scale, which varies from 1 to 7, with: 1 – no change (or condition worsened) and 7 – much better, and with a considerable improvement that made all the difference;It is expected that the combination of transcranial direct current stimulation with physical exercise may present differences in the assessment of shoulder range of motion in patients with chronic shoulder tendinopathy. The range of motion will be assessed using the Kinovea 0.9.5 software (Kinovea Open Source Project) for Windows 11 to quantify the active range of flexion and abduction movements of both shoulders (symptomatic and non-symptomatic). During this assessment, volunteers will be instructed to perform each moveme | — |
Countries
Brazil
Contacts
Public ContactClécio de Souza
Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte - FACISA/UFRN
Outcome results
None listed