Kinetic Chain Approach for Rotator Cuff Tendinopathy

Not Applicable

Recruiting

• Conditions: Rotator Cuff Tendinopathy

• Registration Number: NCT06838767
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this research is to determine the effectiveness of the kinetic chain approach on pain, functional disability and kinesiophobia in patient with rotator cuff tendinopathy. Randomized controlled trials done at National institute of rehabilitation and medicine. The sample size was 44. The subjects were divided in two groups, 22 subjects in Group A that received Conventional Treatment and 22 subjects in Group B that received Kinetic chain approach and conventional treatment. Study duration was of 6 months. Sampling technique applied was non probability connivance sampling technique. Patient with age between 40 to 65 years, Clinically diagnosed and Patients who meet the diagnostic criteria ≥ three positives in five shoulder impingement tests: Neer's sign, Hawkins and Kennedy test, Empty Can test, painful arc of abduction, and external rotation (ER) resistance test, Patients in acute (4 weeks) and sub-acute stage (4-6 weeks).Patients with positive scapular assistance test (SAT) and scapular retraction test (SRT). Were included. Tools used in the study are NPRS (Numeric Pain Rating Scale). SPADI (Shoulder Pain and Disability) .Tampa Scale for Kinesiophobia TSK-11. Data was be analyzed through SPSS -25

Detailed Description

Not available

Study Timeline

• Study Start: 2024-01-21
• Study First Submitted: 2024-11-25
• Status Verified: 2025-02
• Study First Submitted QC: 2025-02-20
• Last Update Submitted: 2025-02-20
• Study First Posted: 2025-02-21
• Last Update Posted: 2025-02-21
• Primary Completion: 2025-06-30
• Study Completion: 2025-07-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Both male and female.
• Age between 40 to 65 years.
• Clinically diagnosed and Patients who meet the diagnostic criteria ≥ three positives in five shoulder impingement tests: Neer's sign, Hawkins and Kennedy test, Empty Can test, painful arc of abduction, and external rotation (ER) resistance test (14)
• Patients in acute (4 weeks) and sub-acute stage (4-6 weeks).
• Patients with positive scapular assistance test (SAT) and scapular retraction test (SRT).

Exclusion Criteria

• Patients with Cervical radiculopathy or previous shoulder surgery.

  • Any Participants with a full thickness tear of rotator cuff tendon.
  • History of glenohumeral dislocation, or other traumatic injury to the shoulder
  • Diagnosed patients of rheumatoid arthritis and osteoarthritis.
  • Hemiplegia affecting the shoulder and lower extremity
  • A complex myofascial pain syndrome.
  • History of significant lower extremity problems, including severe joint pain, recent fractures, or major musculoskeletal disorders (e.g. chronic ligament injuries)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
NPRS (Numeric Pain Rating Scale)	6 weeks	NPRS (Numeric Pain Rating Scale) the NPRS is an 11-point ordinal system, used measure subject perceived level of pain .Assess pain intensity at baseline, 9 session and after 18 session

Secondary Outcome Measures

Name	Time	Method
SPADI (Shoulder Pain and Disability Index)	6 weeks	SPADI (Shoulder Pain and Disability Index) is a patient completed questionnaire with 13 items. The pain subscale has 5-items and the Disability subscale has 8-items. Assess outcome at baseline , 9th session and after 18 session
Tampa Scale for Kinesiophobia TSK-11	6 weeks	Tampa Scale for Kinesiophobia TSK-11 Originally 17 item scale, used to identify fear or movement or re-injury. Assess outcome at baseline, after 9th session and after 18th session

Trial Locations

Locations (1)

National institute of rehabilitation medicine , polyclinic islamabad; 🇵🇰 Islamabad, Punjab, Pakistan