A pilot randomised controlled trial comparing three different physiotherapy interventions to treat rotator cuff tendinopathy/subacromial pain syndrome.
- Conditions
- Subacromial Pain SyndromeRotator Cuff TendinopathyPhysical Medicine / Rehabilitation - PhysiotherapyMusculoskeletal - Other muscular and skeletal disorders
- Registration Number
- ACTRN12616001676404
- Lead Sponsor
- St Vincent's Hospital Melbourne
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Stopped early
- Sex
- All
- Target Recruitment
- 30
Aged 18-80 years (likelihood of patients > 80 of having degenerative changes in the shoulder is increased)
Pain localised to the proximal anterolateral shoulder region
Since no single impingement test has shown high specificity, clinical history plus a cluster of 2 or more tests from the following is recommended to identify patients with SPS:
Pain on elevation (abduction/flexion/scaption) and/or a painful arc in elevation
Positive impingement test (Hawkins-Kennedy and/or Neer’s test)
Pain on isometric abduction (positive full can or empty can)
large, full thickness rotator cuff tear
Moderate-severe glenohumeral joint (GHJ) or acromioclavicular joint (ACJ) Osteoarthritis
GHJ instability including previous shoulder dislocation/subluxation
Previous shoulder fracture
Current neck pain/dysfunction with a somatic or radicular referral pattern indicative of cervical spine > shoulder primary source of symptom and/or pathology
Neurological deficits of the upper limb
Systemic inflammatory arthritic conditions
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method determine feasibility of a full-scale randomized controlled trial.<br>[weeks 6 and 12<br>]
- Secondary Outcome Measures
Name Time Method Perception of pain (current/usual/night) using 11 point numerical rating scale (NRS)[Baseline<br>Within-treatment during rotator cuff strengthening intervention (weeks 3 and 4)<br>Week 6 <br>Week 12<br><br><br><br>];Shoulder muscle strength (using hand held dynanometer). <br>[Baseline<br>Within-treatment during rotator cuff strengthening intervention (weeks 3 and 4)<br>Week 6 <br>Week 12<br><br>];Western Ontario Rotator Cuff Index (WORC) [Baseline <br>Week 6 <br>Week 12 <br>6 months ];Shoulder Pain and Disability Index (SPADI) [Baseline <br>Week 6 <br>Week 12 <br>6 months ];Perceived global rating of change score (GRCS)[Week 12]