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A pilot randomised controlled trial comparing three different physiotherapy interventions to treat rotator cuff tendinopathy/subacromial pain syndrome.

Not Applicable
Conditions
Subacromial Pain Syndrome
Rotator Cuff Tendinopathy
Physical Medicine / Rehabilitation - Physiotherapy
Musculoskeletal - 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
Inclusion Criteria

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)

Exclusion Criteria

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
NameTimeMethod
determine feasibility of a full-scale randomized controlled trial.<br>[weeks 6 and 12<br>]
Secondary Outcome Measures
NameTimeMethod
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]
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