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Clinical Trials/DRKS00004462
DRKS00004462CompletedNot Applicable

Predicting the outcome of conservative treatment with physiotherapy for shoulder pain in the presence of atraumatic partial-thickness tears of the rotator cuff

Teesside University, School of Health and Social Care0 sites70 target enrollmentStarted: April 8, 2014Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
70

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Observational

Eligibility Criteria

Ages
18 Years to one (—)
Sex
All

Inclusion Criteria

  • Patients with (local) shoulder pain in the presence of an atraumatic (ultrasonographically detected) partial thickness rotator cuff tear (PTT)
  • Clinical signs of shoulder impingement (e.g. painful arc, positive impingement signs (e.g. Hawkins-Kennedy))
  • Adults ( = 18 years)
  • No restrictions on gender
  • Agreement on conservative (i.e. non-surgical) treatment
  • Ability to speak and comprehend the German language
  • Agreement to participate (signed informed consent)
  • Anticipated availability for follow-up (living in area of Hamburg)
  • Agreement to physiotherapy in one of the collaborating practices.

Exclusion Criteria

  • Presence of a full thickness rotator cuff tear (FTT) at the affected shoulder
  • Previous substantial shoulder trauma (e.g. shoulder dislocation)
  • Previous surgery for the affected shoulder
  • Previous surgery in the shoulder area that may be causal of or contributory to the current problem (e.g. surgery for breast cancer)
  • Clinical or (if available) radiological evidence of structural joint pathology
  • Significantly restricted passive range of movement (ROM) at the affected shoulder (‘capsulitis-type disorders’); current shoulder infection
  • Clinical signs of symptomatic acromioclavicular arthritis (e.g. local tenderness, positive provocation tests, e.g. ‘Cross-Body Adduction Stress’ test)
  • Calcific tendinitis
  • Ultrasonographic evidence of Long Head of Biceps (LHB) tendon subluxation/ dislocation
  • Referred pain from the cervical spine region
  • ‘Multisite musculoskeletal pain’
  • Systemic diseases or comorbidities as potential sources of (the current) shoulder pain (e.g. breast cancer, rheumatoid disease), or as impairing treatment (e.g. cancer, cardiac insufficiencies)
  • Neurological disorders or deficits as potential sources of (the current) shoulder pain or impairing assessment and treatment (e.g. hemiplegic shoulder)
  • Worker’s compensation claims
  • Unwillingness or inability to give informed consent (e.g. cognitive or intellectual impairments)

Investigators

Sponsor
Teesside University, School of Health and Social Care

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