A comparative study to find the best physiotherapy and rehabilitation approach to treat Rotator cuff related shoulder pai

Not Applicable

Conditions: Health Condition 1: M999- Biomechanical lesion, unspecified

Registration Number: CTRI/2021/09/036401

Lead Sponsor: Pruthviraj R

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

Age 20 years or older to age 60 years

Shoulder pain of at least 3month duration

Pain reproduced during resisted testing in functional positions

Diagnosis of RCRSP suggested by at least 3 of the following tests being positive

Near normal passive range of shoulder flexion / abduction / external rotation

Pain may or may not be present during active shoulder external rotation when tested at 0Â° of shoulder abduction but will increase with resisted external rotation

Pain may or may not be present during active shoulder external rotation when tested at 90Â° of shoulder abduction but will increase with resisted external rotation

Pain may or may not be present during active shoulder abduction when tested through range but will increase with resisted abduction

Presence of a painful arc of movement.

Resistance testing may include manual muscle testing with therapist applied resistance using a hand-held dynamometer or using external weights such as dumbbells

Exclusion Criteria

Known calcific tendinopathy based on previous imaging

Patients with clinical signs of massive rotator cuff tears as defined by presence of gross weakness of rotator cuff muscles in the absence of pain

•Other shoulder disorders eg frozen shoulder severe osteoarthritis fracture acromioclavicular joint pathology history of shoulder dislocation

Undergone previous shoulder surgery on same side

Presence of significant comorbidity eg neurological disorders rheumatoid arthritis unstable diabetes unstable blood pressure

Current carcinoma, TB or HIV

Unlikely to be able to perform required clinical assessment tasks

Symptomatic cervical spine pathology defined as reproduction of neck shoulder or upper limb symptoms with active physiological cervical spine movement of any of the following movements in isolation or in combination flexion extensions rotation side flexion

Symptomatic cervical spine pathology defined as reproduction of neck shoulder or upper limb symptoms

Shoulder external rotation less than 45 degrees or 50% of the opposite side

Inability to understand written or spoken language

Presence of contra indications to laser therapy