Alternative Treatment of Rotator Cuff Tendinopathy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Change from baseline in VAS for pain
研究概览
简要总结
This study compare the outcome (pain, function) after Radiofrequency microtenotomy (group I) and acromioplasty (group II) for treatment of rotator cuff tendinosis in the shoulder.
The outcome of both methods will be compared to the physical therapy treatment (groupIII)
详细描述
Rotator cuff tendinosis cause pain and disability of the shoulder. Tendinosis, sometimes complicated by partial rupture, appears to be the major lesion in chronic rotator cuff tendinopathy. Important features is a poor intrinsic ability to heal.
Several patients receive treatment for shoulder tendinosis each year. Conservative treatments options include rest, stretching, strengthening, ice and/or physical therapy are used with difference results. A traditional surgical treatments (acromioplasty) have been reported with variable results..
The aim of this study is to evaluate improvement of VAS and functionality using Constant score before and after treatment of rotator cuff tendinosis using radiofrequency-plasma based microtenotomy in comparison to traditional acromioplasty and physical therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Impingement pain in the shoulder at least 3 months
- •MRI of shoulder reveal tendinosis
- •Classification of Acromion morphology by RTG and or MRI
- •daily pain
排除标准
- •inflammatory joint disease
- •Other comorbidity in the shoulder as instability, osteoarthritis or rotator cuff tear
- •serious illness
研究组 & 干预措施
Arthrocopic acromioplasty
Surgical intervention with arthroscopic acromioplasty, bursectomy and subacromial decompression
干预措施: Arthroscopic acromioplasty (Procedure)
Radiofrequency microtenotomy
Surgical intervention With arthroscopic radiofrequency microtenotomy
干预措施: Microtenotomy (Procedure)
Physical therapy
Muscle strength training, home trainings programme
结局指标
主要结局
Change from baseline in VAS for pain
时间窗: every 2 weeks. during 6 months
The patients will have a clinical control 6,12 weeks and 6 months postoperatively. The VAS will be registered every 2 weeks via SMS during 6 months
Change from baseline in VAS for pain,
时间窗: 6 weeks, 6 months, and 12 months
次要结局
- Change from baseline in functionality measured by constant score(6 weeks, 6 months and 12 months)