Eccentric Versus Concentric Exercises for Rotator Cuff Tendinopathy in Patients With Rheumatoid Arthritis

NCT ID: NCT05054920

Last Updated: 2023-09-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-30
• Study Completion Date: 2022-09-01

Brief Summary

Study aiming at determining the efficacy of eccentric versus concentric exercises for improving tendon biological characteristics, pain, and shoulder overall function for rotator cuff tendinopathy in patients with Rheumatoid arthritis (RA).

Moreover, investigation the relationship between RA activity and the severity of rotator cuff tendinopathy.

Patients will be randomly assigned into either concentric or eccentric exercise group. Randomizations will be done using computer random generated numbers.

Detailed Description

Study aiming at determining the efficacy of eccentric versus concentric exercises for improving tendon biological characteristics, pain, and shoulder overall function for rotator cuff tendinopathy in patients with RA. Moreover, investigation the relationship between RA activity and the severity of rotator cuff tendinopathy.

Patients will be randomizations using computer random generated numbers. patients will receive either eccentric or concentric exercises for internal, external rotators and abductors muscles All patient will do stretching for posterior capsule and pectoralis minor Tendon biological changes and subacromial space will be assessed using musculoskeletal ultrasonography Shoulder function will be assessed using SPADI (shoulder pain and disability index Pain will be assessed using Visual Analogue Scale (VAS) Rheumatoid arthritis disease activity will be assessed using Disease Activity Score-28 for Rheumatoid Arthritis with erythrocyte sedimentation rate (DAS 28 ESR) patient will be assessed at base-line and after finishing of the study

Conditions

Rheumatoid Arthritis; Rotator Cuff Tendinosis; Tendinopathy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Concentric exercises group

patient will do Concentric exercises. Patients will receive 3 sessions per week for 4 weeks. Exercise will be done under the supervision of the same physical therapist. During each session.

Exercise will be in the form of glenohumeral scaption, internal and external rotation exercises.

patient will also do stretching for posterior capsule and pectoralis minor

Group Type: EXPERIMENTAL

concentric exercises

Intervention Type: OTHER

concentric exercises for rotator cuff. internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients

Stretching

Intervention Type: OTHER

stretching exercise for posterior capsule and pectoralis minor each stretch will be done for 30 seconds and repeated 3 times

Eccentric exercises group

patient will do eccentric exercises. Patients will receive 3 sessions per week for 4 weeks. Exercise will be done under the supervision of the same physical therapist during each session.

Exercise will be in the form of glenohumeral scaption, internal and external rotation exercises.

patient will also do stretching for posterior capsule and pectoralis minor

Group Type: EXPERIMENTAL

eccentric exercises

Intervention Type: OTHER

Eccentric exercises exercises for rotator cuff internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients

Stretching

Intervention Type: OTHER

stretching exercise for posterior capsule and pectoralis minor each stretch will be done for 30 seconds and repeated 3 times

Interventions

concentric exercises

concentric exercises for rotator cuff. internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients

Intervention Type: OTHER

eccentric exercises

Eccentric exercises exercises for rotator cuff internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients

Intervention Type: OTHER

Stretching

stretching exercise for posterior capsule and pectoralis minor each stretch will be done for 30 seconds and repeated 3 times

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Adult patients diagnosed with RA according to 2010 (American College of Rheumatology)(ACR)/European League Against Rheumatism (EULAR) Classification Criteria for RA

2. Patients diagnosed with rotator cuff tendinopathy based on clinical and musculoskeletal Ultrasonography (MSUS) finding.

3. Patient complaining of shoulder pain for at least 3 months

4. Positive jobs test or hornblower sign or left off test

5. Age ranged from 18 to 50 years.

Exclusion Criteria

1. Patient indicated for surgical repair of rotator cuff

2. Patient with previous shoulder surgery.

3. Patient with history of intra-articular shoulder fracture.

4. Patient with history of shoulder dislocation

5. Diabetes mellitus

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Badr University

OTHER

Sponsor Role: collaborator

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Mina Magdy Wahba

Assistant lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohammed Shawki Abdelsalam, PhD

Role: STUDY_CHAIR

Assistance Professor,Faculty of Physical Therapy Cairo University

Mona Fagaal, PhD

Role: STUDY_DIRECTOR

Assistance Professor, Faculty of Physical Therapy Badr University in Cairo

Mohammed Moustafa Aldosouki Hegazy, PhD

Role: STUDY_DIRECTOR

Lecturer,Faculty of Physical Therapy Cairo University

Rasmia Mohamed Hassan ElGohry, phD

Role: STUDY_DIRECTOR

Cairo University

Locations

Badr University in Cairo (BUC)

Cairo, , Egypt

Countries

Egypt

Other Identifiers

Mina

Identifier Type: -

Identifier Source: org_study_id