Physiotherapy Treatment of Shoulder Rotator Cuff Tendinopathies. Global Postural Reeducation or Aerobic Exercise?
NCT ID: NCT05613998
Last Updated: 2022-11-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
66 participants
INTERVENTIONAL
2022-10-30
2023-10-31
Brief Summary
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Detailed Description
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Group 1 participants will receive a physical therapy treatment using the GPR method for 6 weeks consisting of 1 weekly session lasting 40 min performing "frog on the ground" and "sitting" poses. Patients in this group will also perform self-postures at home daily for 10 minutes.
Group 2 participants perform training for 6 weeks using non-specific aerobic exercise consisting of a daily 20-minute walk at a speed of 4-5 km/h.
Group 3 participants will not receive any physical therapy treatment and will serve as a control group.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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GR1. GPR intervention
Patients who will receive the GRP treatment protocol
GPR Group
6-week treatment using the GPR method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)
GR2. Non-specific Aerobic exercice intervention
Patients who will receive the non-specific aerobic exercise treatment protocol
Aerobic Exercice Group
6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)
GR3. No physiotherapy intervention
Patients who will not receive physiotherapy treatment
No interventions assigned to this group
Interventions
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GPR Group
6-week treatment using the GPR method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)
Aerobic Exercice Group
6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)
Eligibility Criteria
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Inclusion Criteria
* Positive painful arc test during abduction
* At least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test
Exclusion Criteria
* Moderate or severe degenerative arthropathy
* Complete rotator cuff tear
* History of shoulder or neck surgery
* History of shoulder fractures or dislocation
* Frozen shoulder or adhesive capsulitis
* Previous interventions with steroid injections or physiotherapy 2 months before the start of the program
18 Years
60 Years
ALL
No
Sponsors
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Universidad Francisco de Vitoria
OTHER
Responsible Party
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Javier Álvarez
Principal Investigator
Principal Investigators
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Javier Alvarez-González
Role: PRINCIPAL_INVESTIGATOR
Francisco de Vitoria University, Madrid, Spain
Arturo Morales-Muñiz, PhD
Role: STUDY_DIRECTOR
Autonomous University of Madrid, Madrid, Spain
Pablo Terrón-Manrique, PhD
Role: STUDY_CHAIR
Francisco de Vitoria University, Madrid, Spain
Locations
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Francisco de Vitoria University
Pozuelo de Alarcón, Madrid, Spain
Countries
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Central Contacts
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Facility Contacts
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References
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van der Heijden GJ, van der Windt DA, de Winter AF. Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials. BMJ. 1997 Jul 5;315(7099):25-30. doi: 10.1136/bmj.315.7099.25.
Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1.
Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012 Jun;98(2):101-9. doi: 10.1016/j.physio.2011.08.002. Epub 2011 Oct 5.
Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contraction. Pain. 1995 Jun;61(3):481-486. doi: 10.1016/0304-3959(94)00217-3.
Naugle KM, Fillingim RB, Riley JL 3rd. A meta-analytic review of the hypoalgesic effects of exercise. J Pain. 2012 Dec;13(12):1139-50. doi: 10.1016/j.jpain.2012.09.006. Epub 2012 Nov 8.
Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):441-7. doi: 10.1016/j.jmpt.2013.08.011. Epub 2014 Aug 3.
Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017 Jun;103(2):167-173. doi: 10.1016/j.physio.2016.09.001. Epub 2016 Sep 21.
Kinsella R, Cowan SM, Watson L, Pizzari T. A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2017 Nov 14;3:45. doi: 10.1186/s40814-017-0190-3. eCollection 2017.
Other Identifiers
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RPGEI
Identifier Type: -
Identifier Source: org_study_id
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