Trial Outcomes & Findings for Blood Flow Restriction Therapy Following Acute Shoulder Injury Patients (NCT NCT06223373)

NCT ID: NCT06223373

Last Updated: 2025-11-04

Results Overview

measuring shoulder strength in injured and non-injured arms for both study groups using a Biodex testing machine - Low Score indicates low torque/strength, high score indicates high torque/strength

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

3 participants

Primary outcome timeframe

Baseline

Results posted on

2025-11-04

Participant Flow

Participant milestones

Participant milestones
Measure
Blood Flow Restriction (BFR)
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Overall Study
STARTED
1
2
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Blood Flow Restriction (BFR)
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Overall Study
Lost to Follow-up
1
2

Baseline Characteristics

Blood Flow Restriction Therapy Following Acute Shoulder Injury Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Total
n=3 Participants
Total of all reporting groups
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
Age, Continuous
41.5 years
STANDARD_DEVIATION 10.6 • n=161 Participants
42.3 years
STANDARD_DEVIATION 7.6 • n=100 Participants
44 years
STANDARD_DEVIATION 0 • n=15 Participants
Sex: Female, Male
Female
1 Participants
n=161 Participants
1 Participants
n=100 Participants
0 Participants
n=15 Participants
Sex: Female, Male
Male
1 Participants
n=161 Participants
2 Participants
n=100 Participants
1 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=161 Participants
3 Participants
n=100 Participants
1 Participants
n=15 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
Asian
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=161 Participants
1 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
White
1 Participants
n=161 Participants
2 Participants
n=100 Participants
1 Participants
n=15 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=161 Participants
0 Participants
n=100 Participants
0 Participants
n=15 Participants

PRIMARY outcome

Timeframe: Baseline

measuring shoulder strength in injured and non-injured arms for both study groups using a Biodex testing machine - Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (60 Degrees/Second)
28.6 ft-lb (pound foot)
Standard Deviation 0
13.1 ft-lb (pound foot)
Standard Deviation 8.3

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

measuring shoulder strength in injured and non-injured arms for both study groups using a Biodex testing machine - Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (60 Degrees/Second)
23.2 ft-lb (pound foot)
Standard Deviation 0
19.2 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (180 Degrees/Second)
19.0 ft-lb (pound foot)
Standard Deviation 0
11.1 ft-lb (pound foot)
Standard Deviation 5.9

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (180 Degrees/Second)
16.6 ft-lb (pound foot)
Standard Deviation 0
13.9 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (300 Degrees/Second)
14.4 ft-lb (pound foot)
Standard Deviation 0
7.0 ft-lb (pound foot)
Standard Deviation 0.28

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: External Rotation (ER) Peak Torque Average (300 Degrees/Second)
11.2 ft-lb (pound foot)
Standard Deviation 0
13.6 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (60 Degrees/Second)
23.2 ft-lb (pound foot)
Standard Deviation 0
11.0 ft-lb (pound foot)
Standard Deviation 9.5

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (60 Degrees/Second)
27.2 ft-lb (pound foot)
Standard Deviation 0
9.9 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (180 Degrees/Second)
23.5 ft-lb (pound foot)
Standard Deviation 0
15.6 ft-lb (pound foot)
Standard Deviation 7.8

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (180 Degrees/Second)
26.7 ft-lb (pound foot)
Standard Deviation 0
7.6 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (300 Degrees/Second)
23.5 ft-lb (pound foot)
Standard Deviation 0
14.5 ft-lb (pound foot)
Standard Deviation 2.3

PRIMARY outcome

Timeframe: Week 6

Population: Follow up measure was never performed or recorded for 1 sham patient due to loss of follow up.

Low Score indicates low torque/strength, high score indicates high torque/strength

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Shoulder Muscle Strength Analysis: Internal Rotation (IR) Peak Torque Average (300 Degrees/Second)
26.6 ft-lb (pound foot)
Standard Deviation 0
6.6 ft-lb (pound foot)
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Supraspinatus
10.04 cm2
Standard Deviation 0
7.29 cm2
Standard Deviation 1.23

PRIMARY outcome

Timeframe: Week 3

Population: Patient elected to do PT at home and was lost to follow up

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Supraspinatus
10.15 cm2
Standard Deviation 0
6.33 cm2
Standard Deviation 0

PRIMARY outcome

Timeframe: Week 6

Population: Patient elected to do PT at home and was lost to follow up

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Supraspinatus
10.34 cm2
Standard Deviation 0
6.48 cm2
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Infraspinatus
11.84 cm2
Standard Deviation 0
11.48 cm2
Standard Deviation 0.24

PRIMARY outcome

Timeframe: Week 3

Population: Patient elected to do PT at home and was lost to follow up

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Infraspinatus
11.89 cm2
Standard Deviation 0
11.24 cm2
Standard Deviation 0

PRIMARY outcome

Timeframe: Week 6

Population: Patient elected to do PT at home and was lost to follow up

Ultrasound will be used to quantify the changes in rotator cuff muscle and distal biceps cross-sectional area before and after therapy. The same multifrequency linear probe (7.5-9.0 MHz, Elegra; Siemens Medical Solutions, Erlangen, Germany) will be used throughout the study.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Rotator Cuff Muscle Cross Sectional Area (CSA) Measurement: Infraspinatus
12.33 cm2
Standard Deviation 0
11.76 cm2
Standard Deviation 0

PRIMARY outcome

Timeframe: Baseline

Population: 1 patient did not have any data collected at this field

Patients will receive questionnaires (VAS) at Baseline, Week 6, 6 and 12 months after completing rehabilitation - The VAS score can be interpreted into categories of pain or symptom intensity: 0-4 mm: No pain. 5-44 mm: Mild pain. 45-74 mm: Moderate pain. 75-100 mm: Severe pain.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Visual Analog Scale (VAS) for PAIN - Baseline Scores
3 score on a scale
Standard Deviation 0
5 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Week 6

Population: Patient elected to do PT at home and was lost to follow up

Patients will receive questionnaires (VAS) at Baseline, Week 6, 6 and 12 months after completing rehabilitation - The VAS score can be interpreted into categories of pain or symptom intensity: 0-4 mm: No pain. 5-44 mm: Mild pain. 45-74 mm: Moderate pain. 75-100 mm: Severe pain.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Visual Analog Scale (VAS) for PAIN - Week 6 Scores
0 score on a scale
Standard Deviation 0
4 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 6

Population: 1 patient elected to do PT at home and 1 patient had surgery

Patients will receive questionnaires (VAS) at Baseline, Week 6, 6 and 12 months after completing rehabilitation - The VAS score can be interpreted into categories of pain or symptom intensity: 0-4 mm: No pain. 5-44 mm: Mild pain. 45-74 mm: Moderate pain. 75-100 mm: Severe pain.

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Visual Analog Scale (VAS) for PAIN - Month 6 Scores
0 Score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 12

Population: All patients lost to follow up, value never collected

Patients will receive questionnaires (VAS) at Baseline, Week 6, 6 and 12 months after completing rehabilitation - The VAS score can be interpreted into categories of pain or symptom intensity: 0-4 mm: No pain. 5-44 mm: Mild pain. 45-74 mm: Moderate pain. 75-100 mm: Severe pain.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

The American Shoulder and Elbow Surgeons (ASES) shoulder score is a patient-completed assessment for shoulder function and pain, ranging from 0 to 100, with higher scores indicating better function. Scoring involves a 50-point pain component derived from a visual analog scale (VAS), and a 50-point functional component from 10 activities of daily living questions, which are then weighted and added for the final score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) Baseline Scores
73 score on a scale
Standard Deviation 0
42.5 score on a scale
Standard Deviation 6.6

PRIMARY outcome

Timeframe: Week 6

Population: Patient elected to do PT at home and was lost to follow up

The American Shoulder and Elbow Surgeons (ASES) shoulder score is a patient-completed assessment for shoulder function and pain, ranging from 0 to 100, with higher scores indicating better function. Scoring involves a 50-point pain component derived from a visual analog scale (VAS), and a 50-point functional component from 10 activities of daily living questions, which are then weighted and added for the final score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) Week 6 Scores
95 score on a scale
Standard Deviation 0
42 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 6

Population: 2 Sham patients lost to follow up and measure was never reported or collected.

The American Shoulder and Elbow Surgeons (ASES) shoulder score is a patient-completed assessment for shoulder function and pain, ranging from 0 to 100, with higher scores indicating better function. Scoring involves a 50-point pain component derived from a visual analog scale (VAS), and a 50-point functional component from 10 activities of daily living questions, which are then weighted and added for the final score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) Month 6 Scores
100 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 12

Population: Patient lost to follow up, value never collected -Patient lost to follow up, value never collected

The American Shoulder and Elbow Surgeons (ASES) shoulder score is a patient-completed assessment for shoulder function and pain, ranging from 0 to 100, with higher scores indicating better function. Scoring involves a 50-point pain component derived from a visual analog scale (VAS), and a 50-point functional component from 10 activities of daily living questions, which are then weighted and added for the final score

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

The DASH score for patients ranges from 0 to 100, with 0 representing no disability and 100 indicating the greatest possible functional impairment of the upper extremity. Patients answer a 30-item questionnaire on a five-point scale (0-4 or 0-5 depending on the scale used), rating their ability to perform tasks and their symptoms. The sum of the raw scores is then transformed into the final 0-100 DASH score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=2 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Disabilities of the Arm, Shoulder, and Hand Scale (DASH) Baseline Scores
35.5 score on a scale
Standard Deviation 0
62.6 score on a scale
Standard Deviation 27.4

PRIMARY outcome

Timeframe: Week 6

Population: Patient elected to do PT at home and was lost to follow up

The DASH score for patients ranges from 0 to 100, with 0 representing no disability and 100 indicating the greatest possible functional impairment of the upper extremity. Patients answer a 30-item questionnaire on a five-point scale (0-4 or 0-5 depending on the scale used), rating their ability to perform tasks and their symptoms. The sum of the raw scores is then transformed into the final 0-100 DASH score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
n=1 Participants
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Disabilities of the Arm, Shoulder, and Hand Scale (DASH) Week 6 Scores
0 score on a scale
Standard Deviation 0
68.4 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 6

Population: 2 Sham patients lost to follow up and measure was never reported or collected.

The DASH score for patients ranges from 0 to 100, with 0 representing no disability and 100 indicating the greatest possible functional impairment of the upper extremity. Patients answer a 30-item questionnaire on a five-point scale (0-4 or 0-5 depending on the scale used), rating their ability to perform tasks and their symptoms. The sum of the raw scores is then transformed into the final 0-100 DASH score

Outcome measures

Outcome measures
Measure
Blood Flow Restriction (BFR)
n=1 Participants
Blood Flow Restriction (BFR) pressurized per standard protocols in addition to our institutional rehabilitation protocol Blood Flow Restriction: In the BFR group, the tourniquet will be pressurized to 50% limb occlusion pressure (LOP), which is the pressure necessary for occluding 50% of arterial limb flow in the upper extremity.
"Sham" Blood Flow Restriction (BFR)
rehabilitation using "sham BFR" as well as our institutional rehabilitation protocol "sham" Blood Flow Restriction: In the sham BFR group, the tourniquet will be pressurized to 0% occlusion pressure, while maintaining enough pressure to keep the tourniquet in place.
Disabilities of the Arm, Shoulder, and Hand Scale (DASH) Month 6 Scores
0 score on a scale
Standard Deviation 0

PRIMARY outcome

Timeframe: Month 12

Population: Patient lost to follow up, value never collected - Patient lost to follow up, value never collected

The DASH score for patients ranges from 0 to 100, with 0 representing no disability and 100 indicating the greatest possible functional impairment of the upper extremity. Patients answer a 30-item questionnaire on a five-point scale (0-4 or 0-5 depending on the scale used), rating their ability to perform tasks and their symptoms. The sum of the raw scores is then transformed into the final 0-100 DASH score

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 3

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 6

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 3

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 6

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Baseline

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 3

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 6

Population: The lab test required to run these data is a 96+ well plate that costs nearly $1000+. Our department could not financially justify buying this test to analyze 3 data points that would not provide reliable data for publication. Therefore, this test was never performed or analyzed.

Patients will receive the blood draws in the physical therapy clinic - ELISA will be used to quantify plasma levels

Outcome measures

Outcome data not reported

Adverse Events

"Sham" Blood Flow Restriction (BFR)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Blood Flow Restriction (BFR)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kristen Faith Nicholson, PhD

Wake Forest University Health Sciences

Phone: 704-355-2000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place