Effects of TNT on Pain, ROM and Disability in Patients With RC Tendinopathy

NCT ID: NCT06707857

Last Updated: 2024-11-27

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-15

Study Completion Date

2025-01-31

Brief Summary

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EFFECTS OF TENDON NEUROPLASTIC TRAINING ON PAIN, RANGE OF MOTION AND DISABILITY IN PATIENTS WITH ROTATOR CUFF TENDINOPATHY

Detailed Description

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Rotator cuff tendinopathy is a condition where the shoulder's tendon suffers small tears or inflammation, often causing pain frequently arises from repetitive overuse or the natural aging process Regular overhead activities can aggravate the shoulder's wear and tear, leading to tendinosis. The purpose of this study is to evaluate and compare the impact of tendon neuroplastic training with standard treatments on pain levels, functional disability, and the range of motion in patients suffering from rotator cuff tendinopathy. Data were collected from Riphah rehabilitation clinic Lahore. Nprs , goinmeter and Spadi questioner were used before and after the intervention. Assessment was done through the tool before and after the treatment.

Conditions

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Rotator Cuff Tendinopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In this parallel- group randomized control trial(RCT) Rotator cuff tendinopathy patients will be assigned to either tendon neuroplastic training or to traditional treatment plan. this study aims to evaluate the effects pf tendon neuroplastic training on pain, range of motion and disability.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The study was single blinded, as accessor of the study were kept blind to the intervention groups

Study Groups

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Tendon neuroplastic training

Group A will be treated with tendon neuroplastic training. The exercise involved isolated abduction external rotation ,internal rotation and flexion paced to an external audio cue on the patients' smartphone The patient was to listen to the sound and track the movement of the metronome with his eyes, as pacing to these types of external cues has been shown to modulate conspiratorial excitability.The pace of the metronome was set to 6 beats per minute such that each beat was ten seconds apart. This allowed a ten second isometric, eccentric and concentric phase, in 30 seconds totally. Three sets of 10 repetitions of slow progressive exercises (eccentric, concentric and isometric respectively) of the wrist rotator cuff muscles at each treatment session were performed, with 1-min rest interval between each set.

The patient followed the supervised exercise programme 3 times a week for 6 weeks

Group Type EXPERIMENTAL

tendon neuroplastic training

Intervention Type OTHER

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Conventional training

Group B will be treated with conventional therapy Participants will perform isometric contraction of the arm at 90° of elevation in the scapular plane. External and internal rotation, respectively) will be performed in the same positions of isometric strength assessment.Individuals will perform three sets, sustained for 32 s, at 70% of maximal voluntary isometric contraction (MVIC), resting for 80 seconds between sets.Resistance load will be determined according to maximal isometric strength of elevation and external and internal rotations measured during the pre-intervention assessment

Group Type ACTIVE_COMPARATOR

conventional training

Intervention Type OTHER

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Interventions

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tendon neuroplastic training

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Intervention Type OTHER

conventional training

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Have a current shoulder complaint lasting at least three months prior to the time of enrollment
* Pain is located in the proximal lateral aspect of the upper arm (C5 dermatome)
* Positive Hawkins-Kennedy test

Exclusion Criteria

* Bilateral shoulder pain
* Less than 90 degrees of active elevation of the arm
* Corticosteroid injection within the last six weeks
* Radiologically verified fracture
* Glenohumeral osteoarthritis
* Surgery or dislocation of the affected shoulder
* Symptomatic arthritis in the Ac joint
* Frozen shoulder
* Symptoms derived from the cervical spine
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saba Rafique, MS-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Riphah Rehabilitation clinic

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Imran Amjad, Phd

Role: CONTACT

03324390125

Facility Contacts

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Ali Raza, MS-OMPT

Role: primary

0332 6099065

Other Identifiers

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REC/RCR & AHS/24/0111

Identifier Type: -

Identifier Source: org_study_id