The Effectiveness of Different Exercise Approaches in Biceps Brachii Long Head Tendinopathy

NCT ID: NCT07025668

Last Updated: 2025-06-17

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

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-09

Study Completion Date

2025-11-30

Brief Summary

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This study was planned to analyze the changes in tendon cross-sectional area and shoulder pain with different exercise approaches applied in biceps brachii long head tendinopathy.

Detailed Description

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There are different conservative treatment options for biceps brachii long head tendinopathy. However, the exercise approaches that can be applied for biceps brachii tendinopathy are not clear in the literature. This study aims to investigate the effectiveness of exercises that include 12 weeks of eccentric training or combined exercise approaches.

Conditions

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Sports Physical Therapy Tendinopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

three groups with a conventional therapy control group
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants in all three groups performed the given exercises without knowing which group they were included in. Outcome assessments will be performed by an investigator who was blinded to group allocation.

Study Groups

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Eccentric Exercise Group

In the eccentric exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, eccentric strengthening exercises for the biceps brachii muscle will be given.

Group Type ACTIVE_COMPARATOR

Eccentric Exercise

Intervention Type OTHER

In the eccentric exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, eccentric strengthening exercises for the biceps brachii muscle will be given. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Combined-Exercise Group

In the combined exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, progressive isometric, isotonic and plyometric strengthening training will be given to the biceps brachii muscle.

Group Type ACTIVE_COMPARATOR

Combined Exercise

Intervention Type OTHER

In the combined exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, progressive isometric, isotonic and plyometric strengthening training will be given to the biceps brachii muscle. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Control Group

In the control group, strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle will be given. Strengthening exercises for the biceps brachii muscle will not be given in this group.

Group Type ACTIVE_COMPARATOR

Control Group Exercise

Intervention Type OTHER

In the control group, strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle will be given. Strengthening exercises for the biceps brachii muscle will not be given in this group. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Interventions

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Eccentric Exercise

In the eccentric exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, eccentric strengthening exercises for the biceps brachii muscle will be given. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Intervention Type OTHER

Combined Exercise

In the combined exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, progressive isometric, isotonic and plyometric strengthening training will be given to the biceps brachii muscle. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Intervention Type OTHER

Control Group Exercise

In the control group, strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle will be given. Strengthening exercises for the biceps brachii muscle will not be given in this group. Participants will do the exercises in the groups they were randomized to every day for 12 weeks. They will be called to the clinic once a week for exercise checks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having shoulder pain lasting 3 months or more
* Without a history of surgery, having a diagnosis of shoulder rotator cuff tendinopathy, rotator cuff stage 1-2 tear or subacromial impingement, and having been diagnosed with secondary biceps long head tendinopathy by a physician
* Pain level during activity \> 3 according to the visual analog scale
* Patients who have been informed about the study and have given written consent to participate in the study will be included in the study.

Exclusion Criteria

* Acute shoulder injury
* History of shoulder and cervical surgery
* Limitation of passive range of motion
* History of local corticosteroid injection within the last 12 months
* Patients who cannot comply with the exercise program will be excluded from the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hacettepe University

OTHER

Sponsor Role lead

Responsible Party

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Ebru Gül SEZİK

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ebru G SEZİK, Msc

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Locations

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Hacettepe University Faculty of Physical Therapy and Rehabilitation

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Ebru G SEZİK, Msc

Role: CONTACT

05532025875

Facility Contacts

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Ebru G SEZİK, Msc

Role: primary

05532025875

References

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Friedman DJ, Dunn JC, Higgins LD, Warner JJ. Proximal biceps tendon: injuries and management. Sports Med Arthrosc Rev. 2008 Sep;16(3):162-9. doi: 10.1097/JSA.0b013e318184f549.

Reference Type BACKGROUND
PMID: 18703976 (View on PubMed)

Ahrens PM, Boileau P. The long head of biceps and associated tendinopathy. J Bone Joint Surg Br. 2007 Aug;89(8):1001-9. doi: 10.1302/0301-620X.89B8.19278.

Reference Type BACKGROUND
PMID: 17785735 (View on PubMed)

Chen RE, Voloshin I. Long Head of Biceps Injury: Treatment Options and Decision Making. Sports Med Arthrosc Rev. 2018 Sep;26(3):139-144. doi: 10.1097/JSA.0000000000000206.

Reference Type BACKGROUND
PMID: 30059449 (View on PubMed)

Ryu JH, Pedowitz RA. Rehabilitation of biceps tendon disorders in athletes. Clin Sports Med. 2010 Apr;29(2):229-46, vii-viii. doi: 10.1016/j.csm.2009.12.003.

Reference Type BACKGROUND
PMID: 20226316 (View on PubMed)

Other Identifiers

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BisepsLongHead

Identifier Type: -

Identifier Source: org_study_id

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