Health TrialsbyHealthPanel

Comparison of the Effectiveness Heavy Slow Resistance and Eccentric Training in Rotator Cuff Tendinopathy

ConditionsRotator Cuff TendinopathySubacromial Impingement SyndromeBicep Tendinitis
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorMustafa Kemal University

About this trial

Rotator cuff tendinopathy, also called subbracromial impingement syndrome, is one of the most important causes of anterior shoulder pain. Although exercise training is known as an effective intervention method in the treatment of rotator cuff/subacromial impingement problems, there is no definite consensus on which type of exercise is more effective. The aim of this study is to analyze and compare the effects of the Heavy Slow Resistance (HSR) training and eccentric exercise training on pain, function, supraspinatus tendon structure, muscle strength, range of motion, subjective perception of improvement and treatment satisfaction in individuals with subacromial shoulder pain associated with rotator cuff tendinopathy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Describing subacromial pain

Rotator cuff tendinopathy (subacromial impingement syndrome, biceps tendinitis and rotator cuff I. and II. stage diagnosis)

Continuation of diagnostic symptoms for at least 30 days

Disqualifiers

Prior shoulder surgery

Sign of cervical radiculopathy

Shoulder instability or history of upper extremity fracture

Full-thickness rotator cuff tear

Trial design

Design model

Parallel

Treatments tested in this trial

  • Heavy slow resistance training

    Other intervention

    Patients will perform the exercises in the concentric and eccentric phases with the maximum amount of weight tolerated at a rate of 3 seconds/repetition. The number of sets\*repetitions is given below. 2-3 minutes rest between sets will be given. 1st week 3\*15 2-3.week 3\*12 4th-5th week 3\*10 6th week 3\*8

  • Eccentric exercise training

    Other intervention

    Among the patients in the eccentric exercise group, only the eccentric phase of the exercises in the HSR group, will be asked to actively engage with the affected party. The eccentric contraction rate will be set to 6 seconds. Each exercise will be done 3 sets of 15 repetitions. In the next week, progress will be made in exercise intensity according to tolerance and 500 g will be added to the previous weight. will be continued. If patients cannot tolerate the new weight or there is an increase in pain, the same weight will be continued for another week.

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Heavy slow resistance group (HSR group)Experimental treatment 1 intervention
Group B: Eccentric exercise training group (EE group)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

The supraspinatus tendon thickness and elasticity

Affected party the supraspinatus tendon thickness and elasticity value will be evaluated by shear-wave elastography by a specialist radiologist.

Time frame
6 weeks

Secondary outcomes

1

Isometric muscle strength

Isometric muscle strength of the external and internal rotators of the shoulder and the supraspinatus muscle will be evaluated by manual muscle testing. For manual muscle testing a digital hand-held dynamometer will be used.

Time frame
6 weeks
2

Shoulder range of motion

A digital inclinometer will be used to evaluate the range of motion of the shoulder joint. Reviews shoulder flexion, abduction, internal and external rotation movements will be done. Active movement without pain (painless NEH) will be measured. All measurements will be repeated three times and averaged and recorded in degrees.

Time frame
6 weeks
3

The level of pain and disability associated with the shoulder

The Shoulder Pain And Disability Index (SPADI), to assess the level of shoulder-related pain and disability will be used.

Time frame
6 weeks
4

Shoulder pain severity

The Numerical Pain Rating Scale will be used to assess the severity of shoulder pain.

Time frame
6 weeks

Other outcomes

Sponsors and contacts

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Mustafa Kemal University

Lead sponsor

The Scientific and Technological Research Council of Turkey

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: