About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
Eccentric Exercise
Other interventionIn 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
Other interventionIn 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 Exercise
Other interventionIn 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.
Treatment groups
Trial outcomes
Primary outcomes
Tendon Cross-Sectional Area
Ultrasound will be used to measure tendon cross-sectional area.
Secondary outcomes
Visual Analog Scale (VAS)
The patient will be asked to mark the severity of his/her pain at rest, at night, and during general activity on a 10 cm line without numbers, and the point they mark will be measured in millimeters with a ruler. The left end of the line indicates no pain, corresponding to 0 cm, while the pain level increases towards the right end of the line, which is marked at 10 cm.
Sponsors and contacts
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