The aim of this randomized controlled trial is to evaluate the combined effects of pain neuroscience education plus exercise to exercise alone in the management of patients with chronic rotator cuff tendinopathy regarding pain, function, strength, kinesiophobia, and pain catastrophizing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
52
Three sessions of pain neuroscience education based on explaining patients: characteristics of acute versus chronic pain, function of acute pain, how acute pain is originated within the nervous system, how acute pain progress to chronic pain, and factors that contribute to central sensitization (e.g., emotions, stress, disease and pain beliefs, behaviors regarding pain...). All the explanations will be conducted using easy-understandable examples and metaphors.
Progressive resistance exercise program based on isometric, concentric, eccentric, and pliometric contractions.
Rubén Fernández-Matías
Alcalá de Henares, Madrid, Spain
Change in pain intensity
Pain intensity measured with numerical pain rating scale which ranges from 0 points (no pain) to 10 points (worst imaginable pain)
Time frame: Baseline, change from baseline at 4-week, and change from baseline at 12-week
Shoulder disability change
Shoulder disability measured with Shoulder Pain and Disability Index (SPADI). SPADI ranges from 0% (no disability) to 100% (maximum degree of disability).
Time frame: Baseline, change from baseline at 4-week, and change from baseline at 12-week
Kinesiophobia change
Kinesiophobia measured with Tampa Scale for Kinesiophobia (TSK-11) which ranges from 0% (no kinesiophobia) to 100% (maximum degree of kinesiophobia).
Time frame: Baseline, change from baseline at 4-week, and change from baseline at 12-week
Catastrophism change
Catastrophism measured with Pain Catastrophizing Scale (PCS) which ranges from 0% (no catastrophism) to 100% (maximum degree of catastrophism).
Time frame: Baseline, change from baseline at 4-week, and change from baseline at 12-week
Strength change
Scaption strength at 90º of elevation measured with a hand-held dynamometer
Time frame: Baseline, change from baseline at 4-week, and change from baseline at 12-week
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.