Physiotherapy Treatment of Shoulder Rotator Cuff Tendinopathies. Global Postural Reeducation or Aerobic Exercise?

Universidad Francisco de Vitoria66 enrolled

Overview

The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program

Participants who meet the inclusion criteria will be randomly distributed between group 1 "Global Postural Reeducation (GPR)", group 2 "exercise", or group 3 "no physical therapy intervention". Group 1 participants will receive a physical therapy treatment using the GPR method for 6 weeks consisting of 1 weekly session lasting 40 min performing "frog on the ground" and "sitting" poses. Patients in this group will also perform self-postures at home daily for 10 minutes. Group 2 participants perform training for 6 weeks using non-specific aerobic exercise consisting of a daily 20-minutes walk at a speed of 4-5 km/h. Group 3 participants will not receive any physical therapy treatment and will serve as a control group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Rotator Cuff Tendinosis

Interventions

GPR GroupOTHER

6-week treatment using the Global Postural Reeducation (GPR) method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)

Aerobic Exercice GroupOTHER

6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Shoulder pain with duration of at least 3 months * Positive painful arc test during abduction * At least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test Exclusion Criteria: * Cervical radiculopathy * Moderate or severe degenerative arthropathy * Complete rotator cuff tear * History of shoulder or neck surgery * History of shoulder fractures or dislocation * Frozen shoulder or adhesive capsulitis * Previous interventions with steroid injections or physiotherapy 2 months before the start of the program

Locations (1)

Francisco de Vitoria University

Pozuelo de Alarcón, Madrid, Spain

Outcomes

Primary Outcomes

Changes in pain and disability after the treatment program

Shoulder Pain and Disability Index (SPADI). Minimum value=0. Maximun value=100

Time frame: Baseline, one week after the last sessio, 3 months and 6 months after the last session

Changes in pain and disability after the treatment program

The Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Minimum value=0. Maximun value=100

Time frame: Baseline, one week after the last sessio, 3 months and 6 months after the last session

Secondary Outcomes

Changes in pain after the treatment program

Numerical Pain Rating Scale (NPRS). Minimum value=0 (no pain). Maximun value=10 (the worst pain imaginable)

Time frame: Baseline, one week after the last sessio, 3 months and 6 months after the last session

Changes in pressure pain sensitivity

Pressure Pain Thresholds (PPH)

Time frame: Pre, Post inmediate, and follow-up at 3 and 6 months

Changes in Quality of Life

Short-Form 12 Health Status Questionnaire. The response options form Likert-type scales that evaluate intensity or frequency. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average.

Time frame: Baseline, one week after the last session, 3 months and 6 months after the last session

Data from ClinicalTrials.gov

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