Efficacy of Dextrose Prolotherapy Compare With ESWT in the Treatment of Chronic Rotator Cuff Tendinopathy

Mahidol University24 enrolled

Overview

To compare the efficacy of dextrose solution injection with ESWT for pain reduction in rotator cuff tendinopathy. Additionally, secondary objective is to evaluate DASH and active range of motion of shoulder joint

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Rotator Cuff Tendinopathy

Interventions

ProlotherapyPROCEDURE

Prolotherapy is an injection of a relatively small volume of an irritant or sclerosing solution at sites of painful ligament and/or tendon insertions, and in adjacent joint space over the course of several treatment sessions

Extracorporeal shock wave therapy (ESWT)DEVICE

Extracorporeal shock wave therapy (ESWT), a kind of physical modalities, generating acoustic pulses, that are high positive pressure amplitudes, subsequently transferring concentrated energy to small focal distant areas of 2-8 mm in diameter

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Chronic shoulder pain for at least 3 months * Unilateral affected side * History of unsuccessful conservative treatment * Age 18 years or older Exclusion Criteria: * Rotator cuff complete tear * Local or generalized arthritis * Previous shoulder surgery * Previous history allergy to local anesthesia * Pregnancy * Current infectious or tumorous disease * Dysfunction in the neck or thoracic region of both * Coagulation disturbance

Locations (1)

Physical medicine and rehabilitation

Bangkok, Thailand

Outcomes

Primary Outcomes

VAS score

Pain reduction VAS

Time frame: Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment

Secondary Outcomes

Function DASH score

Disabilities of the arm, shoulder and hand

Time frame: Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment

Shoulder ROM

Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation

Time frame: Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment

Data from ClinicalTrials.gov

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