Glenohumeral OsteoArthritis Therapy Trial

N/AEnrolling By InvitationNCT07744542

State University of New York at Buffalo125 enrolled

Overview

Arthritis of the shoulder glenohumeral joint is a growing problem in an aging population. Treatment options for glenohumeral arthritis can be grouped into three main categories: 1) shoulder replacement surgery, 2) injections (corticosteroid, hyaluronic acid and PRP) and physical therapy (PT). Surgery comes with risks and the potential for implant failure or revision over time. Therefore, it is typical for doctors to prescribe injections and/or PT before discussing surgery. Sometimes, insurance companies will require PT before considering a shoulder operation. It is unknown if PT is effective for improving function or pain with patients with glenohumeral arthritis. The aim of this study is to compare pain and functional outcomes after undergoing a 12 week PT program, at home PT exercises or delaying conservative treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

125

Conditions

Glenohumeral Arthritis Shoulder Arthritis Osteoarthritis

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient diagnosed with glenohumeral arthritis * Patient \> 18 years of age (adults) * Patient provided written informed consent for study participation with IRB approved consent form * Patient is willing and able to comply with scheduled clinical and radiographic evaluations and physical therapy regimen Exclusion Criteria: * -Have had corticosteroid injections in the affected shoulder(s) within 6 weeks of starting physical therapy. * Those that have glenohumeral arthritis that is inflammatory, post traumatic or related to rotator cuff tear arthropathy in nature * Have avascular necrosis of the glenohumeral joint * Have failed a course of 6 weeks of physical therapy within the last year * Have had surgery on the symptomatic shoulder in the past year * Daily use of opioid (excluding tramadol or codeine). * Have dementia * Currently in a physical therapy program for more than 2 weeks * Have planned total shoulder arthroplasty in the next 6 months. * Live in a nursing home * Additionally special populations listed below such as pregnant women, and prisoners will be excluded.

Outcomes

Primary Outcomes

Visual analog scale (VAS)

measures pain from 0 being none and 10 as the worst pain ever felt.

Time frame: Time 0, 6 weeks, 12 weeks, 1 year

American Shoulder and Elbow Surgeons (ASES)

This score is a 100-point shoulder evaluation tool divided evenly into a pain subscore (50 points) and an activities of daily living (ADL) function subscore (50 points). Higher scores indicate less pain and better shoulder function.