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

Study Overview
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Brief Summary
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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

Detailed Description
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Participants who meet the inclusion criteria will be randomly distributed between group 1 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-minute 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.

Official Title
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Global Postural Reeducation vs. Non-specific Therapeutic Exercise in the Treatment of Rotator Cuff Tendinopathies of the Shoulder

Conditions
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Rotator Cuff Tendinosis

Intervention / Treatment
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* Other: GPR Group
* Other: Aerobic Exercice Group


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: GR1. GPR intervention<br>Patients who will receive the GRP treatment protocol | Other: GPR Group<br>* 6-week treatment using the GPR method. 1 weekly session (45 min) with frog on the ground and sitting postures + daily home self-postures (10 min)<br>|
| Experimental: GR2. Non-specific Aerobic exercice intervention<br>Patients who will receive the non-specific aerobic exercise treatment protocol | Other: Aerobic Exercice Group<br>* 6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)<br>|
| No Intervention: GR3. No physiotherapy intervention<br>Patients who will not receive physiotherapy treatment | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in pain and disability after the treatment program | Shoulder Pain and Disability Index (SPADI) | 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) | Baseline, one week after the last sessio, 3 months and 6 months after the last session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in pain after the treatment program | Numerical Pain Rating Scale (NPRS) | 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) | Pre, Post inmediate, and follow-up at 3 and 6 months | 
| Changes in Quality of Life | SF12 Health Status Questionnaire | Baseline, one week after the last sessio, 3 months and 6 months after the last session | 
| Changes in Range of Motion | Goniometer | Baseline, one week after the last sessio, 3 months and 6 months after the last session | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tendinopathy, Rotator Cuff, Global Postural Reeducation, Aerobic Exercice, Shoulder Pain, Quality of life