Clinical trial NCT06838767: Kinetic Chain Approach for Rotator Cuff Tendinopathy
Official title: Effectiveness of Kinetic Chain Approach for Rotator Cuff Tendinopathy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Rotator Cuff Tendinopathy
Keywords: Rotator cuff injury
kinetic chain approach
pain
functional disability
kinesiophobia
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-02-21
Enrollment: 44
Sex: ALL
Minimum age (years): 45
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this research is to determine the effectiveness of the kinetic chain approach on pain, functional disability and kinesiophobia in patient with rotator cuff tendinopathy. Randomized controlled trials done at National institute of rehabilitation and medicine. The sample size was 44. The subjects were divided in two groups, 22 subjects in Group A that received Conventional Treatment and 22 subjects in Group B that received Kinetic chain approach and conventional treatment. Study duration was of 6 months. Sampling technique applied was non probability connivance sampling technique. Patient with age between 40 to 65 years, Clinically diagnosed and Patients who meet the diagnostic criteria ≥ three positives in five shoulder impingement tests: Neer's sign, Hawkins and Kennedy test, Empty Can test, painful arc of abduction, and external rotation (ER) resistance test, Patients in acute (4 weeks) and sub-acute stage (4-6 weeks).Patients with positive scapular assistance test (SAT) and scapular retraction test (SRT). Were included. Tools used in the study are NPRS (Numeric Pain Rating Scale). SPADI (Shoulder Pain and Disability) .Tampa Scale for Kinesiophobia TSK-11. Data was be analyzed through SPSS -25


Eligibility criteria: Inclusion Criteria:

* Both male and female.
* Age between 40 to 65 years.
* Clinically diagnosed and Patients who meet the diagnostic criteria ≥ three positives in five shoulder impingement tests: Neer's sign, Hawkins and Kennedy test, Empty Can test, painful arc of abduction, and external rotation (ER) resistance test (14)
* Patients in acute (4 weeks) and sub-acute stage (4-6 weeks).
* Patients with positive scapular assistance test (SAT) and scapular retraction test (SRT).

Exclusion Criteria:

* Patients with Cervical radiculopathy or previous shoulder surgery.

  * Any Participants with a full thickness tear of rotator cuff tendon.
  * History of glenohumeral dislocation, or other traumatic injury to the shoulder
  * Diagnosed patients of rheumatoid arthritis and osteoarthritis.
  * Hemiplegia affecting the shoulder and lower extremity
  * A complex myofascial pain syndrome.
  * History of significant lower extremity problems, including severe joint pain, recent fractures, or major musculoskeletal disorders (e.g. chronic ligament injuries)

Primary outcomes:
measure: NPRS (Numeric Pain Rating Scale)
timeFrame: 6 weeks
Secondary outcomes:
measure: SPADI (Shoulder Pain and Disability Index)
timeFrame: 6 weeks
measure: Tampa Scale for Kinesiophobia TSK-11
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: National institute of rehabilitation medicine , polyclinic islamabad
state: Punjab
Study officials:
affiliation: Riphah International University
name: Aneela Zia, MsOMPT
role: PRINCIPAL_INVESTIGATOR
References: