Clinical trial NCT07025668: The Effectiveness of Different Exercise Approaches in Biceps Brachii Long Head Tendinopathy
Official title: Effects of Different Exercise Approaches on Tendon Cross-sectional Area and Pain in Biceps Brachii Long Head Tendinopathy
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Sports Physical Therapy
Tendinopathy
Keywords: biceps brachii
tendinopathy
tendon cross-sectional area
shoulder pain
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2025-06-17
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: three groups with a conventional therapy control group
Primary purpose: TREATMENT

Brief summary: This study was planned to analyze the changes in tendon cross-sectional area and shoulder pain with different exercise approaches applied in biceps brachii long head tendinopathy.

Detailed description: There are different conservative treatment options for biceps brachii long head tendinopathy. However, the exercise approaches that can be applied for biceps brachii tendinopathy are not clear in the literature. This study aims to investigate the effectiveness of exercises that include 12 weeks of eccentric training or combined exercise approaches.

Eligibility criteria: Inclusion Criteria:

* Having shoulder pain lasting 3 months or more
* Without a history of surgery, having a diagnosis of shoulder rotator cuff tendinopathy, rotator cuff stage 1-2 tear or subacromial impingement, and having been diagnosed with secondary biceps long head tendinopathy by a physician
* Pain level during activity \> 3 according to the visual analog scale
* Patients who have been informed about the study and have given written consent to participate in the study will be included in the study.

Exclusion Criteria:

* Acute shoulder injury
* History of shoulder and cervical surgery
* Limitation of passive range of motion
* History of local corticosteroid injection within the last 12 months
* Patients who cannot comply with the exercise program will be excluded from the study.

Primary outcomes:
measure: Tendon Cross-Sectional Area
timeFrame: Baseline and 12 weeks
Secondary outcomes:
measure: Visual Analog Scale (VAS)
timeFrame: Baseline and 12 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University Faculty of Physical Therapy and Rehabilitation
Study officials:
affiliation: Hacettepe University
name: Ebru G SEZİK, Msc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Friedman DJ, Dunn JC, Higgins LD, Warner JJ. Proximal biceps tendon: injuries and management. Sports Med Arthrosc Rev. 2008 Sep;16(3):162-9. doi: 10.1097/JSA.0b013e318184f549.
citation: Ahrens PM, Boileau P. The long head of biceps and associated tendinopathy. J Bone Joint Surg Br. 2007 Aug;89(8):1001-9. doi: 10.1302/0301-620X.89B8.19278.
citation: Chen RE, Voloshin I. Long Head of Biceps Injury: Treatment Options and Decision Making. Sports Med Arthrosc Rev. 2018 Sep;26(3):139-144. doi: 10.1097/JSA.0000000000000206.
citation: Ryu JH, Pedowitz RA. Rehabilitation of biceps tendon disorders in athletes. Clin Sports Med. 2010 Apr;29(2):229-46, vii-viii. doi: 10.1016/j.csm.2009.12.003.