Clinical trial NCT05613998: Physiotherapy Treatment of Shoulder Rotator Cuff Tendinopathies. Global Postural Reeducation or Aerobic Exercise?
Official title: Global Postural Reeducation vs. Non-specific Therapeutic Exercise in the Treatment of Rotator Cuff Tendinopathies of the Shoulder
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Rotator Cuff Tendinosis
Keywords: Tendinopathy
Rotator Cuff
Global Postural Reeducation
Aerobic Exercice
Shoulder Pain
Quality of life
Lead sponsor: Universidad Francisco de Vitoria
Sponsor class: OTHER
First posted: 2022-11-14
Enrollment: 66
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Changes in pain and disability after the treatment program
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
measure: Changes in pain and disability after the treatment program
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
Secondary outcomes:
measure: Changes in pain after the treatment program
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
measure: Changes in pressure pain sensitivity
timeFrame: Pre, Post inmediate, and follow-up at 3 and 6 months
measure: Changes in Quality of Life
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
measure: Changes in Range of Motion
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
Other outcomes:
measure: Changes in stifness (cervical plexus, radial nerve, supraespinatus and infraespinatus muscles)
timeFrame: Baseline, one week after the last sessio, 3 months and 6 months after the last session
Locations:
city: Pozuelo de Alarcón
country: Spain
facility: Francisco de Vitoria University
state: Madrid
Study officials:
affiliation: Francisco de Vitoria University, Madrid, Spain
name: Javier Alvarez-González
role: PRINCIPAL_INVESTIGATOR
affiliation: Autonomous University of Madrid, Madrid, Spain
name: Arturo Morales-Muñiz, PhD
role: STUDY_DIRECTOR
affiliation: Francisco de Vitoria University, Madrid, Spain
name: Pablo Terrón-Manrique, PhD
role: STUDY_CHAIR
References:
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citation: Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012 Jun;98(2):101-9. doi: 10.1016/j.physio.2011.08.002. Epub 2011 Oct 5.
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citation: Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):441-7. doi: 10.1016/j.jmpt.2013.08.011. Epub 2014 Aug 3.
citation: Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017 Jun;103(2):167-173. doi: 10.1016/j.physio.2016.09.001. Epub 2016 Sep 21.
citation: Kinsella R, Cowan SM, Watson L, Pizzari T. A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2017 Nov 14;3:45. doi: 10.1186/s40814-017-0190-3. eCollection 2017.