Comparative Effects of Getting it Right Addressing Shoulder Pain and Rotator Cuff Strengthening Exercise Military Sports
Comparative Effects of Getting it Right AddressingShoulderPain(GRASP)Trial and Rotator Cuff Strengthening Exercise Program Among Military Sports for Rotator Cuff Tendinopathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The rationale for conducting this study lies in the critical need to address rotator cuff tendinopathy, a prevalent and debilitating issue among military athletes. The unique demands placed on military personnel, involving repetitive overhead tasks and rigorous training, contribute significantly to the higher incidence of rotator cuff problems. The impact of this condition on performance, readiness, and overall well-being in the military cannot be overstated.
In the end, the plan for this study wants to fix a gap in what we know right now about dealing with muscle problems in military sports players' shoulders. This study looks at the GRASP trial methods and compares them with standard rotator cuff exercises. It aims to improve treatments and help military staff be healthier and work better.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Punjab
-
Lahore, Punjab, Pakistan
- Combined Military Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- People in the military who are between 18 and 50 years old.
- Active participation in sports activities for the military.
- Diagnosing rotator cuff tendon pain in medical practice.
- Basic shoulder movement within a certain range of motion.
Exclusion Criteria:
- History of shoulder surgery.
- Systemic inflammatory diseases.
- Disorders of the brain or mind that affect physical actions.
- Not being able to stick to the plan for later.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Range of Motion Exercises
Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance.
|
Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance.
|
|
Experimental: Strengthening exercises with theraband
They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain.
|
They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Western Ontario Rotator Cuff Index (WORC)
Time Frame: 5-6weeks
|
The Western Ontario Rotator Cuff Index (WORC) is a self-reported questionnaire that evaluates the quality of life in individuals with rotator cuff disorders across five domains: physical signs and symptoms, sports, work, manner of living, and feelings.
It ranges from 0 to 2100, and the lower the total, the better the result.
|
5-6weeks
|
|
Inclinometer
Time Frame: 5-6weeks
|
The inclinometer calculates shoulder R.O.M. in degrees with high accuracy.
These are flexion: 170-180° rotation, abduction: 170-180°, external rotation: 90°, and internal rotation: 70-90°.
|
5-6weeks
|
|
Push-Up Plus Test
Time Frame: 5-6weeks
|
The Push-Up Plus Test is designed to assess both scapular stability and serratus anterior muscle strength from the observed scapular movements during the 'plus' action in a push-up formation.
They are either pass/fail scores or quantitative repet
|
5-6weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Faiza Islam, DPT, Riphah International University
Publications and helpful links
General Publications
- Kesikburun S, Tan AK, Yilmaz B, Yasar E, Yazicioglu K. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up. Am J Sports Med. 2013 Nov;41(11):2609-16. doi: 10.1177/0363546513496542. Epub 2013 Jul 26.
- Jones A, Sealey R, Crowe M, Gordon S. Concurrent validity and reliability of the Simple Goniometer iPhone app compared with the Universal Goniometer. Physiother Theory Pract. 2014 Oct;30(7):512-6. doi: 10.3109/09593985.2014.900835. Epub 2014 Mar 25.
- Camargo PR, Alburquerque-Sendin F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop. 2014 Nov 18;5(5):634-44. doi: 10.5312/wjo.v5.i5.634. eCollection 2014 Nov 18.
- Cools AM, Maenhout AG, Vanderstukken F, Decleve P, Johansson FR, Borms D. The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play. Ann Phys Rehabil Med. 2021 Jul;64(4):101384. doi: 10.1016/j.rehab.2020.03.009. Epub 2020 Apr 29.
- Abufoul R, Gavish L, Haddad M. Photobiomodulation self-treatment at home after rotator cuff arthroscopic repair accelerates improvement in pain, functionality, and quality of life: A double-blind, sham-controlled, randomized clinical trial. Lasers Surg Med. 2023 Sep;55(7):662-673. doi: 10.1002/lsm.23692. Epub 2023 Jun 8.
- AlAnazi A, Alghadir AH, Gabr SA. Handgrip Strength Exercises Modulate Shoulder Pain, Function, and Strength of Rotator Cuff Muscles of Patients with Primary Subacromial Impingement Syndrome. Biomed Res Int. 2022 Aug 30;2022:9151831. doi: 10.1155/2022/9151831. eCollection 2022.
- Schedler S, Brueckner D, Hagen M, Muehlbauer T. Effects of a Traditional versus an Alternative Strengthening Exercise Program on Shoulder Pain, Function and Physical Performance in Individuals with Subacromial Shoulder Pain: A Randomized Controlled Trial. Sports (Basel). 2020 Apr 13;8(4):48. doi: 10.3390/sports8040048.
- Bourke J, Skouteris H, Hatzikiriakidis K, Fahey D, Malliaras P. Use of Behavior Change Techniques Alongside Exercise in the Management of Rotator Cuff-Related Shoulder Pain: A Scoping Review. Phys Ther. 2022 Apr 1;102(4):pzab290. doi: 10.1093/ptj/pzab290.
- Jones BH, Canham-Chervak M, Sleet DA. An evidence-based public health approach to injury priorities and prevention recommendations for the u.s. Military. Am J Prev Med. 2010 Jan;38(1 Suppl):S1-10. doi: 10.1016/j.amepre.2009.10.001.
- Keene DJ, Soutakbar H, Hopewell S, Heine P, Jaggi A, Littlewood C, Hansen Z, Barker K, Hamilton W, Carr AJ, Lamb SE. Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the 'Getting it Right: Addressing Shoulder Pain' (GRASP) trial. Physiotherapy. 2020 Jun;107:252-266. doi: 10.1016/j.physio.2019.07.002. Epub 2019 Jul 9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REC/RCR & AHS/24/0426
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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