- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05821283
Does Physical Activity Provide Additional Benefit In Patients With Rotator Cuff Related Shoulder Pain?
Does Physical Activity Provide Additional Benefit In Patients With Rotator Cuff Related Shoulder Pain? A Randomized Controlled Trial
Study Overview
Status
Conditions
Detailed Description
Rotator cuff-related shoulder pain (RCRSP) are among the most common musculoskeletal disorders and can be associated with pain, weakness, shoulder dysfunction and kinesiophobia. The management could be surgery or nonsurgical options such as medical treatment, education, activity modifications and physiotherapy. However, none of this interventions was found best additionally 30% of individuals do not report significant improvement. Physical activity is defined as any body movement produced by skeletal muscles that requires a certain amount of energy expenditure. Regular physical activity is proven to help prevent and manage many diseases such as heart disease, stroke, several cancers, diabetes, hypertension and obesity. Beyond these people, doing physical activity have better mental health, emotional wellbeing, quality of life and lower rates of mental illness. Additionally, physical activity and exercise applications are used as an alternative method to reduce the severity and frequency of pain in patients with chronic pain.
Physical activity is defined as any body movement produced by skeletal muscles that requires a certain amount of energy expenditure. Investigators reviewed the literature, investigators could not find any randomized controlled trial on the effectiveness of physical activity in studies conducted with patients with RCRSP. Investigators hypothesized that adding physical activity to the treatment of RCRSP would make a significant difference. Therefore, the aim of this study was to investigate the effect of physical activity applied in addition to supervised exercise on pain, functional status and quality of life in patients with RCRSP. This study was prospective, randomized controlled; assessor-blinded trial was performed to compare the effectiveness of physical activity in addition to supervised exercise in patients with RCRSP. According to the power analysis result, 46 patients were randomized into two groups(Treatment Group=23, Control Group=23).The Physical Activity Group (PAG) was included in an exercise program consisting of supervised exercise and physical activity (30 minutes of moderate-intensity walking). The Control Group (CG) was included in the program consisting of supervised exercises only. The treatment lasted for a total of 6 weeks. The primary outcomes were Numeric Pain Rating Scale (NPRS), The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment (ASES), Quick Disabilities of The Arm, Shoulder and Hand Questionnaire (Quick DASH) and secondary outcomes were Rotator Cuff Quality of Life (RC-QOL) Western-Ontario Rotator Cuff Index (WORC) and Global Rate of Changes (GRC) scores.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Derya Çelik, Professor
- Phone Number: 05327940169
- Email: ptderya@hotmail.com
Study Contact Backup
- Name: Ümmü Öztürk, PhD(c)
- Phone Number: 05346749164
- Email: ummuozturk90@hotmail.com
Study Locations
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Istanbul, Turkey
- Istanbul University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject age of more than 40 years
- Having at least 3 months of unilateral shoulder pain
- Presence of painful arc
- Positive Hawkins Kennedy test or positive Neer sign
- Painful shoulder abduction and external rotation with resistance
- Absence of radiological findings of fracture in the humeral greater tubercle or glenoid cavity
- Obtaining informed written consent
Exclusion Criteria:
- Having a massive rotator cuff tear (confirmed with Magnetic Resonance (MR) and positive lag sign)
- History of trauma related to onset of symptoms
- Having undergone surgery on the same shoulder
- Frozen shoulder
- Symptomatic cervical spine pathology
- Shoulder instability
- Presence of shoulder problems caused by systemic diseases, neurological disorders
- Having psychological, emotional or cognitive problems
- Previous shoulder surgery and steroid injections
- Engagement of regular physical activity
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Physical Activity Group
The Physical Activity (PAG) was included in an exercise program consisting of supervised exercise and physical activity (30 minutes of moderate-intensity walking).
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The Physical Activity Group (PAG) included in an exercise program consisting of supervised exercise and physical activity (30 minutes of moderate-intensity walking).
Patients received 6 week (2-3 times a week) rehabilitation program composed of 15 physical therapy sessions.The physical activity program was applied as moderate intensity (maximum heart rate 50-70%) walking exercise.
The patients were recommended to walk for 30 minutes, 3 days a week (total of 90 minutes) for the first 3 weeks, and 30 minutes 5 days a week (total of 150 minutes) for the 2nd 3 weeks
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Active Comparator: Control Group
The Control Group (CG) was included in the program consisting of only supervised exercises.
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The Control Group (CG) included in the program consisting of only supervised exercises.
Patients received 6 week (2-3 times a week) rehabilitation program composed of 15 physical therapy sessions
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric Pain Rating Scale (NPRS)
Time Frame: change from baseline NPRS at 6 week
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The pain will be measured at activity and at night using a NPRS.
Patients are asked to rate their pain ranging from 0 to 10 (0: no pain, 10: the worst pain imaginable)
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change from baseline NPRS at 6 week
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The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment (ASES)
Time Frame: change from baseline ASES score at 6 week
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The ASES score ranges from 0-100.
Higher scores indicate better functional ability.
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change from baseline ASES score at 6 week
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Quick Disabilities of The Arm, Shoulder and Hand Questionnaire (Quick DASH)
Time Frame: change from baseline Quick DASH score at 6 week
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The Quick DASH is a 11-item questionnaire used to assess upper limb functionality.
The score ranges from 0 (no disability) to 100 (most severe disability).
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change from baseline Quick DASH score at 6 week
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Global Rate of Changes (GRC)
Time Frame: change from baseline GRC score at 6 week
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GRC is used to determine the effectiveness of treatment by questioning the patient's improvement or worsening over time.
In our study, a 7-point scale (-3: much worse, -2: worse, -1: slightly worse, 0: same, 1: slightly better, 2: quite good, 3: much better) was used.
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change from baseline GRC score at 6 week
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Rotator Cuff Quality of Life (RC-QOL)
Time Frame: change from baseline RC-QOL score at 6 week
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RC-QOL consists of 34 items and each question consists of a line between 0 and 100.
The point on the line is measured with a ruler and the value is written.
Higher values indicate better quality of life.The total score ranges from 0 to 3400, with higher scores indicating higher quality of life.
The percentage (%) score can also be calculated by dividing the total score obtained by 34.
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change from baseline RC-QOL score at 6 week
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Western-Ontario Rotator Cuff Index (WORC)
Time Frame: change from baseline WORC score at 6 week
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WORC-Emotions consist of 3 items.
Each question is answered with a 100 mm Visual Analog Scale (VAS).
Lower scores indicate better quality of life motions consist of 3 items.
Each question is answered with a 100 mm Visual Analog Scale (VAS).
Lower scores indicate better quality of life.The total score ranges from 0 to 300, with lower scores indicating higher quality of life.
The percentage (%) score can also be calculated by dividing the total score obtained by 3.
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change from baseline WORC score at 6 week
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DR2023
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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