Effects of Rotator Cuff Drills Versus Progressive Resistance Exercises on Chronic Rotator Cuff Tendinopathy
Effects of Rotator Cuff Drills Versus Progressive Resistance Exercises on Pain, Stability and Functional Performance Among Overhead Athletes With Chronic Rotator Cuff Tendinopathy
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Rotator cuff tendinopathy is a prevalent condition among overhead athletes, significantly impairing performance and function. While both rotator cuff drills and progressive resistance exercises (PREs) are commonly used in rehabilitation, there remains a lack of comparative evidence on their effectiveness, particularly in sport-specific contexts.
Current literature highlights gaps in optimal exercise progression, long-term outcomes, and objective performance metrics for overhead athletes. This study aims to compare these two interventions to determine which approach better improves pain, stability, and functional performance in athletes with chronic rotator cuff tendinopathy, addressing a critical need for evidence-based rehabilitation protocols in sports medicine. A single-blinded randomized clinical trial was conducted with 30 male overhead athletes (17-35 years) recruited from cricket clubs and sports complexes in Faisalabad. Participants were randomized into Group A (rotator cuff drills: plyometric medicine ball throws, wall dribbles) or Group B (PREs: resistance band exercises with progressive loading). Both groups underwent 12-week interventions (3 sessions/week) following the FIIT principle (Frequency, Intensity, Time, Type), preceded by a standardized 20-minute warm-up. Outcomes were assessed using the Numeric Pain Rating Scale (NPRS), Shoulder Pain and Disability Index (SPADI), Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), and Upper Limb Rotation Test (ULRT) at baseline, 6 weeks, and 12 weeks. Data were analyzed using SPSS v24, with statistical significance set at *p* ≤ 0.05. Descriptive statistics (mean, SD) summarized continuous variables, while frequencies/percentages described categorical data. Normality was confirmed via Kolmogorov-Smirnov test. Between-group differences were analyzed using independent *t*-tests, and within-group changes via paired *t*-tests. The study's rigorous blinding and standardized protocols minimized bias, ensuring robust comparisons between interventions.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Amna Shahid, t-dpt
- Número de teléfono: 0334-4512823
- Correo electrónico: amna.shahid@riphah.edu.pk
Ubicaciones de estudio
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Punjab Province
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Faisalābad, Punjab Province, Pakistán, 38000
- Reclutamiento
- Jawad club, Alfatah sports complex
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Sub-Investigador:
- Amna Shahid, T-DPT
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Contacto:
- Hamza Azeem, BBA
- Número de teléfono: 03247664872
- Correo electrónico: hamza.azeem2018@gmail.com
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Contacto:
- Número de teléfono: 03350079772
- Correo electrónico: atharazzem420@gmail.com
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Investigador principal:
- Husnain mehmood, dpt
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria
- Professional male overhead athletes aged 17-35 years
- Male overhead athletes playing competitive sports like volleyball, tennis, baseball, cricket, swimming, badminton, and basketball for at least 6 hours a week. Painful arc of movement during flexion or abduction.
- Positive Neer's or Kennedy-Hawkins test
Exclusion Criteria:
- Had a previous shoulder surgery.
- Trauma history. Corticosteroid injection within the previous 6 weeks
- Other injuries rather than Rotator cuff tendinopathy
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Rotator Cuff Drills
Rotator cuff Drills
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(rotator cuff drills: plyometric medicine ball throws, wall dribbles)
|
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Experimental: Progressive Resistance exercises
Progressive resistance exercises
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PREs: resistance band exercises with progressive loading).
Both groups underwent 12-week interventions (3 sessions/week) following the FIIT principle (Frequency, Intensity, Time, Type), preceded by a standardized 20-minute warm-up.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Pain through NPRS
Periodo de tiempo: Pre and 6 week post interventional
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pain is measure through NPRS
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Pre and 6 week post interventional
|
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stability through CKCUEST
Periodo de tiempo: Pre and 6 week post interventional
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measured through CKCUEST
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Pre and 6 week post interventional
|
|
functional performance through ULRT
Periodo de tiempo: Pre and 6 week post interventional
|
measure through ULRT
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Pre and 6 week post interventional
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Husnain Mahmood, DPT, study principal investigator
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- REC/RCR & AHS/25/0421
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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