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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
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Amna Shahid, t-dpt
- Telefoonnummer: 0334-4512823
- E-mail: amna.shahid@riphah.edu.pk
Studie Locaties
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Punjab Province
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Faisalābad, Punjab Province, Pakistan, 38000
- Werving
- Jawad club, Alfatah sports complex
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Onderonderzoeker:
- Amna Shahid, T-DPT
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Contact:
- Hamza Azeem, BBA
- Telefoonnummer: 03247664872
- E-mail: hamza.azeem2018@gmail.com
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Contact:
- Telefoonnummer: 03350079772
- E-mail: atharazzem420@gmail.com
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Hoofdonderzoeker:
- Husnain mehmood, dpt
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Rotator Cuff Drills
Rotator cuff Drills
|
(rotator cuff drills: plyometric medicine ball throws, wall dribbles)
|
|
Experimenteel: Progressive Resistance exercises
Progressive resistance exercises
|
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.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Pain through NPRS
Tijdsspanne: Pre and 6 week post interventional
|
pain is measure through NPRS
|
Pre and 6 week post interventional
|
|
stability through CKCUEST
Tijdsspanne: Pre and 6 week post interventional
|
measured through CKCUEST
|
Pre and 6 week post interventional
|
|
functional performance through ULRT
Tijdsspanne: Pre and 6 week post interventional
|
measure through ULRT
|
Pre and 6 week post interventional
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Husnain Mahmood, DPT, study principal investigator
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- REC/RCR & AHS/25/0421
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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