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
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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
Registrering (Antatt)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
- Navn: Amna Shahid, t-dpt
- Telefonnummer: 0334-4512823
- E-post: amna.shahid@riphah.edu.pk
Studiesteder
-
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Punjab Province
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Faisalābad, Punjab Province, Pakistan, 38000
- Rekruttering
- Jawad club, Alfatah sports complex
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Underetterforsker:
- Amna Shahid, T-DPT
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Ta kontakt med:
- Hamza Azeem, BBA
- Telefonnummer: 03247664872
- E-post: hamza.azeem2018@gmail.com
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Ta kontakt med:
- Telefonnummer: 03350079772
- E-post: atharazzem420@gmail.com
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Hovedetterforsker:
- Husnain mehmood, dpt
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
Tar imot friske frivillige
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Rotator Cuff Drills
Rotator cuff Drills
|
(rotator cuff drills: plyometric medicine ball throws, wall dribbles)
|
|
Eksperimentell: 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.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Pain through NPRS
Tidsramme: Pre and 6 week post interventional
|
pain is measure through NPRS
|
Pre and 6 week post interventional
|
|
stability through CKCUEST
Tidsramme: Pre and 6 week post interventional
|
measured through CKCUEST
|
Pre and 6 week post interventional
|
|
functional performance through ULRT
Tidsramme: Pre and 6 week post interventional
|
measure through ULRT
|
Pre and 6 week post interventional
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Husnain Mahmood, DPT, study principal investigator
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- REC/RCR & AHS/25/0421
Plan for individuelle deltakerdata (IPD)
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