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
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Amna Shahid, t-dpt
- Telefonnummer: 0334-4512823
- E-post: amna.shahid@riphah.edu.pk
Studieorter
-
-
Punjab Province
-
Faisalābad, Punjab Province, Pakistan, 38000
- Rekrytering
- Jawad club, Alfatah sports complex
-
Underutredare:
- Amna Shahid, T-DPT
-
Kontakt:
- Hamza Azeem, BBA
- Telefonnummer: 03247664872
- E-post: hamza.azeem2018@gmail.com
-
Kontakt:
- Telefonnummer: 03350079772
- E-post: atharazzem420@gmail.com
-
Huvudutredare:
- Husnain mehmood, dpt
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
- Vuxen
Tar emot friska volontärer
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Rotator Cuff Drills
Rotator cuff Drills
|
(rotator cuff drills: plyometric medicine ball throws, wall dribbles)
|
|
Experimentell: 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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Pain through NPRS
Tidsram: Pre and 6 week post interventional
|
pain is measure through NPRS
|
Pre and 6 week post interventional
|
|
stability through CKCUEST
Tidsram: Pre and 6 week post interventional
|
measured through CKCUEST
|
Pre and 6 week post interventional
|
|
functional performance through ULRT
Tidsram: Pre and 6 week post interventional
|
measure through ULRT
|
Pre and 6 week post interventional
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Husnain Mahmood, DPT, study principal investigator
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- REC/RCR & AHS/25/0421
Plan för individuella deltagardata (IPD)
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