The Influence of Eccentric Training on the Volume and Vascularisation of the Rotator Cuff in Patients With Rotator Cuff Tendinopathy and Healthy Subjects
1 other identifier
interventional
60
1 country
1
Brief Summary
Patients with rotator cuff tendinopathy make up a large part of the population in physiotherapy practice. The rotator cuff, a shoulder muscle group, plays an important role in causing pain. Tendons suffer large compression and friction, which can lead to degeneration of these tendons. Rehabilitation often leads to unsatisfying results. In Achilles and patella tendinopathy, a new training program called eccentric training has shown very good results. Eccentric training contains exercises during which a force has to be resisted while the muscle lengthens instead of shortens. This would have a larger influence on tendon tissue. Some small studies also show promising results of eccentric training in patients with rotator cuff tendinopathy but the mechanisms behind these results remain unclear. To investigate this, 30 patients with rotator cuff tendinopathy and 30 healthy subjects will be evaluated before and immediately after performing the exercise. Three measurements will be done: ultrasonographic measurement of tendon thickness, power Doppler imaging and measurement of microcirculation around the tendon with Oxygen to see. All measurements are non-invasive, pain free and without risks for the human body.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2012
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 23, 2011
CompletedFirst Posted
Study publicly available on registry
August 26, 2011
CompletedStudy Start
First participant enrolled
April 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedNovember 19, 2021
November 1, 2021
3 years
August 23, 2011
November 18, 2021
Conditions
Outcome Measures
Primary Outcomes (3)
Tendon thickness measurement
Grey scale ultrasound examination is used.
After 30 minutes rest, before performing the exercise.
Tendon vascularisation examination.
Power Doppler ultrasound examination is used.
After 30 minutes rest, before performing the exercise.
Microcirculation around the tendon examination.
Oxygen to see (spectrophotometry and laser Doppler) will be used.
After 30 minutes rest, before performing the exercise.
Secondary Outcomes (3)
Tendon thickness measurements.
10 minutes after performing the exercise.
Tendon vascularisation examination.
10 minutes after performing the exercise.
Microcirculation around the tendon examination.
10 minutes after performing the exercise.
Study Arms (2)
Healthy subjects
PLACEBO COMPARATORRotator cuff tendinopathy
ACTIVE COMPARATORInterventions
Patients and healthy subjects will perform an eccentric exercise during which a weight is lifted along the body and lowered with an extended arm at a slow speed. Weight is determined, based on pain in patients and based on force in healthy subjects.
Eligibility Criteria
You may qualify if:
- Male/ Female
- years old
- Unilateral shoulder pain for at least 3 months
- Pain of at least 3/10 on a visual analogue scale
- Painful arc or pain at end range abduction
- /3 impingement tests positive
- /4 resistance tests positive
- Pain at insertion rotator cuff
You may not qualify if:
- Spurling test positive
- Shoulder surgery in the past
- Osteoarthritis shoulder
- Full thickness ruptures
- Male/ Female
- years old
- Shoulder pain during the last 3 months
- Shoulder surgery in the past
- Neck pain or disability
- Systemic disease (e.g. Marfan, Ehlers Danlos,…)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Ghentlead
- Fund for Scientific Research, Flanders, Belgiumcollaborator
Study Sites (1)
University Hospital Ghent
Ghent, 9000, Belgium
Study Officials
- PRINCIPAL INVESTIGATOR
Ann Cools, MD, PhD
University Ghent
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 23, 2011
First Posted
August 26, 2011
Study Start
April 1, 2012
Primary Completion
April 1, 2015
Study Completion
June 1, 2015
Last Updated
November 19, 2021
Record last verified: 2021-11