Physiotherapy Treatment of Shoulder Rotator Cuff Tendinopathies. Global Postural Reeducation or Aerobic Exercise?

NCT05613998 | Completed

• 1 other identifier: RPGEI
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program

Conditions

Rotator Cuff Tendinosis

Keywords

Tendinopathy; Rotator Cuff; Global Postural Reeducation; Aerobic Exercice; Shoulder Pain; Quality of life

Outcome Measures

Primary Outcomes (2)

• Changes in pain and disability after the treatment program

  Shoulder Pain and Disability Index (SPADI). Minimum value=0. Maximun value=100

  Baseline, one week after the last sessio, 3 months and 6 months after the last session

• Changes in pain and disability after the treatment program

  The Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Minimum value=0. Maximun value=100

  Baseline, one week after the last sessio, 3 months and 6 months after the last session

Secondary Outcomes (4)

• Changes in pain after the treatment program

  Baseline, one week after the last sessio, 3 months and 6 months after the last session

• Changes in pressure pain sensitivity

  Pre, Post inmediate, and follow-up at 3 and 6 months

• Changes in Quality of Life

  Baseline, one week after the last session, 3 months and 6 months after the last session

• Changes in Range of Motion

  Baseline, one week after the last sessio, 3 months and 6 months after the last session

Other Outcomes (1)

• Changes in stifness (cervical plexus, radial nerve, supraespinatus and infraespinatus muscles)

  Baseline, one week after the last sessio, 3 months and 6 months after the last session

Study Arms (3)

Group 1. Global Postural Reeducation (GPR) intervention

EXPERIMENTAL

Patients who will receive the Global Postural Reeducation (GPR) treatment protocol

Other: GPR Group

Group 2. Non-specific Aerobic exercice intervention

EXPERIMENTAL

Patients who will receive the non-specific aerobic exercise treatment protocol

Other: Aerobic Exercice Group

Group 3. No physiotherapy intervention

NO INTERVENTION

Patients who will not receive physiotherapy treatment

Interventions

GPR Group OTHER

6-week treatment using the Global Postural Reeducation (GPR) method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)

Group 1. Global Postural Reeducation (GPR) intervention

Aerobic Exercice Group OTHER

6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)

Group 2. Non-specific Aerobic exercice intervention

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Shoulder pain with duration of at least 3 months
• Positive painful arc test during abduction
• At least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test

You may not qualify if:

• Cervical radiculopathy
• Moderate or severe degenerative arthropathy
• Complete rotator cuff tear
• History of shoulder or neck surgery
• History of shoulder fractures or dislocation
• Frozen shoulder or adhesive capsulitis
• Previous interventions with steroid injections or physiotherapy 2 months before the start of the program

Sponsors & Collaborators

• Universidad Francisco de Vitoria: lead

Study Sites (1)

Francisco de Vitoria University

Pozuelo de Alarcón, Madrid, 28223, Spain

Location

Related Publications (8)

• van der Heijden GJ, van der Windt DA, de Winter AF. Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials. BMJ. 1997 Jul 5;315(7099):25-30. doi: 10.1136/bmj.315.7099.25.

  PMID: 9233322 BACKGROUND

• Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1.

  PMID: 21889366 BACKGROUND

• Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012 Jun;98(2):101-9. doi: 10.1016/j.physio.2011.08.002. Epub 2011 Oct 5.

  PMID: 22507359 BACKGROUND

• Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contraction. Pain. 1995 Jun;61(3):481-486. doi: 10.1016/0304-3959(94)00217-3.

  PMID: 7478692 BACKGROUND

• Naugle KM, Fillingim RB, Riley JL 3rd. A meta-analytic review of the hypoalgesic effects of exercise. J Pain. 2012 Dec;13(12):1139-50. doi: 10.1016/j.jpain.2012.09.006. Epub 2012 Nov 8.

  PMID: 23141188 BACKGROUND

• Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):441-7. doi: 10.1016/j.jmpt.2013.08.011. Epub 2014 Aug 3.

  PMID: 25092553 BACKGROUND

• Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017 Jun;103(2):167-173. doi: 10.1016/j.physio.2016.09.001. Epub 2016 Sep 21.

  PMID: 27884499 BACKGROUND

• Kinsella R, Cowan SM, Watson L, Pizzari T. A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2017 Nov 14;3:45. doi: 10.1186/s40814-017-0190-3. eCollection 2017.

  PMID: 29163981 BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries; Tendinopathy; Shoulder Pain

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries; Muscular Diseases; Musculoskeletal Diseases; Arthralgia; Joint Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Javier Alvarez-González

  Francisco de Vitoria University, Madrid, Spain

  PRINCIPAL INVESTIGATOR

• Arturo Morales-Muñiz, PhD

  Autonomous University of Madrid, Madrid, Spain

  STUDY DIRECTOR

• Alfredo Bravo-Sánchez, PhD

  Francisco de Vitoria University, Madrid, Spain

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 30, 2022
• First Posted: November 14, 2022
• Study Start: October 30, 2022
• Primary Completion: December 31, 2024
• Study Completion: January 10, 2025
• Last Updated: January 22, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: 6 months after publication
• Access Criteria: Mail to the IP describing the interest and the purpose for accessing the data

Locations

ES (1)