Effect of Pilates Exercises and Diaphragm Manual Therapy Techniques in Rotator Cuff Tendinopathy

NCT06148805 | Unknown DMC

• 1 other identifier: P.T.REC/012/004001
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.To investigate the effect of Pilates exercises program on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT).
2. 2.To investigate the effect of diaphragm manual therapy techniques on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT).
3. 3.To determine the effect of combination between Pilates exercises program and diaphragm manual therapy techniques on pain intensity, pain threshold, shoulder lateral rotator strength, abduction strength and shoulder function in patients with (RCT).

Conditions

Shoulder Tendinitis; Shoulder Rotator Cuff Tendinopathy

Keywords

Shoulder Tendinitis; shoulder rotator cuff tendinopathy; Pilates exercise; diaphragmatic respiratory technique; physical therapy

Outcome Measures

Primary Outcomes (2)

• shoulder pain

  visual analog scale (scale from 0 to 10 where 0 means no pain and 10 means unbearable pain pain threshold will be carried out by pressure algometer

  4 weeks

• strength of shoulder muscle

  hand heled dynamometer

  4 weeks

Study Arms (4)

Pilates Group

EXPERIMENTAL

fifteen patients diagnosed with shoulder rotator cuff tendinopathy for at least 3 months randomly selected from ministry of health units will receive Pilates exercises program additional to traditional (RCT) physical therapy program containing Hot-Pack (HP), Therapeutic Ultrasound (US) and upper extremity strengthening and stretching exercise program) * The assessment of pain intensity was carried out by visual analog scale * The assessment of pain threshold was carried out by pressure algometer. * The assessment of lateral rotation strength and abduction strength were carried out by hand heled dynamometer. * The assessment of shoulder function was carried out by Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-Arabic) * The assessment of the functional exercise performance was carried out by Six-min walk test

Other: pilates exercise and diaphragm manual technique

diaphragmatic Group

EXPERIMENTAL

fifteen patients diagnosed with shoulder rotator cuff tendinopathy for at least 3 months randomly selected from ministry of health units will receive diaphragm manual therapy techniques and traditional rotator cuff tendinopathy physical therapy program containing Hot-Pack (HP), Therapeutic Ultrasound (US) and upper extremity strengthening and stretching exercise program) * The assessment of pain intensity was carried out by visual analog scale * The assessment of pain threshold was carried out by pressure algometer. * The assessment of lateral rotation strength and abduction strength were carried out by hand heled dynamometer. * The assessment of shoulder function was carried out by Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-Arabic) * The assessment of the functional exercise performance was carried out by Six-min walk test

Other: pilates exercise and diaphragm manual technique

traditional Group

ACTIVE COMPARATOR

fifteen patients diagnosed with shoulder rotator cuff tendinopathy for at least 3 months randomly selected from ministry of health units will receive 15 received traditional rotator cuff tendinopathy physical therapy program containing Hot-Pack (HP), Therapeutic Ultrasound (US) and upper extremity strengthening and stretching exercise program) * The assessment of pain intensity was carried out by visual analog scale * The assessment of pain threshold was carried out by pressure algometer. * The assessment of lateral rotation strength and abduction strength were carried out by hand heled dynamometer. * The assessment of shoulder function was carried out by Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-Arabic) * The assessment of the functional exercise performance was carried out by Six-min walk test

Other: pilates exercise and diaphragm manual technique

pilates and diaphragmatic Group

EXPERIMENTAL

fifteen patients diagnosed with shoulder rotator cuff tendinopathy for at least 3 months randomly selected from ministry of health units will receive diaphragm manual therapy, Pilates exercises program and traditional rotator cuff tendinopathy physical therapy program containing Hot-Pack (HP), Therapeutic Ultrasound (US) and upper extremity strengthening and stretching exercise program) * The assessment of pain intensity was carried out by visual analog scale * The assessment of pain threshold was carried out by pressure algometer. * The assessment of lateral rotation strength and abduction strength were carried out by hand heled dynamometer. * The assessment of shoulder function was carried out by Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-Arabic) * The assessment of the functional exercise performance was carried out by Six-min walk test

Other: pilates exercise and diaphragm manual technique

Interventions

pilates exercise and diaphragm manual technique OTHER

pilates exercises

Also known as: exercises

Pilates Group; diaphragmatic Group; pilates and diaphragmatic Group; traditional Group

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients diagnosed with rotator cuff tendinopathy for duration greater than three months
• Body Mass Index between 18.5 and 24.9
• patients complain of shoulder pain at the tip of the shoulder and the upper, outer arm.
• pain during resisted arm test (usually abduction and/or lateral rotation) (

You may not qualify if:

• \. shoulder stiffness 2. Previous dislocation or sublation of shoulder joint. 3. Previous shoulder surgery 4. Glenohumeral joint and acromioclavicular joint degeneration 5. Neurological deficit in the neck or arm 6. Heavy Smokers. 7. Any Cardiopulmonary pathology. 8. Recent Thoracic surgery 9. Any deformity of spine 10. History of Thyroid Disorders 11. Cognitive impairment

Sponsors & Collaborators

• Ministry of Health and Population, Egypt: lead
• Cairo University: collaborator

Study Sites (1)

MOH

Cairo, Ramsis Saint Abbassia , Cairo., 222, Egypt

RECRUITING

MeSH Terms

Interventions

Exercise

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Mohamed Ali, professor

  Ministry of Health

  STUDY DIRECTOR

Central Study Contacts

Amaal Ibrahim, professor

CONTACT

00201111287279; rehabtareqmohamad@gmail.com

Gada Abed Allaha, professor

CONTACT

00201002108267; maha.elgharib@fpt.bu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator mona samir ismail el shahawy, Prof.Adel Rashad Ahmed, prof.Amaal Hassan Ibrahim, clinical Dr.Mohamed Ali Amin, asst. profGhada Abed Elmoniem Abed Allaha

Model Details: 1. Patients diagnosed with rotator cuff tendinopathy for duration greater than three months (Eda and Emin,2016). 2. 40 and 60 years of age from both genders (Yamamoto et al.,2019) 3. Patient's BMI within normal range between 18.5 and 24.9 (Gumina et al.,2014) 4. patients complain of shoulder pain at the tip of the shoulder and the upper, outer arm. The pain is aggravated by reaching, pushing, pulling, lifting, positioning the arm above the shoulder level, or lying on the side (Stiphen and Micheal,1021). 5. The arm pain during resisted testing (usually abduction and/or lateral rotation) (Eda and Emin,

Study Record Dates

• First Submitted: November 19, 2023
• First Posted: November 28, 2023
• Study Start: October 1, 2023
• Primary Completion: May 1, 2024
• Study Completion: December 31, 2024
• Last Updated: January 17, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)