Effects of TNT on Pain, ROM and Disability in Patients With RC Tendinopathy

NCT06707857 | Recruiting

• 1 other identifier: REC/RCR & AHS/24/0111
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

EFFECTS OF TENDON NEUROPLASTIC TRAINING ON PAIN, RANGE OF MOTION AND DISABILITY IN PATIENTS WITH ROTATOR CUFF TENDINOPATHY

Conditions

Rotator Cuff Tendinopathy

Keywords

Rotator cuff tendiopathy; Tendon neuroplastic training; Disability; Range of motion; Pain

Outcome Measures

Primary Outcomes (3)

• Numeric pain rate scale (NPRS)

  Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".

  6 weeks

• Shoulder pain and disability index (spadi)

  Patient level of disability will be assessed using this scale. This ranges from 0 to 100. 0 indicates no disability" and 100 indicates disability"

  6 weeks

• Universal Goniometer (UG)

  It will measure range of motion of shoulder

  6 weeks

Study Arms (2)

Tendon neuroplastic training

EXPERIMENTAL

Group A will be treated with tendon neuroplastic training. The exercise involved isolated abduction external rotation ,internal rotation and flexion paced to an external audio cue on the patients' smartphone The patient was to listen to the sound and track the movement of the metronome with his eyes, as pacing to these types of external cues has been shown to modulate conspiratorial excitability.The pace of the metronome was set to 6 beats per minute such that each beat was ten seconds apart. This allowed a ten second isometric, eccentric and concentric phase, in 30 seconds totally. Three sets of 10 repetitions of slow progressive exercises (eccentric, concentric and isometric respectively) of the wrist rotator cuff muscles at each treatment session were performed, with 1-min rest interval between each set. The patient followed the supervised exercise programme 3 times a week for 6 weeks

Other: tendon neuroplastic training

Conventional training

ACTIVE COMPARATOR

Group B will be treated with conventional therapy Participants will perform isometric contraction of the arm at 90° of elevation in the scapular plane. External and internal rotation, respectively) will be performed in the same positions of isometric strength assessment.Individuals will perform three sets, sustained for 32 s, at 70% of maximal voluntary isometric contraction (MVIC), resting for 80 seconds between sets.Resistance load will be determined according to maximal isometric strength of elevation and external and internal rotations measured during the pre-intervention assessment

Other: conventional training

Interventions

tendon neuroplastic training OTHER

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Tendon neuroplastic training

conventional training OTHER

Throughout the training, participants pain, range of motion and disability were monitored and they were asked to report any discomfort or unusual sign.

Conventional training

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Have a current shoulder complaint lasting at least three months prior to the time of enrollment
• Pain is located in the proximal lateral aspect of the upper arm (C5 dermatome)
• Positive Hawkins-Kennedy test

You may not qualify if:

• Bilateral shoulder pain
• Less than 90 degrees of active elevation of the arm
• Corticosteroid injection within the last six weeks
• Radiologically verified fracture
• Glenohumeral osteoarthritis
• Surgery or dislocation of the affected shoulder
• Symptomatic arthritis in the Ac joint
• Frozen shoulder
• Symptoms derived from the cervical spine

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehabilitation clinic

Lahore, Punjab Province, Pakistan

RECRUITING

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Saba Rafique, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The study was single blinded, as accessor of the study were kept blind to the intervention groups
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: In this parallel- group randomized control trial(RCT) Rotator cuff tendinopathy patients will be assigned to either tendon neuroplastic training or to traditional treatment plan. this study aims to evaluate the effects pf tendon neuroplastic training on pain, range of motion and disability.

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: April 15, 2024
• Primary Completion: December 1, 2024
• Study Completion: January 1, 2025
• Last Updated: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)