Comparative Effects of Getting it Right Addressing Shoulder Pain and Rotator Cuff Strengthening Exercise Military Sports

NCT06828081 | Active Not Recruiting

• 1 other identifier: REC/RCR & AHS/24/0426
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This research will use a randomized clinical trial (RCT) method to get military athletes with rotator cuff tendinopathy. People will be chosen at random to either get the GRASP method or normal exercises for making the shoulder muscles stronger. The main things the investigator will look at are how bad the pain is how well the shoulder works and if they can go back to work or sports. Tests will be done at the start, right after a treatment, and later times to measure the short-term and long-term advantages of the treatments. This study's careful way of doing things aims to provide strong information for military sports medicine. It helps doctors in treating shoulder problems like rotator cuff tendinopathy.

Conditions

Sports Physical Therapy

Keywords

Rotator cuff tendinopathy; GRASP trails; Military sports; Shoulder pain

Outcome Measures

Primary Outcomes (3)

• Western Ontario Rotator Cuff Index (WORC)

  The Western Ontario Rotator Cuff Index (WORC) is a self-reported questionnaire that evaluates the quality of life in individuals with rotator cuff disorders across five domains: physical signs and symptoms, sports, work, manner of living, and feelings. It ranges from 0 to 2100, and the lower the total, the better the result.

  5-6weeks

• Inclinometer

  The inclinometer calculates shoulder R.O.M. in degrees with high accuracy. These are flexion: 170-180° rotation, abduction: 170-180°, external rotation: 90°, and internal rotation: 70-90°.

  5-6weeks

• Push-Up Plus Test

  The Push-Up Plus Test is designed to assess both scapular stability and serratus anterior muscle strength from the observed scapular movements during the 'plus' action in a push-up formation. They are either pass/fail scores or quantitative repet

  5-6weeks

Study Arms (2)

Range of Motion Exercises

EXPERIMENTAL

Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance.

Other: Range of Motion Exercises

Strengthening exercises with theraband

EXPERIMENTAL

They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain.

Other: Strengthening exercises with theraband

Interventions

Range of Motion Exercises OTHER

Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance.

Range of Motion Exercises

Strengthening exercises with theraband OTHER

They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain.

Strengthening exercises with theraband

Eligibility Criteria

• Age: 18 Years - 40 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• People in the military who are between 18 and 50 years old.
• Active participation in sports activities for the military.
• Diagnosing rotator cuff tendon pain in medical practice.
• Basic shoulder movement within a certain range of motion.

You may not qualify if:

• History of shoulder surgery.
• Systemic inflammatory diseases.
• Disorders of the brain or mind that affect physical actions.
• Not being able to stick to the plan for later.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Combined Military Hospital

Lahore, Punjab Province, Pakistan

Location

Related Publications (10)

• Abufoul R, Gavish L, Haddad M. Photobiomodulation self-treatment at home after rotator cuff arthroscopic repair accelerates improvement in pain, functionality, and quality of life: A double-blind, sham-controlled, randomized clinical trial. Lasers Surg Med. 2023 Sep;55(7):662-673. doi: 10.1002/lsm.23692. Epub 2023 Jun 8.

  PMID: 37288499 BACKGROUND

• Cools AM, Maenhout AG, Vanderstukken F, Decleve P, Johansson FR, Borms D. The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play. Ann Phys Rehabil Med. 2021 Jul;64(4):101384. doi: 10.1016/j.rehab.2020.03.009. Epub 2020 Apr 29.

  PMID: 32320753 BACKGROUND

• AlAnazi A, Alghadir AH, Gabr SA. Handgrip Strength Exercises Modulate Shoulder Pain, Function, and Strength of Rotator Cuff Muscles of Patients with Primary Subacromial Impingement Syndrome. Biomed Res Int. 2022 Aug 30;2022:9151831. doi: 10.1155/2022/9151831. eCollection 2022.

  PMID: 36082154 BACKGROUND

• Kesikburun S, Tan AK, Yilmaz B, Yasar E, Yazicioglu K. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up. Am J Sports Med. 2013 Nov;41(11):2609-16. doi: 10.1177/0363546513496542. Epub 2013 Jul 26.

  PMID: 23893418 BACKGROUND

• Camargo PR, Alburquerque-Sendin F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop. 2014 Nov 18;5(5):634-44. doi: 10.5312/wjo.v5.i5.634. eCollection 2014 Nov 18.

  PMID: 25405092 BACKGROUND

• Schedler S, Brueckner D, Hagen M, Muehlbauer T. Effects of a Traditional versus an Alternative Strengthening Exercise Program on Shoulder Pain, Function and Physical Performance in Individuals with Subacromial Shoulder Pain: A Randomized Controlled Trial. Sports (Basel). 2020 Apr 13;8(4):48. doi: 10.3390/sports8040048.

  PMID: 32294940 BACKGROUND

• Bourke J, Skouteris H, Hatzikiriakidis K, Fahey D, Malliaras P. Use of Behavior Change Techniques Alongside Exercise in the Management of Rotator Cuff-Related Shoulder Pain: A Scoping Review. Phys Ther. 2022 Apr 1;102(4):pzab290. doi: 10.1093/ptj/pzab290.

  PMID: 34972867 BACKGROUND

• Jones BH, Canham-Chervak M, Sleet DA. An evidence-based public health approach to injury priorities and prevention recommendations for the u.s. Military. Am J Prev Med. 2010 Jan;38(1 Suppl):S1-10. doi: 10.1016/j.amepre.2009.10.001.

  PMID: 20117582 BACKGROUND

• Jones A, Sealey R, Crowe M, Gordon S. Concurrent validity and reliability of the Simple Goniometer iPhone app compared with the Universal Goniometer. Physiother Theory Pract. 2014 Oct;30(7):512-6. doi: 10.3109/09593985.2014.900835. Epub 2014 Mar 25.

  PMID: 24666408 BACKGROUND

• Keene DJ, Soutakbar H, Hopewell S, Heine P, Jaggi A, Littlewood C, Hansen Z, Barker K, Hamilton W, Carr AJ, Lamb SE. Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the 'Getting it Right: Addressing Shoulder Pain' (GRASP) trial. Physiotherapy. 2020 Jun;107:252-266. doi: 10.1016/j.physio.2019.07.002. Epub 2019 Jul 9.

  PMID: 32026827 BACKGROUND

MeSH Terms

Conditions

Shoulder Pain

Interventions

Range of Motion, Articular

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Faiza Islam, DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 18, 2024
• First Posted: February 14, 2025
• Study Start: April 24, 2024
• Primary Completion: November 10, 2024
• Study Completion: February 25, 2025
• Last Updated: February 14, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)