Status:
UNKNOWN
The Effect of an Evidence-based Physiotherapy Regimen for Patients With Rotator Cuff Tendinopathy
Lead Sponsor:
Bergen University College
Collaborating Sponsors:
University of Bergen
Conditions:
Tendinopathy
Shoulder Impingement Syndrome
Eligibility:
All Genders
18-70 years
Phase:
NA
Brief Summary
Primary aim of this study is to investigate wether an evidence-based physiotherapy regimen is more effective than standard care in patients referred for arthroscopic surgery of the shoulder. It is hyp...
Detailed Description
There has been a fourfold increase in surgery rates for non-traumatic shoulder disorders , despite increasing evidence demonstrating that there is no difference in effect between physiotherapy based- ...
Eligibility Criteria
Inclusion
- Patients on need for surgery ( placed at surgical waiting list at hospital or referred to surgery by their GP )
- Typical history with difficulties working with arms elevated over the head, and pain located in the upper segment of C5 dermatome.
- Symptom duration of minimum 3 months.
- Three or more reproducible signs of rotator cuff tendinopathy / subacromial impingement:
- Positive isometric abduction and/or lateral rotation (Ombregt, Bisschop \& Veer, 2003)
- Painful arc during active abduction (Ombregt, Bisschop \& Veer, 2003)
- Positive Neers sign (Neer, 1972 ; Tennent, Beach \& Meyers, 2003)
- Positive Jobes test (Jobe \& Moynes, 1982 ; Tennent, Beach \& Meyers, 2003)
- Positive Hawkins-Kennedy impingement test (Hawkins \& Kennedy, 1980)
Exclusion
- Shoulder pain due to trauma, e.g. fall.
- Reduced ROM consistent with adhesive capsulitis/frozen shoulder
- History in combination with examination and tests (apprehension/relocation), giving reason to suspect pathological instability
- Full thickness rupture of rotator cuff tendon
- OA of the glenohumeral joint, Os acromiale with decreased space of the subacromial space, previous fractures in the shoulder complex or shoulder surgery on the symptomatic side.
- Subjects with other comorbidity: Rheumatological or neurological disease, fibromyalgia or symptoms from the cervical spine
- Subjects suffering from serious psychiatric illness.
- Subjects unable to understand English or Norwegian.
- Less than 3 positive reproducible sings of rotator cuff pathology / subacromial disease.
Key Trial Info
Start Date :
April 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 1 2022
Estimated Enrollment :
80 Patients enrolled
Trial Details
Trial ID
NCT02304003
Start Date
April 1 2014
End Date
June 1 2022
Last Update
August 23 2018
Active Locations (1)
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1
Department of Physiotherapy, Hillevaag General Practitioner Practice
Stavanger, Norway, 4016