Actively Recruiting

Phase Not Applicable
Age: 18Years - 50Years
All Genders
ID06873113

Blood Flow Restriction Training for Subacromial Pain: A Pilot Randomized Controlled Trial

Led by University of Florida · Updated on 2025-07-08

36

Participants Needed

1

Research Sites

91 weeks

Total Duration

On this page

Sponsors

U

University of Florida

Lead Sponsor

N

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating blood flow restriction training (BFRT) to see if it is safe and practical for people experiencing subacromial shoulder pain. This pilot clinical trial aims to learn what challenges patients might face when training with BFRT, whether BFRT can be included in physical therapy, and its early effects on shoulder function and strength recovery. The study compares active BFRT to a sham procedure that mimics the training but without therapeutic pressure. Participants will be randomly assigned to either the active BFRT group, where a device applies 50% of limb occlusion pressure during strengthening exercises, or the sham BFRT group, which uses a device set to 20mmHg pressure. Both groups perform four specific strengthening exercises with the BFRT device and receive skilled physical therapy care including warm-up, stretching, mobilizations, and cryotherapy. Physical therapy lasts at least 4 weeks, with ongoing BFRT exercises continuing up to 8 weeks. Participants will visit the clinic for physical therapy sessions and BFRT exercises over 8 weeks. Assessments occur before treatment, midway at 4 weeks, at the end of treatment (8 weeks), and again at 26 weeks. Researchers will monitor recruitment, feasibility, safety, retention, shoulder range of motion, strength, muscle size, tendon health, and patient-reported outcomes. The trial’s total follow-up spans about 6 months to evaluate progress and effects of the interventions.

CONDITIONS

Brief Title

BFRT for Subacromial Pain

Who Can Participate

Age: 18Years - 50Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Between 18 and 50 years of age
  • Unilateral pain in the anterolateral shoulder
  • Self-reported shoulder function of 7 or less on a 10-point scale
  • Ability to actively raise the shoulder at least 90 degrees
  • At least 3 out of 5 positive clinical tests indicating subacromial pain
Not Eligible

You will not qualify if you...

  • History of shoulder fracture, frozen shoulder, or shoulder surgery
  • Primary complaint of shoulder instability or dislocation
  • History of cardiovascular, neurological, or pulmonary conditions limiting physical therapy participation
  • Active cancer treatment
  • Uncontrolled diabetes
  • Uncontrolled high blood pressure
  • Corticosteroid injection in the shoulder within the past 6 weeks
  • Imaging evidence of rotator cuff tears
  • Pregnancy
  • Contraindications to blood flow restriction training such as sickle cell anemia, deep vein thrombosis, or peripheral circulatory diseases
  • Use of anticoagulant or antiplatelet medications

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants perform strengthening exercises using a blood flow restriction device combined with skilled physical therapy care. The device is applied to the involved upper extremity with different pressure settings depending on the study group. Strengthening exercises include four specific shoulder movements performed with controlled resistance and rest periods. Participants receive skilled physical therapy interventions including warm-up, range of motion, stretching, joint mobilizations, and cryotherapy for a minimum of 4 weeks. Following physical therapy discharge, participants continue the strengthening exercises with the device until the end of the 8-week treatment period.

Weekly visits for up to 8 weeks

Follow-up

Duration - Up to 26 weeks after enrollment

Participants are monitored for retention, safety, and functional outcomes including range of motion, strength, and shoulder function up to 26 weeks after enrollment.

Visits at 4 weeks, 8 weeks, and 6 months

Trial Site Locations

Total: 1 location

1

University of Florida

Gainesville, Florida, United States, 32610

Actively Recruiting

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Research Team

F

Federico Pozzi, PT, MA, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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