Actively Recruiting

Phase Not Applicable
Age: 30Years - 55Years
All Genders
ID07390396

Effect of Adding Extracorporeal Shock Wave Therapy to Exercises in Rotator Cuff Tendinopathy: A Randomized Controlled Trial

Led by Deraya University · Updated on 2026-02-05

50

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Rotator cuff tendinopathy is a common cause of shoulder pain that leads to difficulty using the shoulder and lowers quality of life. Researchers are studying whether adding extracorporeal shock wave therapy (ESWT) to a program of rotator cuff and scapular stabilization exercises improves recovery compared to exercise alone. This trial includes adults aged 30 to 55 with confirmed rotator cuff tendinopathy lasting more than three months. Participants are randomly divided into two groups. One group receives ESWT once a week for six weeks along with exercises three times weekly, focusing on strengthening and controlling shoulder muscles. The other group performs the same exercise program without ESWT. ESWT is applied to the supraspinatus tendon using a focused probe delivering 1500 shocks per session at a pressure of 1.5 bar. During the six-week study, participants will be monitored for changes in tendon thickness, shoulder pain levels, shoulder disability, and muscle strength. These measures are assessed at the start and end of treatment. The study aims to understand if combining ESWT with exercise offers greater benefits for tendon healing and shoulder function than exercise therapy alone.

CONDITIONS

Brief Title

Effect of Adding Extracorporeal Shock Wave Therapy to Exercises in Rotator Cuff Tendinopathy

Who Can Participate

Age: 30Years - 55Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Medically stable individuals who consent to participate in the study.
  • Male and female participants aged between 30 and 55 years.
  • Diagnosed with rotator cuff tendinopathy, confirmed clinically and by ultrasound or MRI.
  • Duration of symptoms greater than 3 months.
  • Supraspinatus tendon thickness > 5.85 mm as measured by ultrasound.
  • Able to follow the treatment plan and attend all therapy sessions.
Not Eligible

You will not qualify if you...

  • Massive rotator cuff tear or complete tendon rupture.
  • Adhesive capsulitis or significant limitation of passive shoulder motion.
  • History of shoulder fracture, dislocation, or surgery in the affected limb.
  • Rheumatoid arthritis, diabetes mellitus, or systemic inflammatory disease.
  • Cervical radiculopathy or neurological involvement affecting the shoulder.
  • Corticosteroid injection in the affected shoulder within the last 6 months.
  • Pregnancy or breastfeeding.
  • BMI > 30 kg/m² (obese individuals excluded).
  • Current malignancy, open wounds, or local infection at the treatment site.
  • Inability to tolerate shock wave therapy or perform exercise sessions.

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 - 6 weeks

Participants receive a rotator cuff and scapular stabilization exercise program three times weekly for 6 weeks. Participants in the experimental group also receive extracorporeal shock wave therapy once weekly for 6 weeks to promote tendon healing and reduce shoulder pain.

Weekly visits for ESWT sessions and thrice weekly supervised exercise sessions

Trial Site Locations

Total: 1 location

1

faculty of physical therapy, Deraya University

Minya, Menia Governorate, Egypt

Actively Recruiting

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Research Team

A

Aliaa Hussein

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome.

Lori A Michener, Sevgi S Subasi Yesilyaprak, Amee L Seitz...

https://pubmed.ncbi.nlm.nih.gov/23736252

The influence of exercise on clinical pain and pain mechanisms in patients with subacromial pain syndrome.

Kristian Damgaard Lyng, Jonas Dahl Andersen, Steen Lund Jensen...

https://pubmed.ncbi.nlm.nih.gov/35852027

Heavy shoulder strengthening exercise in people with hypermobility spectrum disorder (HSD) and long-lasting shoulder symptoms: a feasibility study.

Behnam Liaghat, Søren T Skou, Uffe Jørgensen...

https://pubmed.ncbi.nlm.nih.gov/32670599

Ultrasonographic Measures of the Acromiohumeral Distance and Supraspinatus Tendon Thickness in Manual Wheelchair Users With Spinal Cord Injury.

Amélie Fournier Belley, Dany H Gagnon, François Routhier...

https://pubmed.ncbi.nlm.nih.gov/27431359

Cross-cultural adaptation and psychometric properties of an Arabic version of the Shoulder Pain and Disability Index.

Hisham A Alsanawi, Ahmad Alghadir, Shahnawaz Anwer...

https://pubmed.ncbi.nlm.nih.gov/25954858

Effect of extracorporeal shock wave combined with autologous platelet-rich plasma injection on rotator cuff calcific tendinitis: study protocol for a randomized controlled trial.

Xiaofang Wang, Shuya Jia, Jianhui Cui...

https://pubmed.ncbi.nlm.nih.gov/39294797

Effects of High-Energy Extracorporeal Shockwave Therapy on Pain, Functional Disability, Quality of Life, and Ultrasonographic Changes in Patients with Calcified Rotator Cuff Tendinopathy.

Arooj Fatima, Ashfaq Ahmad, Syed Amir Gilani...

https://pubmed.ncbi.nlm.nih.gov/35281612