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| Name | Class |
|---|---|
| Badr University | OTHER |
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Study aiming at determining the efficacy of eccentric versus concentric exercises for improving tendon biological characteristics, pain, and shoulder overall function for rotator cuff tendinopathy in patients with Rheumatoid arthritis (RA).
Moreover, investigation the relationship between RA activity and the severity of rotator cuff tendinopathy.
Patients will be randomly assigned into either concentric or eccentric exercise group. Randomizations will be done using computer random generated numbers.
Study aiming at determining the efficacy of eccentric versus concentric exercises for improving tendon biological characteristics, pain, and shoulder overall function for rotator cuff tendinopathy in patients with RA. Moreover, investigation the relationship between RA activity and the severity of rotator cuff tendinopathy.
Patients will be randomizations using computer random generated numbers. patients will receive either eccentric or concentric exercises for internal, external rotators and abductors muscles All patient will do stretching for posterior capsule and pectoralis minor Tendon biological changes and subacromial space will be assessed using musculoskeletal ultrasonography Shoulder function will be assessed using SPADI (shoulder pain and disability index Pain will be assessed using Visual Analogue Scale (VAS) Rheumatoid arthritis disease activity will be assessed using Disease Activity Score-28 for Rheumatoid Arthritis with erythrocyte sedimentation rate (DAS 28 ESR) patient will be assessed at base-line and after finishing of the study
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Concentric exercises group | Experimental | patient will do Concentric exercises. Patients will receive 3 sessions per week for 4 weeks. Exercise will be done under the supervision of the same physical therapist. During each session. Exercise will be in the form of glenohumeral scaption, internal and external rotation exercises. patient will also do stretching for posterior capsule and pectoralis minor |
|
| Eccentric exercises group | Experimental | patient will do eccentric exercises. Patients will receive 3 sessions per week for 4 weeks. Exercise will be done under the supervision of the same physical therapist during each session. Exercise will be in the form of glenohumeral scaption, internal and external rotation exercises. patient will also do stretching for posterior capsule and pectoralis minor |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| concentric exercises | Other | concentric exercises for rotator cuff. internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder function | shoulder Pain and Disability Index (SPADI): It is a self-reported questionnaire evaluating the function of the shoulder. | one month |
| Measure | Description | Time Frame |
|---|---|---|
| tendon thickness, fibrillar pattern and echogenicity | tendon thickness, fibrillar pattern and echogenicity as measured Ultrasonography | one month |
| subacromial space | shoulder subacromial space as measured by Ultrasonography |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohammed Shawki Abdelsalam, PhD | Assistance Professor,Faculty of Physical Therapy Cairo University | Study Chair |
| Mona Fagaal, PhD | Assistance Professor, Faculty of Physical Therapy Badr University in Cairo | Study Director |
| Mohammed Moustafa Aldosouki Hegazy, PhD | Lecturer,Faculty of Physical Therapy Cairo University | Study Director |
| Rasmia Mohamed Hassan ElGohry, phD | Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Badr University in Cairo (BUC) | Cairo | 12311 | Egypt |
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| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D000070636 | Rotator Cuff Injuries |
| D052256 | Tendinopathy |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| eccentric exercises | Other | Eccentric exercises exercises for rotator cuff internal rotators, external rotators and abductors Patient will do 3 sets of 10 repetitions resistance will be personalized to each patients |
|
| Stretching | Other | stretching exercise for posterior capsule and pectoralis minor each stretch will be done for 30 seconds and repeated 3 times |
|
| one month |
| Pain measured by Visual analogue scale (VAS) | pain as measured by Visual analogue scale which a 10 cm scale marked at the beginning zero indicating no pain and 10 at the end indicating worst pain | one month |
| ESR | Erythrocyte sedimentation rate | one month |
| disease activity score 28 Erythrocyte sedimentation rate (DAS 28- ESR) | disease activity score 28 Erythrocyte sedimentation rate High disease activity is defined as a DAS 28 ESR>5.1, moderate activity as a DAS 28 ESR between 3.2 and ≤5.1, low activity as a DAS 28 ESR between 3.2 and >2.6, and remission as a DAS 28 ESR less than 2.6 | one month |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
| D009135 | Muscular Diseases |