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The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program
Participants who meet the inclusion criteria will be randomly distributed between group 1 "Global Postural Reeducation (GPR)", group 2 "exercise", or group 3 "no physical therapy intervention".
Group 1 participants will receive a physical therapy treatment using the GPR method for 6 weeks consisting of 1 weekly session lasting 40 min performing "frog on the ground" and "sitting" poses. Patients in this group will also perform self-postures at home daily for 10 minutes.
Group 2 participants perform training for 6 weeks using non-specific aerobic exercise consisting of a daily 20-minutes walk at a speed of 4-5 km/h.
Group 3 participants will not receive any physical therapy treatment and will serve as a control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1. Global Postural Reeducation (GPR) intervention | Experimental | Patients who will receive the Global Postural Reeducation (GPR) treatment protocol |
|
| Group 2. Non-specific Aerobic exercice intervention | Experimental | Patients who will receive the non-specific aerobic exercise treatment protocol |
|
| Group 3. No physiotherapy intervention | No Intervention | Patients who will not receive physiotherapy treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GPR Group | Other | 6-week treatment using the Global Postural Reeducation (GPR) method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in pain and disability after the treatment program | Shoulder Pain and Disability Index (SPADI). Minimum value=0. Maximun value=100 | Baseline, one week after the last sessio, 3 months and 6 months after the last session |
| Changes in pain and disability after the treatment program | The Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Minimum value=0. Maximun value=100 | Baseline, one week after the last sessio, 3 months and 6 months after the last session |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in pain after the treatment program | Numerical Pain Rating Scale (NPRS). Minimum value=0 (no pain). Maximun value=10 (the worst pain imaginable) | Baseline, one week after the last sessio, 3 months and 6 months after the last session |
| Changes in pressure pain sensitivity |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in stifness (cervical plexus, radial nerve, supraespinatus and infraespinatus muscles) | Ultrasound Shear-Wave elastography | Baseline, one week after the last sessio, 3 months and 6 months after the last session |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Javier Alvarez-González | Francisco de Vitoria University, Madrid, Spain | Principal Investigator |
| Arturo Morales-Muñiz, PhD | Autonomous University of Madrid, Madrid, Spain | Study Director |
| Alfredo Bravo-Sánchez, PhD | Francisco de Vitoria University, Madrid, Spain | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Francisco de Vitoria University | Pozuelo de Alarcón | Madrid | 28223 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9233322 | Background | van der Heijden GJ, van der Windt DA, de Winter AF. Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials. BMJ. 1997 Jul 5;315(7099):25-30. doi: 10.1136/bmj.315.7099.25. | |
| 21889366 | Background | Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1. |
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All IPD that underlie results in a publication
6 months after publication
Mail to the IP describing the interest and the purpose for accessing the data
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| D052256 | Tendinopathy |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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| Aerobic Exercice Group | Other | 6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min) |
|
Pressure Pain Thresholds (PPH) |
| Pre, Post inmediate, and follow-up at 3 and 6 months |
| Changes in Quality of Life | Short-Form 12 Health Status Questionnaire. The response options form Likert-type scales that evaluate intensity or frequency. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average. | Baseline, one week after the last session, 3 months and 6 months after the last session |
| Changes in Range of Motion | Goniometer | Baseline, one week after the last sessio, 3 months and 6 months after the last session |
| 22507359 | Background | Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012 Jun;98(2):101-9. doi: 10.1016/j.physio.2011.08.002. Epub 2011 Oct 5. |
| 7478692 | Background | Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contraction. Pain. 1995 Jun;61(3):481-486. doi: 10.1016/0304-3959(94)00217-3. |
| 23141188 | Background | Naugle KM, Fillingim RB, Riley JL 3rd. A meta-analytic review of the hypoalgesic effects of exercise. J Pain. 2012 Dec;13(12):1139-50. doi: 10.1016/j.jpain.2012.09.006. Epub 2012 Nov 8. |
| 25092553 | Background | Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):441-7. doi: 10.1016/j.jmpt.2013.08.011. Epub 2014 Aug 3. |
| 27884499 | Background | Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017 Jun;103(2):167-173. doi: 10.1016/j.physio.2016.09.001. Epub 2016 Sep 21. |
| 29163981 | Background | Kinsella R, Cowan SM, Watson L, Pizzari T. A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2017 Nov 14;3:45. doi: 10.1186/s40814-017-0190-3. eCollection 2017. |
| D009135 |
| Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |