Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
To compare the efficacy of dextrose solution injection with ESWT for pain reduction in rotator cuff tendinopathy.
Additionally, secondary objective is to evaluate DASH and active range of motion of shoulder joint
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prolotherapy | Experimental | Solution 3.6 mL of 25% dextrose and 0.4 mL xylocaine total 4.0 mL And Solution 3.5 mL of 15% dextrose and 0.8 mL xylocaine total 4.3 mL each site Injection interval week 0, 3 and 6 Ultrasound guided injection Injection into enthesis points |
|
| Extracorporeal shock wave therapy (ESWT) | Active Comparator | ESWT Treatment interval week 0, 1 and 2 Energy intensity 0.20-0.25 mJ/mm2 per impulse Frequency 4-5 Hz for 2,000 shocks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prolotherapy | Procedure | Prolotherapy is an injection of a relatively small volume of an irritant or sclerosing solution at sites of painful ligament and/or tendon insertions, and in adjacent joint space over the course of several treatment sessions |
| Measure | Description | Time Frame |
|---|---|---|
| VAS score | Pain reduction VAS | Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Function DASH score | Disabilities of the arm, shoulder and hand | Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment |
| Shoulder ROM | Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation Active range of motion: Forward flexion Abduction Internal rotation External rotation |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Songsuda Roongsaiwatana, M.D. | Ramathibodi Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physical medicine and rehabilitation | Bangkok | 10400 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27429562 | Background | Hauser RA, Lackner JB, Steilen-Matias D, Harris DK. A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain. Clin Med Insights Arthritis Musculoskelet Disord. 2016 Jul 7;9:139-59. doi: 10.4137/CMAMD.S39160. eCollection 2016. | |
| 22672772 | Background | Galasso O, Amelio E, Riccelli DA, Gasparini G. Short-term outcomes of extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus: a double-blind, randomized, placebo-controlled trial. BMC Musculoskelet Disord. 2012 Jun 6;13:86. doi: 10.1186/1471-2474-13-86. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D000075527 | Prolotherapy |
| D000074059 | Extracorporeal Shockwave Therapy |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D014464 | Ultrasonic Therapy |
| D003972 | Diathermy |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Extracorporeal shock wave therapy (ESWT) | Device | Extracorporeal shock wave therapy (ESWT), a kind of physical modalities, generating acoustic pulses, that are high positive pressure amplitudes, subsequently transferring concentrated energy to small focal distant areas of 2-8 mm in diameter |
|
| Assessment at baseline, three weeks, six weeks, three months and six months after the end of the treatment |
| D006979 |
| Hyperthermia, Induced |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |