Glenohumeral OsteoArthritis Therapy Trial | NCT07744542

NCT07744542

Overview

NCT ID: NCT07744542
Lead Sponsor: State University of New York at BuffaloOTHER
Official Title: A Prospective Randomized Trial Comparing Physical Therapy or Home Exercise With No Treatment for Patients With Glenohumeral Osteoarthritis
Brief Summary: Arthritis of the shoulder glenohumeral joint is a growing problem in an aging population. Treatment options for glenohumeral arthritis can be grouped into three main categories: 1) shoulder replacement surgery, 2) injections (corticosteroid, hyaluronic acid and PRP) and physical therapy (PT). Surgery comes with risks and the potential for implant failure or revision over time. Therefore, it is typical for doctors to prescribe injections and/or PT before discussing surgery. Sometimes, insurance companies will require PT before considering a shoulder operation. It is unknown if PT is effective for improving function or pain with patients with glenohumeral arthritis. The aim of this study is to compare pain and functional outcomes after undergoing a 12 week PT program, at home PT exercises or delaying conservative treatment.
Conditions

Ages Eligible for Study: Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: All
Accepts Healthy Volunteers?: No
Eligibility Criteria: Inclusion Criteria:

Patient diagnosed with glenohumeral arthritis

Patient > 18 years of age (adults)

Patient provided written informed consent for study participation with IRB approved consent form

Patient is willing and able to comply with scheduled clinical and radiographic evaluations and physical therapy regimen

Exclusion Criteria:

-Have had corticosteroid injections in the affected shoulder(s) within 6 weeks of starting physical therapy.

Those that have glenohumeral arthritis that is inflammatory, post traumatic or related to rotator cuff tear arthropathy in nature

Have avascular necrosis of the glenohumeral joint

Have failed a course of 6 weeks of physical therapy within the last year

Have had surgery on the symptomatic shoulder in the past year

Daily use of opioid (excluding tramadol or codeine).

Have dementia

Currently in a physical therapy program for more than 2 weeks

Have planned total shoulder arthroplasty in the next 6 months.

Live in a nursing home

Additionally special populations listed below such as pregnant women, and prisoners will be excluded.

NCT02587559Withdrawn

Effectiveness of Manual Therapy and Exercise in Shoulder OA

NCT04845074Completed

Prosthesis Versus Active Exercise Program in Patients With Glenohumeral Osteoarthritis

NCT03719859Completed

Home Exercise vs PT for Reverse Total Shoulder Arthroplasty

NCT04199390Completed

Physical Therapy Following Total Hip Arthroplasty

NCT03958227Completed

Investigation The Efficacy of Manual Therapy and Exercise in Patients With Glenohumeral Arthritis

NCT02320500Completed

Comparing Conservative Therapies for the Alleviation of Knee Pain in Knee Osteoarthritis

NCT00988468Terminated

Manual Therapy Versus Exercise on Knee Osteoarthritis

NCT04492462Unknown status

The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery