Therapeutic Exercise for Rotator Cuff Tendinopathy / Subacromial Pain Syndrome - Outcomes and Mechanisms

Part of paid clinical trials in Los Angeles, California.

Sponsor
University of Southern California
Study ID
NCT04923477
Status
Recruiting
Apply to this trial

Conditions

  • Rotator Cuff Injuries
  • Rotator Cuff Tendinitis
  • Rotator Cuff Tendinosis
  • Subacromial Pain Syndrome

Eligibility Criteria

Sex
ALL
Age
18 Years - 55 Years
Healthy Volunteers
Not accepted

Interventions

  • Therapeutic Exercise for Rotator Cuff Tendinopathy / Subacromial Pain Syndrome — OTHER
    Therapeutic exercise of resistance and mobility via a combination of HEP and in-person/virtual visits 5 days/ wk. Exercise program instruction in person, then 2-3 visits /wk x 8 wks (in-person or virtual) with a trained professional for the progression of exercises. Adherence to exercise will be measured daily via text and recorded in a mobile app. Patients will start with Phase 1 exercises of shoulder external \& internal rotation, scapular stabilization, and active shoulder elevation; resistance levels of elastic bands will be assigned and progressed based on patient-reported shoulder pain and perceived difficulty. Patients will be advanced to Phase 2 when they complete Phase 1. The exercise protocol will be delivered with the methods previously published by Tate, 2010 and Mintken 2016.

Study Details

Rotator cuff tendinopathy, one of the pathologies identified as part of the cluster of shoulder symptoms known as subacromial pain syndrome, is a common musculoskeletal shoulder condition. Resolution of pain and disability is poor despite treatment, with only about 50% reporting full recovery at 12 - 18 months. Prior studies suggest therapeutic exercise when used alone and with other interventions can have positive outcomes; however, not all patients with rotator cuff tendinopathy respond. Few studies have assessed the effects of exercise for individuals with chronic pain, especially brain driven mechanisms, thought to play a key role. In this study, we will use brain imaging to understand the mechanisms, identify predictors of a positive response to exercise, and the relationship to biomechanical and pain-related factors in patients with RC tendinopathy. The findings from this study will optimize the delivery and treatment response to exercise for individuals with shoulder pain.

Key Dates

Start date
Jun 8, 2021
Status verified
Jan 2026
Primary completion
Dec 31, 2026
Completion
Dec 31, 2026

Study Design

Enrollment
60 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT

Arms

  • Experimental: Exercise Group
    Therapeutic exercise of resistance and mobility training delivered by a trained health professional x 8 weeks.

Primary Outcome Measure

Pennsylvania Shoulder Score (PENN) [ Time Frame: Baseline, 2 weeks, 4 weeks, 8 weeks, 26 weeks and 52 weeks ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Clinical Biomechanics Orthopedic and Sports Outcomes Research LaboratoryLos AngelesCalifornia90089
Kayla Seymore, PhD
[email protected]
323-224-5032
Lori A Michener, PhD (PRINCIPAL_INVESTIGATOR)

Find similar trials in Los Angeles, CA

By research site
Clinical Biomechanics Orthopedic and Sports Outcomes Research Laboratory· Los Angeles, CA

Related Studies