Status:
NOT_YET_RECRUITING
STOP - START With Rotator Cuff-related Shoulder Pain (RCRSP) Study
Lead Sponsor:
Sussex Community NHS Foundation Trust
Conditions:
Musculoskeletal Diseases
Eligibility:
All Genders
18-90 years
Phase:
NA
Brief Summary
Shoulder pain is the third most common type of musculoskeletal (MSK) disorder for which people seek medical care. Roughly 70% of all shoulder pain can be accounted for by one condition, namely rotator...
Detailed Description
The aims of this study are to 1. investigate the relationship between pain-free shoulder abduction and external rotation force and pain and disability in those with RCRSP, and 2. to assess the effect...
Eligibility Criteria
Inclusion
- • Age 18 years or older
- Shoulder pain of at least 3-month duration.
- Minimal resting pain
- Pain reproduced during resisted testing in shoulder abduction and/or external rotation.
- Diagnosis of rotator cuff-related shoulder pain (RCRSP) suggested by at least 3 of the following tests being positive:
- Near normal passive range of shoulder flexion / abduction / external rotation
- Pain may or may not be present during active shoulder external rotation when tested at 0° of shoulder abduction but will increase with resisted\* external rotation.
- Pain may or may not be present during active shoulder external rotation when tested at 90° of shoulder abduction but will increase with resisted external rotation.
- Pain may or may not be present during active shoulder abduction when tested through range but will increase with resisted abduction (plane of scapula, elbow extended, forearm in mid prone) at 45° and / or 90° and / or 150° and / or end-range.
- Pain may or may not be present during active shoulder flexion when tested through range but will increase with resisted flexion (elbow extended, forearm in mid prone) at 45° and / or 90° and / or 150° and / or end-range.
- Presence of a painful arc of movement.
Exclusion
- Known calcific tendinopathy, based on previous imaging.
- Patients with clinical signs of massive rotator cuff tears as defined by presence of gross weakness of rotator cuff muscles in the absence of pain.
- Other shoulder disorders e.g., frozen shoulder, severe osteoarthritis, fracture, acromioclavicular joint pathology, history of shoulder dislocation.
- Shoulder external rotation less than 45 degrees or 50% of the opposite side.
- Undergone previous shoulder surgery on same side.
- Symptomatic cervical spine pathology, defined as reproduction of neck, shoulder or upper limb symptoms with active physiological cervical spine movement of any of the following movements in isolation or in combination: flexion, extensions: rotation (left and / or right), side flexion (left and / or right).
- Presence of significant co-morbidity e.g., neurological disorders, rheumatoid arthritis, unstable diabetes, unstable blood pressure
- Current carcinoma, TB, or HIV
- Unlikely to be able to perform required clinical assessment tasks.
- Inability to understand written or spoken English language.
Key Trial Info
Start Date :
January 1 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
October 1 2027
Estimated Enrollment :
110 Patients enrolled
Trial Details
Trial ID
NCT06107127
Start Date
January 1 2024
End Date
October 1 2027
Last Update
October 30 2023
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