Effects of Movement Representation Techniques with Sensorimotor Training for Rotator Cuff Related Shoulder Pain

The Hong Kong Polytechnic University

Status

Not yet enrolling

Conditions

Rotator Cuff Related Shoulder Pain

Treatments

Other: Sensorimotor training with movement representation techniques

Study type

Interventional

Funder types

Other

Identifiers

NCT06823206

HSEARS20231205001

Details and patient eligibility

About

The aim of this study is to evaluate the efficacy of 12 weeks of sensorimotor training with movement representation techniques for reducing pain intensity in people with rotator cuff related shoulder pain, relative to standard care. Besides, the secondary aim of this study is to explore the mechanisms underlying the effects of central mechanism treatment in people with rotator cuff related shoulder pain. A total of 122 older adults aged 50 or above with the presence of shoulder pain for more than three months will be recruited and randomized into 12-weeks of movement representation techniques with sensorimotor training vs. standard care. Shoulder pain and disability Index (SPADI), changes in primary motor cortex (M1) using brain MRI, changes in subacromial space using ultrasound imaging, Widespread Pain Index (WPI), Pain Catastrophising Scale (PCS), and Fear-avoidance Beliefs questionnaires (FABQ) will be assessed at baseline and 12-week post intervention.

Enrollment

122 estimated patients

Sex

All

Ages

50+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Aged 50 or above
Presence of shoulder pain for more than three months
Clinical test showed 3/5 positive tests (painful arc, resisted external rotation, Neer test, Kennedy-Hawkins test, and Jobe test), and the intensity of pain being provoked should be ≥ 3/10 on an 11-point numeric pain rating scale (NPRS)
Structural changes of rotator cuff tendons using MRI or ultrasound imaging

Exclusion criteria

History of trauma
Shoulder fracture, glenohumeral osteoarthritis, or arthritis in the acromioclavicular joint
Clinically suspected labrum lesion
Previous shoulder surgery or dislocation
Clinical signs of anterior shoulder instability
Clinical signs of frozen shoulders
Previous clinical treatment or corticosteroid injection for a shoulder injury within the last 12 months
Symptoms referred from or related to the spine; and (9) other competing diagnoses (i.e., rheumatoid arthritis, cancer, neurological disorders, fibromyalgia, or psychiatric illness).