Effects of TNT on Pain, ROM and Disability in Patients With RC Tendinopathy

Riphah International University

Status: Enrolling

Conditions: Rotator Cuff Tendinopathy

Treatments: Other: conventional training; Other: tendon neuroplastic training

Study type: Interventional

Funder types: Other

Identifiers

NCT06707857

REC/RCR & AHS/24/0111

Details and patient eligibility

About

EFFECTS OF TENDON NEUROPLASTIC TRAINING ON PAIN, RANGE OF MOTION AND DISABILITY IN PATIENTS WITH ROTATOR CUFF TENDINOPATHY

Full description

Rotator cuff tendinopathy is a condition where the shoulder's tendon suffers small tears or inflammation, often causing pain frequently arises from repetitive overuse or the natural aging process Regular overhead activities can aggravate the shoulder's wear and tear, leading to tendinosis. The purpose of this study is to evaluate and compare the impact of tendon neuroplastic training with standard treatments on pain levels, functional disability, and the range of motion in patients suffering from rotator cuff tendinopathy. Data were collected from Riphah rehabilitation clinic Lahore. Nprs , goinmeter and Spadi questioner were used before and after the intervention. Assessment was done through the tool before and after the treatment.

Enrollment: 38 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have a current shoulder complaint lasting at least three months prior to the time of enrollment
• Pain is located in the proximal lateral aspect of the upper arm (C5 dermatome)
• Positive Hawkins-Kennedy test

Exclusion criteria

• Bilateral shoulder pain
• Less than 90 degrees of active elevation of the arm
• Corticosteroid injection within the last six weeks
• Radiologically verified fracture
• Glenohumeral osteoarthritis
• Surgery or dislocation of the affected shoulder
• Symptomatic arthritis in the Ac joint
• Frozen shoulder
• Symptoms derived from the cervical spine

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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38 participants in 2 patient groups

Tendon neuroplastic training

Experimental group

Description:

Group A will be treated with tendon neuroplastic training. The exercise involved isolated abduction external rotation ,internal rotation and flexion paced to an external audio cue on the patients' smartphone The patient was to listen to the sound and track the movement of the metronome with his eyes, as pacing to these types of external cues has been shown to modulate conspiratorial excitability.The pace of the metronome was set to 6 beats per minute such that each beat was ten seconds apart. This allowed a ten second isometric, eccentric and concentric phase, in 30 seconds totally. Three sets of 10 repetitions of slow progressive exercises (eccentric, concentric and isometric respectively) of the wrist rotator cuff muscles at each treatment session were performed, with 1-min rest interval between each set. The patient followed the supervised exercise programme 3 times a week for 6 weeks

Treatment:

Other: tendon neuroplastic training

Conventional training

Active Comparator group

Description:

Group B will be treated with conventional therapy Participants will perform isometric contraction of the arm at 90° of elevation in the scapular plane. External and internal rotation, respectively) will be performed in the same positions of isometric strength assessment.Individuals will perform three sets, sustained for 32 s, at 70% of maximal voluntary isometric contraction (MVIC), resting for 80 seconds between sets.Resistance load will be determined according to maximal isometric strength of elevation and external and internal rotations measured during the pre-intervention assessment

Treatment:

Other: conventional training