The Effectiveness of Different Exercise Approaches in Biceps Brachii Long Head Tendinopathy

Hacettepe University

Status: Enrolling

Conditions: Sports Physical Therapy; Tendinopathy

Treatments: Other: Eccentric Exercise; Other: Combined Exercise; Other: Control Group Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT07025668

BisepsLongHead

Details and patient eligibility

About

This study was planned to analyze the changes in tendon cross-sectional area and shoulder pain with different exercise approaches applied in biceps brachii long head tendinopathy.

Full description

There are different conservative treatment options for biceps brachii long head tendinopathy. However, the exercise approaches that can be applied for biceps brachii tendinopathy are not clear in the literature. This study aims to investigate the effectiveness of exercises that include 12 weeks of eccentric training or combined exercise approaches.

Enrollment: 36 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having shoulder pain lasting 3 months or more
• Without a history of surgery, having a diagnosis of shoulder rotator cuff tendinopathy, rotator cuff stage 1-2 tear or subacromial impingement, and having been diagnosed with secondary biceps long head tendinopathy by a physician
• Pain level during activity > 3 according to the visual analog scale
• Patients who have been informed about the study and have given written consent to participate in the study will be included in the study.

Exclusion criteria

• Acute shoulder injury
• History of shoulder and cervical surgery
• Limitation of passive range of motion
• History of local corticosteroid injection within the last 12 months
• Patients who cannot comply with the exercise program will be excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 3 patient groups

Eccentric Exercise Group

Active Comparator group

Description:

In the eccentric exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, eccentric strengthening exercises for the biceps brachii muscle will be given.

Treatment:

Other: Eccentric Exercise

Combined-Exercise Group

Active Comparator group

Description:

In the combined exercise group, in addition to strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle, progressive isometric, isotonic and plyometric strengthening training will be given to the biceps brachii muscle.

Treatment:

Other: Combined Exercise

Control Group

Active Comparator group

Description:

In the control group, strengthening exercises for the periscapular muscles and stretching exercises for the biceps brachii muscle will be given. Strengthening exercises for the biceps brachii muscle will not be given in this group.

Treatment:

Other: Control Group Exercise