Analysis of the Effect of Neuromuscular Electro-stimulation on the Performance of Isometric Rotator Cuff Strength.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT06023914 |
Recruitment Status :
Not yet recruiting
First Posted : September 5, 2023
Last Update Posted : September 5, 2023
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Rotator Cuff Impingement Syndrome Rotator Cuff Tendinitis Subacromial Impingement Syndrome | Other: STRENGTH EVALUATION WITH ELECTROSTIMULATOR Other: STRENGTH EVALUATION WITHOUT ELECTROSTIMULATOR | Phase 2 Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 60 participants |
Allocation: | Randomized |
Intervention Model: | Crossover Assignment |
Intervention Model Description: | The model of strength assessments will be performed randomly. After the individual has performed the first evaluation, he will be evaluated in sequence with the other technique. |
Masking: | Single (Outcomes Assessor) |
Masking Description: | The physiotherapist responsible for carrying out the strength assessments will be blind to which patient has the pathological condition and who is the healthy individual. |
Primary Purpose: | Diagnostic |
Official Title: | Analysis of the Effect of Neuromuscular Electro-stimulation on the Performance of Isometric Rotator Cuff Strength in Patients With Tendinopathy. |
Estimated Study Start Date : | September 1, 2023 |
Estimated Primary Completion Date : | September 1, 2023 |
Estimated Study Completion Date : | January 31, 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: Isometric strength evaluation with a device of electro-stimulation
The measurement of rotator cuff strength (medial and lateral rotation) and shoulder elevation will be performed with a Medeor® manual dynamometer. To measure the strength of the medial and lateral rotators, the subject will be positioned in dorsal decubitus, with the shoulder abducted at 45º and in 30º of horizontal adduction (scapular plane), elbow flexed at 90º and neutral rotation, with the dynamometer positioned, respectively, over the distal radio-ulnar joint on the volar or dorsal surface. In all these strength assessments, individuals will be required to perform a maximum isometric contraction for 5 seconds. According to the order of randomization, one of the two evaluations will be carried out initially. We will call the evaluation with electrostimulation experimental here. The device to be used will be a GLOBUS® brand equipment, the equipment presents several types of pre-programmed currents, parameters have also been used in similar studies. |
Other: STRENGTH EVALUATION WITH ELECTROSTIMULATOR
Evaluation of isometric strength using an electrostimulator. |
Active Comparator: Isometric strength evaluation
The measurement of rotator cuff strength (medial and lateral rotation) and shoulder elevation will be performed with a Medeor® manual dynamometer. To measure the strength of the medial and lateral rotators, the subject will be positioned in dorsal decubitus, with the shoulder abducted at 45º and in 30º of horizontal adduction (scapular plane), elbow flexed at 90º and neutral rotation, with the dynamometer positioned, respectively, over the distal radio-ulnar joint on the volar or dorsal surface. In all these strength assessments, individuals will be required to perform a maximum isometric contraction for 5 seconds. We will call this intervention active comparator, as both groups of patients will undergo this evaluation, which will be performed without electrostimulation. |
Other: STRENGTH EVALUATION WITHOUT ELECTROSTIMULATOR
Evaluation of isometric strength not using an electrostimulator. |
- isometric muscle strength of rotator cuff muscles [ Time Frame: short term, immediately after use. ]The primary objective will be to evaluate the isometric muscle strength of the rotator cuff muscles, comparing with the use of the electrostimulator, the measures will be in kgf.
- Analyses of isometric strength between groups of healthy and unhealthy individuals. [ Time Frame: short term, immediately after use. ]- To analyze isometric external and internal rotator strength relationships between groups of healthy and unhealthy individuals, the measures will be in kgf..
- Intra-group group analyses [ Time Frame: short term, immediately after use. ]To analyze intra-group isometric external and internal rotator strength relationships, comparing symptomatic and asymptomatic sides, dominant and non-dominant sides, the measures will be in kgf.
- other rotator cuff muscle strength analyses [ Time Frame: short term, immediately after use. ]To analyze the effect of neuromuscular electrostimulation during the production of isometric strength of external and internal rotators of the shoulder, making comparisons between groups, intra groups, in healthy and unhealthy individuals, the measures will be in kgf.
- strength relationship between symptomatic and asymptomatic [ Time Frame: short term, immediately after use. ]Analyze the strength relationship between asymptomatic individuals by making comparisons between the symptomatic and asymptomatic sides., the measures will be in kgf.
- relationship between symptomatic and asymptomatic and force production [ Time Frame: short term, immediately after use. ]To explore the relationships between isometric force production and reproduction of shoulder symptoms or discomfort in symptomatic and asymptomatic individuals., the measures will be in kgf and pain, wich will use the Visual Analog Score for pain.
- relationship between symptomatic and asymptomatic and force production and pain [ Time Frame: short term, immediately after use. ]To explore the relationships between isometric force production and reproduction of shoulder symptoms or discomfort in symptomatic and asymptomatic individuals., the measures will be in kgf and correlated with pain, wich will use the Visual Analog Score for pain.
- relationship between symptomatic and asymptomatic strength and function [ Time Frame: short term, immediately after use. ]Observe the relationship between shoulder function and rotator cuff muscle strength in patients with the studied condition, assessed with a scale.
- relationship between symptomatic and asymptomatic strength and pain [ Time Frame: short term, immediately after use. ]Observe the relationship between shoulder function and rotator cuff muscle strength in patients with the studied condition, assessed with a scale and pain.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 25 Years to 50 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Complaint of shoulder pain for at least 30 days
- Age between 25 and 50 years
- Diagnosis of rotator cuff tendinopathy (Jobe, Neer, Hawkins-Kennedy and resisted external rotation test, at least 3 positive tests)
- Magnetic resonance imaging with findings corresponding to rotator cuff tendinopathy?
Inclusion criteria in the health subjects :
- No history of shoulder pain at some point in life
- Age between 25 and 50 years
- Diagnostic Tests for Rotator Cuff Tendinopathy (Jobe, Neer, Hawkins-Kennedy, and resisted external rotation test) NEGATIVE
Exclusion Criteria:
- Contraindications to the use of electrostimulation
- Pregnancy
- History of shoulder, cervical, or thoracic surgery
- Shoulder dislocation
- Fracture
- Labral laceration
- Rheumatic disease
- Complete or partial tear of the rotator cuff
- adhesive capsulitis
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06023914
Contact: Pedro Vieira Malachias | +55 019 999249201 | pedrovieira.fisio@gmail.com |
Responsible Party: | Pedro Vieira Malachias, Physical Therapist, University of Campinas, Brazil |
ClinicalTrials.gov Identifier: | NCT06023914 |
Other Study ID Numbers: |
ANEEM MRT |
First Posted: | September 5, 2023 Key Record Dates |
Last Update Posted: | September 5, 2023 |
Last Verified: | August 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Plan Description: | I will analyze each request and analyze later |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
shoulder pain rotator cuff strength |
Tendinopathy Shoulder Impingement Syndrome Syndrome Rotator Cuff Injuries Disease Pathologic Processes Rupture |
Wounds and Injuries Shoulder Injuries Tendon Injuries Muscular Diseases Musculoskeletal Diseases Joint Diseases |