Effects of Movement Representation Techniques with Sensorimotor Training for Rotator Cuff Related Shoulder Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Sensorimotor training with movement representation techniques.
- Who it may be relevant to
- Registry conditions: Rotator Cuff Related Shoulder Pain. Basic parameters: from 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Movement Representation Techniques with Sensorimotor Training for Rotator Cuff Related Shoulder Pain: a Randomised Controlled Trial
Overview
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.
Interventions
- Other Sensorimotor training with movement representation techniques
Sensorimotor training will be implemented with movement representation techniques using a standardized retraining sequence of a shoulder control exercise during arm elevation with 3 phases: Phase 1: Action Observation Training; Phase 2: Mirror therapy; and Phase 3: Sensorimotor training of the involved arm. Each session will last 60 minutes, with one supervised intervention session over the 12 weeks.
Primary outcome measures
- Pain intensity [Time frame: Baseline and 12-weeks post-intervention]
Secondary outcome measures (1)
- Cortical thickness in the primary motor cortex (M1) using brain MRI [Time frame: Baseline and 12 weeks post-intervention]
Eligibility criteria
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).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT06823206 · HSEARS20231205001