Comparison of the Effectiveness Heavy Slow Resistance and Eccentric Training in Rotator Cuff Tendinopathy
Rotator Cuff Tendinopathy, Subacromial Impingement Syndrome, Bicep Tendinitis
About this trial
This is an interventional treatment trial for Rotator Cuff Tendinopathy focused on measuring Exercise therapy, Rehabilitation, Resistance training, Shoulder pain, Subacromial impingement syndrome
Eligibility Criteria
Inclusion Criteria: Describing subacromial pain Rotator cuff tendinopathy (subacromial impingement syndrome, biceps tendinitis and rotator cuff I. and II. stage diagnosis) Continuation of diagnostic symptoms for at least 30 days Exclusion Criteria: Prior shoulder surgery Sign of cervical radiculopathy Shoulder instability or history of upper extremity fracture Full-thickness rotator cuff tear Adhesive capsulitis Humeroscapular periarthritis (osteoarthritis, inflammatory arthropathies, etc.) Neoplasm/malignant status Other independent from shoulder problem being on regular analgesic therapy for ongoing painful conditions Subacromial corticosteroids in the last 2 months having received an injection or participating in a shoulder rehabilitation program
Sites / Locations
- Gazi University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Heavy slow resistance group (HSR group)
Eccentric exercise training group (EE group)
The investigators are planning a 6-week rehabilitation program, 2 days a week. The same physiotherapy and home exercise program will be applied to both groups. The physiotherapy and home exercise program will include patient education, stretching, range of motion and posture exercises. Resistance training will consist of different exercise principles but the same types of exercises. Resistance training: Dumball will be used as exercise equipment. Exercise intensity determined using the Numerical Pain Rating Scale (NPRS). Individual loading will be made according to the amount of weight. The maximum amount of pain producing pain less than 4 on the Numerical Pain Assessment Scale will be determined as exercise intensity. It will include 3 different exercises: 1) Full can. 2) External rotation in side lying. 3) Internal rotation in side lying.
The investigators are planning a 6-week rehabilitation program, 2 days a week. The same physiotherapy and home exercise program will be applied to both groups. The physiotherapy and home exercise program will include patient education, stretching, range of motion and posture exercises. Resistance training will consist of different exercise principles but the same types of exercises. Resistance training: Dumball will be used as exercise equipment. Exercise intensity determined using the Numerical Pain Rating Scale (NPRS). Individual loading will be made according to the amount of weight. The maximum amount of pain producing pain less than 4 on the Numerical Pain Assessment Scale will be determined as exercise intensity. It will include 3 different exercises: 1) Full can. 2) External rotation in side lying. 3) Internal rotation in side lying.