Analysis of the Effect of Neuromuscular Electro-stimulation on the Performance of Isometric Rotator Cuff Strength.
Rotator Cuff Impingement Syndrome, Rotator Cuff Tendinitis, Subacromial Impingement Syndrome
About this trial
This is an interventional diagnostic trial for Rotator Cuff Impingement Syndrome focused on measuring shoulder pain, rotator cuff strength
Eligibility Criteria
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
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Isometric strength evaluation with a device of electro-stimulation
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. 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.
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.