Clinical Trial Details
— Status: Active, not recruiting
Administrative data
| NCT number |
NCT06402162 |
| Other study ID # |
5678525-050.0404/1202308 |
| Secondary ID |
|
| Status |
Active, not recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
May 1, 2023 |
| Est. completion date |
August 1, 2024 |
Study information
| Verified date |
March 2024 |
| Source |
Ankara University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
This study aims to shed light on the supraspinatus and infraspinatus muscles, which play a
significant role in rotator sheath tendinopathy and tears. It includes isometric measurements
of muscle thickness, fiber length, and pennation angles, as well as muscle strength, using
ultrasound to evaluate the muscle architecture of the supraspinatus and infraspinatus muscles
in tennis players.
Description:
The shoulder joint is prone to injury due to its unique anatomy. Rotator cuff lesions (RCL)
are a common cause of shoulder pain, with a prevalence of 81% (1). One effective approach for
monitoring muscle function is to visualize the architectural structure of the muscle. Muscle
architecture is the examination of the structural arrangement of muscle fibers, muscle
thickness, pennation angle, and number of sarcomeres according to the force generation axis
(2). Ultrasonographic muscle architecture measurements provide a rapid and objective
evaluation to examine the pathology of the muscles associated with subacromial impingement
syndrome (3).
Muscle strength measurement is a physical performance measurement used to determine the loss
of strength in the muscle and to evaluate the effectiveness of the intervention by resisting
the muscle (4). It is worth noting that the strength of the rotator cuff muscles, especially
the external and internal force-generating muscles of the shoulder, may be somewhat reduced
in athletes with RCL. Strength measurement of these muscles can provide valuable data in
shoulder evaluation (5). It is also worth mentioning that shoulder injuries are quite common
in tennis. In addition to physiotherapy methods, the success rate in RCL treatment may be
enhanced by exercise (6). In shoulder rehabilitation, core exercises are designed to help
restore functional movements through the elimination of pain and the dynamic stability of the
rotator cuff and scapular muscles. The goal is to strengthen the shoulder girdle muscles and
achieve sufficient joint range of motion, especially by providing neuromuscular re-education
with therapeutic exercises.
References
1. Dong W, Goost H, Lin XB, et al. Treatments for shoulder impingement syndrome: a
systematic review and network meta-analysis. Medicine (Baltimore). 2015;94:e510.
2. Lewis, J., Ginn, K.. Rotator cuff tendinopathy and subacromial pain syndrome.In: Modern
Musculoskeletal Physiotherapy, fourth ed. Elsevier, pp. 2015; 563e568.
3. Michener L, Walsworth M, Burnet E. Effectiveness of rehabilitation for patients with
subacromial impingement syndrome: a systematic review. J Hand Ther, 2004, 17: 152-164.
4. Sauers E. Effectiveness of rehabilitation for patients with subacromial impingement
syndrome. J Athl Train, 2005, 40: 221-223
5. Ersever, E. M., Güzel, N. A., Hakan, G. E. N. Ç., & Mülkoğlu, C. (2021). Subakromiyal
Sikişma Sendromlu Hastalarda Egzersiz İle Elektrik Stimülasyonunun Etkileri. Ankara
Eğitim ve Araştırma Hastanesi Tıp Dergisi, 54(3), 382-386.
6. Oh, L.S., Luke, S., Brian, R, Michael P., Bruce, A., Marx, Robert G. (2007). Indications
for rotator cuff repair: a systematic review. Clinical Orthopaedics and Related
Research®, 455: 52-63.
