Supraspinatus Tear Clinical Trial
Official title:
Efficacy of Platelet Rich Plasma Injection in Comparison to Physical Therapy for Treatment of Chronic Partial Supraspinatus Tears
Rheumatology and Rehabilitation Department, Mansoura University Hospital. Forty patients with chronic partial supraspinatus tears will be included in the study. The diagnosis of the supraspinatus tear will be made by ultrasound examination
At inclusion in the study, demographic data (age, gender, duration of complaints, and body
mass index) will be recorded.
Randomization
Patients will be randomized into two matched groups:
A) PRP-Injection Group - Patients in this group will receive three ultrasound guided PRP
injections in the supraspinatus tendon with one week interval (Ilhanli et al., 2015). After
the injection, patients will be instructed to limit the use of shoulder for at least 24 hours
and to use cold therapy for pain. After the third injection, ROM, and stretching exercises
will be allowed and one month after the end of injections, patients will be recommended to
begin the strengthening program as tolerated. Exercise is performed with 10 repeats five
sessions per week.
B) Physical Therapy Group - Patients in this group will be treated with hot pack for 15
minutes, ultrasound in continuous mode (1.5 watt/cm2 for five minutes), trans-cutaneous
electrical nerve stimulation in brief-intense mode for 15 minutes, range of motion (ROM),
followed by stretching and strengthening exercises with 10 repeats 15 sessions (five sessions
per week for three weeks). After the physical therapy, the exercise program will be continued
as homework during the follow-up period.
Patients in t
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