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NCT Number: NCT07470190

Anatomical Evaluation of Supraspinatus Through Ultrasonography and Biomechanical Measurements Following Different Combinations of Physical Therapies in Patients of Supraspinatus Tendinitis

A randomized controlled trial will be conducted to get the expected outcomes. Patients of both gender groups with unilateral shoulder pain will be selected with age range 40-60 years from Sehat medical complex and randomly allocated into four groups (Group A, B, C and D) of two different trials (Trial I and Trial II). The sample size will be 120 patients for both trials. Musculoskeletal ultrasound, goniometry, pain pressure threshold, dynamometer and functional indices will be used to measure the tendon thickness, range of motion, pain, muscle strength and function level. The group A will get BFRT, Group B will get ESWT, group c will get the combination of both and group D will be the Control group (Routine physical therapy). In Trial II the group A will get BFRT, Group B will get Eccentric Training, Group C will get combination of both A & B and group D will be control group. data will be collected at baseline, 4th week, 8th week and 12 week of interventions. For data analysis SPSS version 25 will be used. Repeated measures ANOVA will be applied to compare the quantitative data within and between the groups. Post-Hoc test Tukey and Bonferroni correction will be used. The level of significance will be set at 5% (P<0.05).

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Key information

Conditions

Supraspinatus Tendinitis

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sehat Medical Complex/UOL/UVAS

Lahore, Punjab Province, 54000, Pakistan

Location status: Recruiting

Location contact

Imran Ghafoor

CONTACT

[email protected]

03344292887

About this study

Musculoskeletal (MSK) disorders affect 1.71 billion people globally. In Pakistan 3.7-20% people are suffering from shoulder pain and while other rotator cuff muscles have been targeted with various therapies singly, neither supraspinatus tendinitis has received its due attention nor has the effect of combination of therapies been explored on it. Additionally, using the technique of MSK ultrasound will give us an objective quantitative basis for the anatomical evaluation. The tendon dimensions and biomechanical measurements of the supraspinatus show marked and differential improvement under the influence of different combinations of physical therapies compared to any single therapy.

Objectives:

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • unilateral shoulder pain
  • both gender group
  • two positive tests of (Neer impingement test, Hawkins-Kendy test, Empty can test),
  • shoulder pain history up to 3 months
  • not receiving any physiotherapy last 3 months.
  • not receiving pain medications (NSAIDS) for last 15 days.

Exclusion criteria

  • referred shoulder pain
  • limited shoulder ROM less then 90 degree
  • previous shoulder surgery, intra articular injection or nerve block last 6 months.
  • patient with 180 mmHg blood pressure/uncontrolled BP
  • upper limb fracture, uncontrolled diabetes, open wounds, fistula and vascular surgery.
  • pregnant woman or 6 month history of pregnancy

Treatment and study plan

Blood Flow Restriction Therapy

Other

BFRT 4 Sets of exercise with restriction cuff 30,15,15,15 with cable system pulley ESWT 10 minutes shocks of 2000 J/session

Other names: BFRT, ESWT

ESWT

Device

10 minutes shocks of 2000 J/session

Other names: Shock wave therapy

Control

Other

Electric heating pad (Besmed, Taiwan) 10 minutes, TENS (Comfy Stim, Taiwan Model #: EV-806) 10 minutes

Other names: Routine physical therapy

Primary outcomes

  1. Shoulder Joint Range of Motion from 0-180 degree

    Time frame: 12 weeks

    shoulder joint ROM will be measured by Goniometer having 360 degree or inclinometer

  2. MSK Ultrasound for shoulder

    Time frame: 12 weeks

    tendon thickness in long (mm) and short axis (mm)

  3. Shoulder Functional scale

    Time frame: 12 weeks

    Quick-DASH (Quick-Disability of arm shoulder and hand) functional scale, it is 11 items scale with response range 0-5 on. 0 is no disability and 100 shows severe disability. The scale have 5 response options much worse, somewhat worse, unchanged, somewhat better, much better

  4. Shoulder Joint PAIN

    Time frame: 12 WEEKS

    NPRS 0-10 , 10 is the worse imaginable pain and 0 is no pain

  5. Shoulder Muscle Strength

    Time frame: 12 weeks

    Manual muscle testing and Dynamometer

Study contacts

Contact information is provided by the study sponsor or research team.

Sahar Ijaz, PhD Anatomy

CONTACT

imran Ghafoor, M Phil

CONTACT

[email protected]

+923344292887

Sponsors and collaborators

Lead sponsor

Sehat Medical Complex

Other

Registry information

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Mar 13, 2026
Registry last updated
Mar 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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