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Trial registered on ANZCTR
Registration number
ACTRN12605000541606
Ethics application status
Approved
Date submitted
21/09/2005
Date registered
28/09/2005
Date last updated
11/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Physiotherapy treatment of shoulder pain
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Scientific title
Efficacy and cost-effectiveness of physiotherapy for chronic rotator cuff pathology
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Secondary ID [1]
287865
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic shoulder rotator cuff pathology
668
0
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Condition category
Condition code
Musculoskeletal
741
741
0
0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
742
742
0
0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A physiotherapy treatment program, comprising muscle stretches, joint mobilisation, postural taping, soft tissue massage and exercises. Both groups will attend for 10 treatment sessions over 10 weeks. The physiotherapy group will then continue with home exercises for a further 12 weeks while the placebo group will cease treatment.
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Intervention code [1]
659
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None
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Comparator / control treatment
Placebo treatment.
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Control group
Placebo
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Outcomes
Primary outcome [1]
927
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Shoulder pain and disability index (SPADI) which is a self-administered, shoulder-specific questionnaire.
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Assessment method [1]
927
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Timepoint [1]
927
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Measured at baseline, immediately following treatment at 10 weeks and after follow up at 22 weeks.
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Secondary outcome [1]
1776
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Patient perceived global rating of change with treatment
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Assessment method [1]
1776
0
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Timepoint [1]
1776
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Measured at baseline, 10 weeks and 22 weeks.
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Secondary outcome [2]
1777
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Health related quality of life
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Assessment method [2]
1777
0
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Timepoint [2]
1777
0
Measured at baseline, 10 weeks and 22 weeks.
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Secondary outcome [3]
1778
0
Shoulder strength.
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Assessment method [3]
1778
0
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Timepoint [3]
1778
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Measured at baseline, 10 weeks and 22 weeks.
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Eligibility
Key inclusion criteria
i) diagnosis of chronic rotator cuff pathology as evident by symptoms and signs including pain on active abduction or external rotation and positive impingement test; ii) symptoms of pain in shoulder for >3 months; iii) average movement pain >3 on a 10cm visual analogue scale.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
i) severe pain at rest, defined as >7 on a visual analogue scale; ii) global restriction of shoulder movements; iii) systemic inflammatory joint disease; iv) x-ray evidence of shoulder osteoarthritis or fracture; v) calcification about the shoulder joint; vi) reason to suspect a complete rotator cuff rupture (eg weakness of arm elevation, a positive 'drop arm sign', a high riding humerus visible on x-ray or a complete tear on ultrasound); vii) previous shoulder surgery on affected arm; viii) physiotherapy, corticosteroid injection or hydrodilation for shoulder in past 3 months; ix) commenced non-steroidal antiinflammatory medications (NSAIDs) or conservative intervention in past 2 weeks.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes kept in central location and opened at time of treatment by central administrator
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block ramdomisation, according to a computer-generated random number list and stratifies by therapist
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2004
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Actual
1/03/2004
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Date of last participant enrolment
Anticipated
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Actual
7/06/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
120
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
823
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Government body
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Name [1]
823
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NHMRC project grant
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Address [1]
823
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NHMRC
Canberra
Australia
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Country [1]
823
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Australia
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Primary sponsor type
Individual
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Name
Prof Kim Bennell
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Address
Department of Physiotherapy
University of Melbourne
Victoria 3010
Australia
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Country
Australia
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Secondary sponsor category [1]
688
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Individual
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Name [1]
688
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A/Prof Rachelle Buchbinder
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Address [1]
688
0
Monash University
Victoria
Australia
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Country [1]
688
0
Australia
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Secondary sponsor category [2]
689
0
Individual
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Name [2]
689
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A/Prof Sally Green
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Address [2]
689
0
Monash University
Victoria
Australia
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Country [2]
689
0
Australia
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Secondary sponsor category [3]
690
0
Individual
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Name [3]
690
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Mr Tony Harris
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Address [3]
690
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Monash University
Victoria
Australia
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Country [3]
690
0
Australia
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Secondary sponsor category [4]
691
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Individual
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Name [4]
691
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A/Prof Andrew Forbes
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Address [4]
691
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Monash University
Victoria
Australia
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Country [4]
691
0
Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293841
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Royal Melbourne Hospital Human Research Ethics Committee
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Ethics committee address [1]
293841
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Royal Melbourne Hospital Victoria
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Ethics committee country [1]
293841
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Australia
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Date submitted for ethics approval [1]
293841
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25/03/2002
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Approval date [1]
293841
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23/04/2002
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Ethics approval number [1]
293841
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2001.115
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Summary
Brief summary
Chronic rotator cuff pathology is a musculoskeletal disorder of the shoulder often characterised by pain and weakness. It involves a specific group of muscles in the shoulder, which become damaged over time leading to a chronic loss of full shoulder function and the subsequent loss of quality of life for sufferers. There are few studies comparing the shoulder function of individuals with and without the condition and this is important to help us understand why the condition develops and what treatments might be more effective. Physiotherapy is often used to improve lost shoulder function. Physiotherapists use techniques that aim to reduce pain and weakness of the shoulder, thereby improving function. However there are very few studies that actually evaluate the effectiveness of physiotherapy for this condition. The purpose of this project is to evaluate whether physiotherapy intervention, using current accepted techniques, is effective in reducing pain and stiffness and improving strength and shoulder function. Previous experience has shown that the benefits of physiotherapy have not been properly evaluated by good quality research, and we would like to investigate whether or not physiotherapy is a useful intervention for this condition.
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Trial website
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Trial related presentations / publications
BMJ. 2010; 340: c2756. Published online 2010 Jun 8. doi: 10.1136/bmj.c2756 Efficacy of standardised manual therapy and home exercise programme for chronic rotator cuff disease: randomised placebo controlled trial Kim Bennell, Elin Wee, Sally Coburn, Sally Green, Anthony Harris, Margaret Staples, Andrew Forbes and Rachelle Buchbinder.
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Public notes
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Contacts
Principal investigator
Name
36132
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Prof Kim Bennell
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Address
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Department of Physiotherapy
University of Melbourne
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Country
36132
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Australia
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Phone
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+61 3 83444135
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Fax
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Email
36132
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[email protected]
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Contact person for public queries
Name
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Professor Kim Bennell
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Address
9848
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School of Physiotherapy
University of Melbourne
Parkville VIC 3010
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Country
9848
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Australia
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Phone
9848
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+61 3 83444135
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Fax
9848
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+61 3 83443771
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Email
9848
0
[email protected]
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Contact person for scientific queries
Name
776
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Professor Kim Bennell
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Address
776
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School of Physiotherapy
University of Melbourne
Parkville VIC 3010
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Country
776
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Australia
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Phone
776
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+61 3 83444135
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Fax
776
0
+61 3 83443771
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Email
776
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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