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Rotator Cuff TendinosisNCT05613998

Physiotherapy Treatment of Shoulder Rotator Cuff Tendinopathies. Global Postural Reeducation or Aerobic Exercise?

A study testing GPR Group and Aerobic Exercice Group in people with Rotator Cuff Tendinosis, run by Universidad Francisco de Vitoria at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Rotator Cuff Tendinosis
What is being tested?
GPR Group and Aerobic Exercice Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
66 participants
Where
1 siteSpain
Study dates
30 Oct 2022to 10 Jan 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Shoulder pain with duration of at least 3 months
  • Positive painful arc test during abduction
  • At least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test

Who cannot join

  • Cervical radiculopathy
  • Moderate or severe degenerative arthropathy
  • Complete rotator cuff tear
  • History of shoulder or neck surgery
  • History of shoulder fractures or dislocation
  • Frozen shoulder or adhesive capsulitis
  • Previous interventions with steroid injections or physiotherapy 2 months before the start of the program

Trial locations and contacts

1 site in 1 country.

Spain1 site

  • Francisco de Vitoria University

    Pozuelo de Alarcón, Madrid, 28223

Other trials in Spain

About this study

Official title: Global Postural Reeducation vs. Non-specific Therapeutic Exercise in the Treatment of Rotator Cuff Tendinopathies of the Shoulder

The goal of this clinical trial is to compare in participant population (patients with rotator cuff tendinopathy of the shoulder) the effect of a Global Postural Reeducation (GPR) program vs. a nonspecific therapeutic (aerobic) exercise program

Read the detailed description

Participants who meet the inclusion criteria will be randomly distributed between group 1 "Global Postural Reeducation (GPR)", group 2 "exercise", or group 3 "no physical therapy intervention".

Group 1 participants will receive a physical therapy treatment using the GPR method for 6 weeks consisting of 1 weekly session lasting 40 min performing "frog on the ground" and "sitting" poses. Patients in this group will also perform self-postures at home daily for 10 minutes.

Group 2 participants perform training for 6 weeks using non-specific aerobic exercise consisting of a daily 20-minutes walk at a speed of 4-5 km/h.

Group 3 participants will not receive any physical therapy treatment and will serve as a control group.

Being tested
GPR Group, Aerobic Exercice Group
Keywords
Tendinopathy, Rotator Cuff, Global Postural Reeducation, Aerobic Exercice, Shoulder Pain, Quality of life
Medical subject headings
Rotator Cuff Injuries, Tendinopathy, Shoulder Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GPR GroupOther

    6-week treatment using the Global Postural Reeducation (GPR) method. 1 weekly session (45 min) with "frog on the ground" and "sitting" postures + daily home self-postures (10 min)

  • Aerobic Exercice GroupOther

    6-week nonspecific aerobic exercise treatment. Participants will take a daily walk (20 min)

Study groups in NCT05613998
Study groupRoleWhat they receive
Group 1. Global Postural Reeducation (GPR) interventionExperimentalPatients who will receive the Global Postural Reeducation (GPR) treatment protocol
Receives: Other: GPR Group
Group 2. Non-specific Aerobic exercice interventionExperimentalPatients who will receive the non-specific aerobic exercise treatment protocol
Receives: Other: Aerobic Exercice Group
Group 3. No physiotherapy interventionNo interventionPatients who will not receive physiotherapy treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in pain and disability after the treatment program

    Shoulder Pain and Disability Index (SPADI). Minimum value=0. Maximun value=100

    Measured: Baseline, one week after the last sessio, 3 months and 6 months after the last session

  2. Changes in pain and disability after the treatment program

    The Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Minimum value=0. Maximun value=100

    Measured: Baseline, one week after the last sessio, 3 months and 6 months after the last session

Secondary outcomes (4)

  1. Changes in pain after the treatment program

    Numerical Pain Rating Scale (NPRS). Minimum value=0 (no pain). Maximun value=10 (the worst pain imaginable)

    Measured: Baseline, one week after the last sessio, 3 months and 6 months after the last session

  2. Changes in pressure pain sensitivity

    Pressure Pain Thresholds (PPH)

    Measured: Pre, Post inmediate, and follow-up at 3 and 6 months

  3. Changes in Quality of Life

    Short-Form 12 Health Status Questionnaire. The response options form Likert-type scales that evaluate intensity or frequency.

    Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. The United States population standard deviation is 10 points. So each 10 increment of 10 points above or below 50, corresponds to one standard deviation away from the average.

    Measured: Baseline, one week after the last session, 3 months and 6 months after the last session

  4. Changes in Range of Motion

    Goniometer

    Measured: Baseline, one week after the last sessio, 3 months and 6 months after the last session

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Nov 2022
  2. Study start30 Oct 2022
  3. Primary completion31 Dec 2024
  4. Study completion10 Jan 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
66 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05613998
Sponsor's protocol ID
RPGEI
Status last verified
Jan 2026
First submitted
30 Oct 2022
Last updated
22 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All IPD that underlie results in a publication

Publications

  • van der Heijden GJ, van der Windt DA, de Winter AF. Physiotherapy for patients with soft tissue shoulder disorders: a systematic review of randomised clinical trials. BMJ. 1997 Jul 5;315(7099):25-30. doi: 10.1136/bmj.315.7099.25.

    PubMed 9233322

  • Marinko LN, Chacko JM, Dalton D, Chacko CC. The effectiveness of therapeutic exercise for painful shoulder conditions: a meta-analysis. J Shoulder Elbow Surg. 2011 Dec;20(8):1351-9. doi: 10.1016/j.jse.2011.05.013. Epub 2011 Sep 1.

    PubMed 21889366

  • Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B. Exercise for rotator cuff tendinopathy: a systematic review. Physiotherapy. 2012 Jun;98(2):101-9. doi: 10.1016/j.physio.2011.08.002. Epub 2011 Oct 5.

    PubMed 22507359

  • Kosek E, Ekholm J. Modulation of pressure pain thresholds during and following isometric contraction. Pain. 1995 Jun;61(3):481-486. doi: 10.1016/0304-3959(94)00217-3.

    PubMed 7478692

  • Naugle KM, Fillingim RB, Riley JL 3rd. A meta-analytic review of the hypoalgesic effects of exercise. J Pain. 2012 Dec;13(12):1139-50. doi: 10.1016/j.jpain.2012.09.006. Epub 2012 Nov 8.

    PubMed 23141188

  • Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):441-7. doi: 10.1016/j.jmpt.2013.08.011. Epub 2014 Aug 3.

    PubMed 25092553

  • Heron SR, Woby SR, Thompson DP. Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy. 2017 Jun;103(2):167-173. doi: 10.1016/j.physio.2016.09.001. Epub 2016 Sep 21.

    PubMed 27884499

  • Kinsella R, Cowan SM, Watson L, Pizzari T. A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Pilot Feasibility Stud. 2017 Nov 14;3:45. doi: 10.1186/s40814-017-0190-3. eCollection 2017.

    PubMed 29163981

Questions about this trial

What is this clinical trial studying?

A study testing GPR Group and Aerobic Exercice Group in people with Rotator Cuff Tendinosis, run by Universidad Francisco de Vitoria at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in pain and disability after the treatment program (time frame: Baseline, one week after the last sessio, 3 months and 6 months after the last session). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05613998, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jan 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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