Sports Physical TherapyNCT06828081
Comparative Effects of Getting it Right Addressing Shoulder Pain and Rotator Cuff Strengthening Exercise Military Sports
A study testing Range of Motion Exercises and Strengthening exercises with theraband in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.
Trial summary
This research will use a randomized clinical trial (RCT) method to get military athletes with rotator cuff tendinopathy. People will be chosen at random to either get the GRASP method or normal exercises for making the shoulder muscles stronger. Read more about this study
- Who is it for?
- Ages 18 to 40 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Sports Physical Therapy
- What is being tested?
- Range of Motion Exercises and Strengthening exercises with theraband
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 sitePakistan
- Study dates
- 24 Apr 2024to 25 Feb 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 40 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- People in the military who are between 18 and 50 years old.
- Active participation in sports activities for the military.
- Diagnosing rotator cuff tendon pain in medical practice.
- Basic shoulder movement within a certain range of motion.
Who cannot join
- History of shoulder surgery.
- Systemic inflammatory diseases.
- Disorders of the brain or mind that affect physical actions.
- Not being able to stick to the plan for later.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Comparative Effects of Getting it Right AddressingShoulderPain(GRASP)Trial and Rotator Cuff Strengthening Exercise Program Among Military Sports for Rotator Cuff Tendinopathy
This research will use a randomized clinical trial (RCT) method to get military athletes with rotator cuff tendinopathy. People will be chosen at random to either get the GRASP method or normal exercises for making the shoulder muscles stronger. The main things the investigator will look at are how bad the pain is how well the shoulder works and if they can go back to work or sports. Tests will be done at the start, right after a treatment, and later times to measure the short-term and long-term advantages of the treatments. This study's careful way of doing things aims to provide strong information for military sports medicine. It helps doctors in treating shoulder problems like rotator cuff tendinopathy.
Read the detailed description
The rationale for conducting this study lies in the critical need to address rotator cuff tendinopathy, a prevalent and debilitating issue among military athletes. The unique demands placed on military personnel, involving repetitive overhead tasks and rigorous training, contribute significantly to the higher incidence of rotator cuff problems. The impact of this condition on performance, readiness, and overall well-being in the military cannot be overstated.
In the end, the plan for this study wants to fix a gap in what we know right now about dealing with muscle problems in military sports players' shoulders. This study looks at the GRASP trial methods and compares them with standard rotator cuff exercises. It aims to improve treatments and help military staff be healthier and work better.
- Conditions
- Sports Physical Therapy
- Being tested
- Range of Motion Exercises, Strengthening exercises with theraband
- Keywords
- Rotator cuff tendinopathy, GRASP trails, Military sports, Shoulder pain
- Medical subject headings
- Shoulder Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Range of Motion ExercisesOther
Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance.
Strengthening exercises with therabandOther
They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain.
| Study group | Role | What they receive |
|---|---|---|
| Range of Motion Exercises | Experimental | Will get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance. Receives: Other: Range of Motion Exercises |
| Strengthening exercises with theraband | Experimental | They will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain. Receives: Other: Strengthening exercises with theraband |
What is being measured
The primary outcome is the main question the study is designed to answer.
Western Ontario Rotator Cuff Index (WORC)
The Western Ontario Rotator Cuff Index (WORC) is a self-reported questionnaire that evaluates the quality of life in individuals with rotator cuff disorders across five domains: physical signs and symptoms, sports, work, manner of living, and feelings. It ranges from 0 to 2100, and the lower the total, the better the result.
Measured: 5-6weeks
Inclinometer
The inclinometer calculates shoulder R.O.M. in degrees with high accuracy. These are flexion: 170-180° rotation, abduction: 170-180°, external rotation: 90°, and internal rotation: 70-90°.
Measured: 5-6weeks
Push-Up Plus Test
The Push-Up Plus Test is designed to assess both scapular stability and serratus anterior muscle strength from the observed scapular movements during the 'plus' action in a push-up formation. They are either pass/fail scores or quantitative repet
Measured: 5-6weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Feb 2025
- Study start24 Apr 2024
- Primary completion10 Nov 2024
- Study completion25 Feb 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Sports Physical TherapyStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Faiza Islam, DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06828081
- Sponsor's protocol ID
- REC/RCR & AHS/24/0426
- Status last verified
- Feb 2025
- First submitted
- 18 Nov 2024
- Last updated
- 14 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Abufoul R, Gavish L, Haddad M. Photobiomodulation self-treatment at home after rotator cuff arthroscopic repair accelerates improvement in pain, functionality, and quality of life: A double-blind, sham-controlled, randomized clinical trial. Lasers Surg Med. 2023 Sep;55(7):662-673. doi: 10.1002/lsm.23692. Epub 2023 Jun 8.
PubMed 37288499Cools AM, Maenhout AG, Vanderstukken F, Decleve P, Johansson FR, Borms D. The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play. Ann Phys Rehabil Med. 2021 Jul;64(4):101384. doi: 10.1016/j.rehab.2020.03.009. Epub 2020 Apr 29.
PubMed 32320753AlAnazi A, Alghadir AH, Gabr SA. Handgrip Strength Exercises Modulate Shoulder Pain, Function, and Strength of Rotator Cuff Muscles of Patients with Primary Subacromial Impingement Syndrome. Biomed Res Int. 2022 Aug 30;2022:9151831. doi: 10.1155/2022/9151831. eCollection 2022.
PubMed 36082154Kesikburun S, Tan AK, Yilmaz B, Yasar E, Yazicioglu K. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up. Am J Sports Med. 2013 Nov;41(11):2609-16. doi: 10.1177/0363546513496542. Epub 2013 Jul 26.
PubMed 23893418Camargo PR, Alburquerque-Sendin F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop. 2014 Nov 18;5(5):634-44. doi: 10.5312/wjo.v5.i5.634. eCollection 2014 Nov 18.
PubMed 25405092Schedler S, Brueckner D, Hagen M, Muehlbauer T. Effects of a Traditional versus an Alternative Strengthening Exercise Program on Shoulder Pain, Function and Physical Performance in Individuals with Subacromial Shoulder Pain: A Randomized Controlled Trial. Sports (Basel). 2020 Apr 13;8(4):48. doi: 10.3390/sports8040048.
PubMed 32294940Bourke J, Skouteris H, Hatzikiriakidis K, Fahey D, Malliaras P. Use of Behavior Change Techniques Alongside Exercise in the Management of Rotator Cuff-Related Shoulder Pain: A Scoping Review. Phys Ther. 2022 Apr 1;102(4):pzab290. doi: 10.1093/ptj/pzab290.
PubMed 34972867Jones BH, Canham-Chervak M, Sleet DA. An evidence-based public health approach to injury priorities and prevention recommendations for the u.s. Military. Am J Prev Med. 2010 Jan;38(1 Suppl):S1-10. doi: 10.1016/j.amepre.2009.10.001.
PubMed 20117582Jones A, Sealey R, Crowe M, Gordon S. Concurrent validity and reliability of the Simple Goniometer iPhone app compared with the Universal Goniometer. Physiother Theory Pract. 2014 Oct;30(7):512-6. doi: 10.3109/09593985.2014.900835. Epub 2014 Mar 25.
PubMed 24666408Keene DJ, Soutakbar H, Hopewell S, Heine P, Jaggi A, Littlewood C, Hansen Z, Barker K, Hamilton W, Carr AJ, Lamb SE. Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the 'Getting it Right: Addressing Shoulder Pain' (GRASP) trial. Physiotherapy. 2020 Jun;107:252-266. doi: 10.1016/j.physio.2019.07.002. Epub 2019 Jul 9.
PubMed 32026827
Study at a glance
From the registry record, last updated by the sponsor on 14 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Getting it Right AddressingShoulderPain(GRASP)Trial and Rotator Cuff Strengthening Exercise Program Among Military Sports for Rotator Cuff Tendinopathy
- ClinicalTrials.gov ID
- NCT06828081
- Acronym / sponsor ID
- REC/RCR & AHS/24/0426
- Conditions
- Sports Physical Therapy
- Keywords
- Rotator cuff tendinopathy, GRASP trails, Military sports, Shoulder pain
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 24 Apr 2024 (actual)
- Primary completion
- 10 Nov 2024 (actual)
- Study completion
- 25 Feb 2025 (estimated)
- First posted
- 14 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research will use a randomized clinical trial (RCT) method to get military athletes with rotator cuff tendinopathy. People will be chosen at random to either get the GRASP method or normal exercises for making the shoulder muscles stronger. The main things the investigator will look at are how bad the pain is how well the shoulder works and if they can go back to work or sports. Tests will be done at the start, right after a treatment, and later times to measure the short-term and long-term advantages of the treatments. This study's careful way of doing things aims to provide strong information for military sports medicine. It helps doctors in treating shoulder problems like rotator cuff tendinopathy.
Detailed description
The rationale for conducting this study lies in the critical need to address rotator cuff tendinopathy, a prevalent and debilitating issue among military athletes. The unique demands placed on military personnel, involving repetitive overhead tasks and rigorous training, contribute significantly to the higher incidence of rotator cuff problems. The impact of this condition on performance, readiness, and overall well-being in the military cannot be overstated.
In the end, the plan for this study wants to fix a gap in what we know right now about dealing with muscle problems in military sports players' shoulders. This study looks at the GRASP trial methods and compares them with standard rotator cuff exercises. It aims to improve treatments and help military staff be healthier and work better.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Range of Motion Exercises | Experimental | Other: Range of Motion ExercisesWill get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance. |
| Strengthening exercises with theraband | Experimental | Other: Strengthening exercises with therabandThey will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain. |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- People in the military who are between 18 and 50 years old.
- Active participation in sports activities for the military.
- Diagnosing rotator cuff tendon pain in medical practice.
- Basic shoulder movement within a certain range of motion.
Key exclusion criteria (4 listed)
- History of shoulder surgery.
- Systemic inflammatory diseases.
- Disorders of the brain or mind that affect physical actions.
- Not being able to stick to the plan for later.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Range of Motion ExercisesWill get standard shoulder muscle exercises, including rigid and stretchy ones with bands that offer resistance. | Other | Range of Motion Exercises |
| Strengthening exercises with therabandThey will go through the GRASP method, which involves special workouts just for them, teaching them about their health and ways to deal with pain. | Other | Strengthening exercises with theraband |
Primary outcome
Western Ontario Rotator Cuff Index (WORC)
Time frame: 5-6weeks
The Western Ontario Rotator Cuff Index (WORC) is a self-reported questionnaire that evaluates the quality of life in individuals with rotator cuff disorders across five domains: physical signs and symptoms, sports, work, manner of living, and feelings. It ranges from 0 to 2100, and the lower the total, the better the result.
Inclinometer
Time frame: 5-6weeks
The inclinometer calculates shoulder R.O.M. in degrees with high accuracy. These are flexion: 170-180° rotation, abduction: 170-180°, external rotation: 90°, and internal rotation: 70-90°.
Push-Up Plus Test
Time frame: 5-6weeks
The Push-Up Plus Test is designed to assess both scapular stability and serratus anterior muscle strength from the observed scapular movements during the 'plus' action in a push-up formation. They are either pass/fail scores or quantitative repet
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Feb 2025.
- Background: PubMed 37288499Abufoul R, Gavish L, Haddad M. Photobiomodulation self-treatment at home after rotator cuff arthroscopic repair accelerates improvement in pain, functionality, and quality of life: A double-blind, sham-controlled, randomized clinical trial. Lasers Surg Med. 2023 Sep;55(7):662-673. doi: 10.1002/lsm.23692. Epub 2023 Jun 8.
- Background: PubMed 32320753Cools AM, Maenhout AG, Vanderstukken F, Decleve P, Johansson FR, Borms D. The challenge of the sporting shoulder: From injury prevention through sport-specific rehabilitation toward return to play. Ann Phys Rehabil Med. 2021 Jul;64(4):101384. doi: 10.1016/j.rehab.2020.03.009. Epub 2020 Apr 29.
- Background: PubMed 36082154AlAnazi A, Alghadir AH, Gabr SA. Handgrip Strength Exercises Modulate Shoulder Pain, Function, and Strength of Rotator Cuff Muscles of Patients with Primary Subacromial Impingement Syndrome. Biomed Res Int. 2022 Aug 30;2022:9151831. doi: 10.1155/2022/9151831. eCollection 2022.
- Background: PubMed 23893418Kesikburun S, Tan AK, Yilmaz B, Yasar E, Yazicioglu K. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up. Am J Sports Med. 2013 Nov;41(11):2609-16. doi: 10.1177/0363546513496542. Epub 2013 Jul 26.
- Background: PubMed 25405092Camargo PR, Alburquerque-Sendin F, Salvini TF. Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop. 2014 Nov 18;5(5):634-44. doi: 10.5312/wjo.v5.i5.634. eCollection 2014 Nov 18.
- Background: PubMed 32294940Schedler S, Brueckner D, Hagen M, Muehlbauer T. Effects of a Traditional versus an Alternative Strengthening Exercise Program on Shoulder Pain, Function and Physical Performance in Individuals with Subacromial Shoulder Pain: A Randomized Controlled Trial. Sports (Basel). 2020 Apr 13;8(4):48. doi: 10.3390/sports8040048.
- Background: PubMed 34972867Bourke J, Skouteris H, Hatzikiriakidis K, Fahey D, Malliaras P. Use of Behavior Change Techniques Alongside Exercise in the Management of Rotator Cuff-Related Shoulder Pain: A Scoping Review. Phys Ther. 2022 Apr 1;102(4):pzab290. doi: 10.1093/ptj/pzab290.
- Background: PubMed 20117582Jones BH, Canham-Chervak M, Sleet DA. An evidence-based public health approach to injury priorities and prevention recommendations for the u.s. Military. Am J Prev Med. 2010 Jan;38(1 Suppl):S1-10. doi: 10.1016/j.amepre.2009.10.001.
- Background: PubMed 24666408Jones A, Sealey R, Crowe M, Gordon S. Concurrent validity and reliability of the Simple Goniometer iPhone app compared with the Universal Goniometer. Physiother Theory Pract. 2014 Oct;30(7):512-6. doi: 10.3109/09593985.2014.900835. Epub 2014 Mar 25.
- Background: PubMed 32026827Keene DJ, Soutakbar H, Hopewell S, Heine P, Jaggi A, Littlewood C, Hansen Z, Barker K, Hamilton W, Carr AJ, Lamb SE. Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the 'Getting it Right: Addressing Shoulder Pain' (GRASP) trial. Physiotherapy. 2020 Jun;107:252-266. doi: 10.1016/j.physio.2019.07.002. Epub 2019 Jul 9.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Faiza Islam, DPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Range of Motion Exercises and Strengthening exercises with theraband in people with Sports Physical Therapy, run by Riphah International University at 1 site in Pakistan.
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 4 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 14 Feb 2025. 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 Pakistan. 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?
This study is still under way. Results are not available in the source record yet.
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?
Western Ontario Rotator Cuff Index (WORC) (time frame: 5-6weeks). The study lists 3 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 NCT06828081, which also lists 10 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 14 Feb 2025.