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Rotator Cuff InjuryNCT06924112

Blood Flow Restriction Exercise-induced Hypoalgesia

A study testing Isometric exercises and Isometric exercises with BFR in people with Rotator Cuff Injury and Rotator Cuff Tear, run by University of Valencia at 1 site in Chile.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this crossover randomized clinical trial is to compare the acute effect on exercise-induced hypoalgesia (EIH) between isometric exercise with blood flow restriction (BFR) and isometric exercise alone in adults undergoing arthroscopic rotator cuff repair. Read more about this study

Who is it for?
Ages 40 to 65 years
What is being tested?
Isometric exercises and Isometric exercises with BFR
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
1 siteChile
Study dates
1 May 2025to 30 Sep 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 40 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age between 40-65 years.
  • Symptomatic degenerative rotator cuff tear diagnosed by magnetic resonance imaging.
  • Undergoing arthroscopic rotator cuff repair
  • Be able to read and understand Spanish.

Who cannot join

  • Massive irreparable RC tears, concomitant fracture, labral or nerve injury.
  • Suspicion of developing/diagnosis a frozen shoulder.
  • Revision surgery after RC repair.
  • Previous corticosteroid injection (< 1 year).
  • Recent surgery (< 1 year) in the contralateral shoulder.
  • A history of deep venous thrombosis/pulmonary embolism.
  • Peripheral vascular disease, thrombophilia or clotting disorders.
  • Severe or uncontrolled hypertension, or any comorbid condition that prevents participants from complete the intervention.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Jose Casaña, PhD contact

+34656437371

jose.casana@uv.es

Felipe Ponce-Fuentes, MSc contact

+56954411974

felipe.poncef@umayor.cl

Chile1 site
  • Clínica RedSalud Mayor

    Temuco, Cautín, 4800580

    Daniela Mansilla, MSc, +56996521664, daniela.mansilla@redsalud.cl

    Felipe Ponce-Fuentes, MSc

Other trials in Chile

About this study

Official title: Exercise-induced Hypoalgesia Following Blood Flow Restriction in Rotator Cuff Repair Rehabilitation: a Randomized Crossover Clinical Trial

The goal of this crossover randomized clinical trial is to compare the acute effect on exercise-induced hypoalgesia (EIH) between isometric exercise with blood flow restriction (BFR) and isometric exercise alone in adults undergoing arthroscopic rotator cuff repair. It is presumed that the addition of BFR to isometric exercises induces a greater effect in EIH.

Patients who agree to participate in this research will be randomly assigned to two intervention sequences (AB or BA), where intervention A (experimental) corresponds to isometric exercises with BFR, and intervention B (control) corresponds to isometric exercises alone. For one week, each participant attended two sessions, separated by a 72-hours wash-out period. The primary variables will be the pressure pain threshold (PPT) and conditioned pain modulation (CPM). Secondary variables will be the pain intensity and distribution, kinesiophobia, upper extremity disability, and quality of life. Results will be measured before intervention (T1, pre-intervention), immediate after intervention (T2, post-intervention 1) and 10 minutes after intervention (T3, post-intervention 2).

Being tested
Isometric exercises, Isometric exercises with BFR
Keywords
blood flow restriction therapy, blood flow restriction training, exercise-induced hypoalgesia
Medical subject headings
Rotator Cuff Injuries

What participants receive

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

  • Isometric exercisesOther

    The three isometric exercises were performed without the addition of BFR following the best evidence recommendations. Each exercise was performed for 10 repetitions, with isometric contraction of 15 seconds followed by a rest period of 15 seconds, intensity with a load at 20-25% of the maximal voluntary isometric contraction (MVIC), rest period after each exercise of 2 minutes, and pain level below 5 on the verbal Numeric Pain Rating Scale (NPRS).

  • Isometric exercises with BFRDevice

    Participants will perform three isometric exercises with BFR. An auto-regulated portable BFRT SmartCuffs® 3.0 Pro system with a 17-inch long and 5-inch-wide cuff (Smart Tools Plus, United States), placed on the most proximal part of the arm, will be used. The session will begin with a maximal occlusion test to personalize the occlusion pressure to the participant. The limb occlusion pressure (LOP) will be set at 60% of the maximum occlusion pressure. Each exercise was performed for 10 repetitions, with isometric contraction of 15 seconds followed by a rest period of 15 seconds, intensity with a load at 20-25% of the MVIC, rest period after each exercise of 2 minutes with cuff deflated (reperfusion), and pain level below 5 on the NPRS.

Study groups in NCT06924112
Study groupRoleWhat they receive
Isometric exercises with BFR (Intervention A)ExperimentalParticipants with arthroscopic rotator cuff repair will undergo to a physical therapy session using three isometric exercises with BFR
Receives: Other: Isometric exercises; Device: Isometric exercises with BFR
Isometric exercises alone (Intervention B)Active comparatorParticipants with arthroscopic rotator cuff repair will undergo to a physical therapy session using three isometric exercises without BFR
Receives: Other: Isometric exercises

What is being measured

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

  1. Pressure pain threshold (PPT)

    Pressure pain threshold will be taken bilaterally on the deltoid muscle and the upper trapezius muscle using a Wagner FPX25 pressure algometer (kg/cm2/sec)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

  2. Condicionated pain modulation (CPM)

    Condicionated pain modulation will be measured with a conditioning stimulus of inmersion of the hand contralateral to the operated shoulder in cold water (10°C). The bilateral deltoid and trapezius muscles before and after the conditioning stimulus will be measured using a Wagner FPX25 pressure algometer (kg/cm2/sec)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

Secondary outcomes (4)
  1. Pain intensity and distribution

    Visual Analogue Scale (0 to 10 centimeters) and pain distribution map (number of areas)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

  2. Kinesiophobia

    Tampa Scale of Kinesiophobia (11 to 44 points)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

  3. Self-reported upper extremity disability

    Shoulder Pain Disability Index (0 to 100%)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

  4. Self-reported quality of life

    Western Ontario Rotator Cuff Index (0 to 100%)

    Measured: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)

Timeline

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

  1. First posted11 Apr 2025
  2. Study start1 May 2025 (estimated)
  3. Primary completion29 Aug 2025 (estimated)
  4. Study completion30 Sep 2025 (estimated)

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
Crossover
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
22 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06924112
Sponsor's protocol ID
P-5.2025
Status last verified
Apr 2025
First submitted
4 Apr 2025
Last updated
11 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hughes L, Patterson SD. The effect of blood flow restriction exercise on exercise-induced hypoalgesia and endogenous opioid and endocannabinoid mechanisms of pain modulation. J Appl Physiol (1985). 2020 Apr 1;128(4):914-924. doi: 10.1152/japplphysiol.00768.2019. Epub 2020 Feb 27.

    PubMed 32105522
  • Kuppens K, Struyf F, Nijs J, Cras P, Fransen E, Hermans L, Meeus M, Roussel N. Exercise- and Stress-Induced Hypoalgesia in Musicians with and without Shoulder Pain: A Randomized Controlled Crossover Study. Pain Physician. 2016 Feb;19(2):59-68.

    PubMed 26815250
  • Patterson SD, Hughes L, Warmington S, Burr J, Scott BR, Owens J, Abe T, Nielsen JL, Libardi CA, Laurentino G, Neto GR, Brandner C, Martin-Hernandez J, Loenneke J. Blood Flow Restriction Exercise: Considerations of Methodology, Application, and Safety. Front Physiol. 2019 May 15;10:533. doi: 10.3389/fphys.2019.00533. eCollection 2019.

    PubMed 31156448
  • Ogrezeanu DC, Lopez-Bueno L, Sanchis-Sanchez E, Suso-Marti L, Lopez-Bueno R, Nunez-Cortes R, Cruz-Montecinos C, Perez-Alenda S, Casana J, Gargallo P, Calatayud J. Exercise-induced hypoalgesia with end-stage knee osteoarthritis during different blood flow restriction levels: Sham-controlled crossover study. PM R. 2023 Dec;15(12):1565-1573. doi: 10.1002/pmrj.13076. Epub 2023 Dec 8.

    PubMed 37796567
  • Korakakis V, Whiteley R, Epameinontidis K. Blood Flow Restriction induces hypoalgesia in recreationally active adult male anterior knee pain patients allowing therapeutic exercise loading. Phys Ther Sport. 2018 Jul;32:235-243. doi: 10.1016/j.ptsp.2018.05.021. Epub 2018 May 31.

    PubMed 29879638
  • Rice D, Nijs J, Kosek E, Wideman T, Hasenbring MI, Koltyn K, Graven-Nielsen T, Polli A. Exercise-Induced Hypoalgesia in Pain-Free and Chronic Pain Populations: State of the Art and Future Directions. J Pain. 2019 Nov;20(11):1249-1266. doi: 10.1016/j.jpain.2019.03.005. Epub 2019 Mar 21.

    PubMed 30904519
  • Vaegter HB, Jones MD. Exercise-induced hypoalgesia after acute and regular exercise: experimental and clinical manifestations and possible mechanisms in individuals with and without pain. Pain Rep. 2020 Sep 23;5(5):e823. doi: 10.1097/PR9.0000000000000823. eCollection 2020 Sep-Oct.

    PubMed 33062901
  • Wewege MA, Jones MD. Exercise-Induced Hypoalgesia in Healthy Individuals and People With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. J Pain. 2021 Jan;22(1):21-31. doi: 10.1016/j.jpain.2020.04.003. Epub 2020 Jun 26.

    PubMed 32599154
  • Kjaer BH, Magnusson SP, Henriksen M, Warming S, Boyle E, Krogsgaard MR, Al-Hamdani A, Juul-Kristensen B. Effects of 12 Weeks of Progressive Early Active Exercise Therapy After Surgical Rotator Cuff Repair: 12 Weeks and 1-Year Results From the CUT-N-MOVE Randomized Controlled Trial. Am J Sports Med. 2021 Feb;49(2):321-331. doi: 10.1177/0363546520983823. Epub 2021 Jan 20.

    PubMed 33471547
  • Ponce-Fuentes F, Cuyul-Vasquez I, Salazar-Mendez J, Lluch E, Suso-Marti L, Cook C, Struyf F, Casana JG, Calatayud J. Exercise-Induced Hypoalgesia Following Blood Flow Restriction in Rotator Cuff Repair Rehabilitation: A Randomized Crossover Clinical Trial. Transl Sports Med. 2026 Apr 16;2026:4698970. doi: 10.1155/tsm2/4698970. eCollection 2026.

    PubMed 42005904

Questions about this trial

What is this clinical trial studying?

A study testing Isometric exercises and Isometric exercises with BFR in people with Rotator Cuff Injury and Rotator Cuff Tear, run by University of Valencia at 1 site in Chile.

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 8 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: opening soon, as of the sponsor's last update on 11 Apr 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 Chile. 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?

Contact Jose Casaña, PhD (+34656437371, jose.casana@uv.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pressure pain threshold (PPT) (time frame: Pre-intervention (T1), inmediate post-intervention (T2) and 10 minutes post-intervention (T3)). 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 NCT06924112, 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 11 Apr 2025.

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