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Supraspinatus TendinitisNCT07873528

Anatomical Evaluation of Supraspinatus Through Ultrasonography and Biomechanical Measurements Following Blood Flow Restriction Therapy and Eccentric Exercise in Patients of Supraspinatus Tendinitis.

A study testing Blood flow restriction therapy, Eccentric Training and BFRT +ET in people with Supraspinatus Tendinitis, run by Sehat Medical Complex at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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) in Trial. The sample size will be 60 patients. Read more about this study

Who is it for?
Ages 40 to 60 years
Conditions the study is for
Supraspinatus Tendinitis
What is being tested?
Blood flow restriction therapy, Eccentric Training and BFRT +ET
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 sitePakistan
Study dates
23 Dec 2026to 31 Dec 2026
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patient age 40-60 years with unilateral shoulder.
  • Patient with at least two positive test (Empty Can, Hawkins-Kendy and Neer impingement test) in sitting and standing position will be enrolled.
  • Patient with shoulder pain history up to three months.
  • The shoulder pain on NPRS will be above or equal to 5 for the recruitment.
  • Both male and female population.
  • People who have not received any physical therapy treatment or exercise regimen for the past 3 months for upper limb injury or disease.

Who cannot join

  • Patients with referred shoulder pain, systemic musculoskeletal pathology e.g., neurogenic, visceral referred pain.
  • Full thickness tear of rotator cuff muscle or tendons.
  • Patients with frozen shoulder pain or limited range of motion < 90degree shoulder abduction.
  • Patients with previous shoulder surgery, intra articular injection, nerve block to shoulder last 6 month.
  • Pregnant woman or 6-month recent history of pregnancy.
  • Patient with history of blood pressure >180mmHg systolic.
  • Patients with recent history of upper limb fracture, open wound, history of vascular surgery, uncontrolled diabetes and fistula in upper limb.

Trial locations and contacts

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

Dr Imran Ghafoor, M Phil contact

+923344292887

imran.ghafoor64@gmail.com

Sahar Ijaz, PhD Anatomy contact

Pakistan1 site, 1 recruiting
  • Sehat Medical Complex/UOL/UVAS

    Lahore, Punjab Province, 54000

    Imran Ghafoor, 03344292887, imran.ghafoor64@gmail.com

    Recruiting

Other trials in Pakistan

About this study

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

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) in Trial. The sample size will be 60 patients. 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.

Read the detailed description

Supraspinatus will be evaluated for the combined effect of blood flow restriction therapy (BFRT) and Shock wave Therapy in Group C in comparison to BFRT alone in Group A, Eccenteric Training alone in Group B and routine physical therapy in Group D (Control Group).

Being tested
Blood flow restriction therapy, Eccentric Training, BFRT +ET, RPT
Keywords
BFRT, ET, SST, RPT

What participants receive

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

  • Blood flow restriction therapyDevice

    Also called BFRT

    4 Sets of exercise with restriction cuff 30,15,15,15 (75) with cable Pulley system.

    The movement performed in scaption, external rotation and shoulder abduction.

  • Eccentric TrainingOther

    Also called ET

    4 Sets of exercise with Dumbbell or TheraBand 15,15,15, 15. Three sets of exercise with Abduction and External Rotation Movement.

    3 session/week for 12 week The movement performed in scaption, external rotation and shoulder abduction.

  • BFRT +ETDevice

    Also called BFRT+ET

    Combination of A \& B

  • RPTOther

    Electric Heating Pad (Besmed, Taiwan) 10 minutes, TENS (Comfy Stim, Taiwan Model #: EV-806) 10 minutes Isometric Shoulder Exercise 10 rep/3 sets

Study groups in NCT07873528
Study groupRoleWhat they receive
Group A (Blood Flow Restriction Therapy)Experimental4 Sets of exercise with restriction cuff 30,15,15,15 (75) with cable Pulley system. The movement performed in scaption, external rotation and shoulder abduction.
Receives: Device: Blood flow restriction therapy
Group B (Eccentric training)Experimental4 Sets of exercise with Dumbbell or TheraBand 15,15,15, 15. Three sets of exercise with Abduction and External Rotation Movement. 3 session/week for 12 week The movement performed in scaption, external rotation and shoulder abduction.
Receives: Other: Eccentric Training
Group C (Combination of BFRT+ET)ExperimentalCombination of both group A and group B
Receives: Device: BFRT +ET
Group DSham comparatorElectric Heating Pad (Besmed, Taiwan) 10 minutes, TENS (Comfy Stim, Taiwan Model #: EV-806) 10 minutes Isometric Shoulder Exercise 10 rep/3 sets
Receives: Other: RPT

What is being measured

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

  1. MSK Ultrasound

    Supraspinatus Tendon thickness in long and short axis, These will be measureed in mili meter (mm) on Musculoskeletal Ultrasound with modified Crass psotion.

    Measured: 12 weeks (Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

  2. Shoulder pain

    Numeric Pain Rating Scale for Pain, (0-10 unit scale, 0 mean NO Pain and 10 means imaginable worset pain)

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

  3. Shoulder Joint ROM

    ROM measurement with Goniometer (Universal 360 degree and bubble goniometer will be used

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

Secondary outcomes (4)
  1. Shoulder Joint function and disability

    shoulder joint function and disability will be measured by Disability of arm, shoulder and hand sclae (Quick DASH) 0-100 0 means maximum function a person can perform, 100 means worst imaginable condition of disability. The Shoulder pain and Disability index (SPADI) scale is used to measre the pain and disability in shoulder conditions, scale range 0-100, 0 means maximum functionality and 100 means imagunable disability or worset condition.

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

  2. Shoulder Muscle Strength

    1 Repetition Maximum of shoulder Abduction will be measure by Epleys method.

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

  3. Peripher pain sensitization

    Pain pressure algometry will be used, The clinician places the tip of teh instrument perpendicular to the targeted muscle, and tendon and applies a steady, continuous increase in pressure (usually at a rate of 1 kg/cm² per second). the values will be measure in lb persecond or Newton.

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

  4. Shoulder Joint strength

    Shoulder muscle strength measure through Hand Held Dynamometer, the instrumnet will measure the isomatric force of shoulder muscle in abduction, external rotation and internal rotation in Newton or Kilogram force.

    Measured: 12 weeks (data will be collected at Baseline, 4 weeks, 8 Weeks, and 12 Weeks)

Timeline

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

  1. First posted14 Oct 2026
  2. Study start23 Dec 2026 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (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
Parallel groups
Model description
RCT with 4 Arm parallels design
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07873528
Sponsor's protocol ID
434/IRC/BMR/30/12/2025
Status last verified
Oct 2026
First submitted
15 Sep 2026
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: 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). The sample size will be 60 patients . 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.

Publications

  • De Misa RF, Azana JM, Bellas C, Perez B, Rocamora A, Ledo A. Mycosis fungoides with signet-ring cells and monoclonal gammopathy. Int J Dermatol. 1994 Sep;33(9):652-3. doi: 10.1111/j.1365-4362.1994.tb02930.x. No abstract available.

    PubMed 8002167
  • Chew E, Lee Day A, Nazarian LN, Kohler M. Basic Musculoskeletal Ultrasound. Med Clin North Am. 2025 Jan;109(1):137-161. doi: 10.1016/j.mcna.2024.06.007. Epub 2024 Aug 3.

    PubMed 39567090
  • Dube MO, Ingwersen KG, Roy JS, Desmeules F, Lewis J, Juul-Kristensen B, Vobbe J, Jensen SL, McCreesh K. Do therapeutic exercises impact supraspinatus tendon thickness? Secondary analyses of the combined dataset from two randomized controlled trials in patients with rotator cuff-related shoulder pain. J Shoulder Elbow Surg. 2024 Sep;33(9):1918-1927. doi: 10.1016/j.jse.2024.03.055. Epub 2024 May 16.

    PubMed 38762149
  • Harrer J, Lonsky V, Dominik J, Zacek P, Sistek J, Harrerova L, Knap J. [Coronary revascularization in diffuse atherosclerosis of the anterior descending coronary artery]. Rozhl Chir. 1997 Jul;76(7):342-8. Czech.

    PubMed 9446250
  • Ackmann T, Schneider KN, Schorn D, Rickert C, Gosheger G, Liem D. Comparison of efficacy of supraspinatus tendon tears diagnostic tests: a prospective study on the "full-can," the "empty-can," and the "Whipple" tests. Musculoskelet Surg. 2021 Aug;105(2):149-153. doi: 10.1007/s12306-019-00631-0. Epub 2019 Nov 5.

    PubMed 31691179
  • Jones JW, McCullough LB. Consent for an intraoperative video record. J Vasc Surg. 2001 Dec;34(6):1133-4. doi: 10.1067/mva.2001.119949. No abstract available.

    PubMed 11743574
  • Kara D, Ozcakar L, Demirci S, Huri G, Duzgun I. Blood Flow Restriction Training in Patients With Rotator Cuff Tendinopathy: A Randomized, Assessor-Blinded, Controlled Trial. Clin J Sport Med. 2024 Jan 1;34(1):10-16. doi: 10.1097/JSM.0000000000001191. Epub 2023 Sep 14.

    PubMed 37706671
  • Yoshiura K, Stamatakis HC, Welander U, McDavid WD, Shi XQ, Ban S, Kawazu T, Tatsumi M, Kanda S. Physical evaluation of a system for direct digital intra-oral radiography based on a charge-coupled device. Dentomaxillofac Radiol. 1999 Sep;28(5):277-83. doi: 10.1038/sj/dmfr/4600457.

    PubMed 10490745
  • Lambert B, Hedt C, Daum J, Taft C, Chaliki K, Epner E, McCulloch P. Blood Flow Restriction Training for the Shoulder: A Case for Proximal Benefit. Am J Sports Med. 2021 Aug;49(10):2716-2728. doi: 10.1177/03635465211017524. Epub 2021 Jun 10.

    PubMed 34110960

Questions about this trial

What is this clinical trial studying?

A study testing Blood flow restriction therapy, Eccentric Training and BFRT +ET in people with Supraspinatus Tendinitis, run by Sehat Medical Complex 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 6 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: looking for participants now, as of the sponsor's last update on 14 Oct 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 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. Some participants in this study may receive a placebo. 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 Dr Imran Ghafoor, M Phil (+923344292887, imran.ghafoor64@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

MSK Ultrasound (time frame: 12 weeks (Baseline, 4 weeks, 8 Weeks, and 12 Weeks)). 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 NCT07873528, which also lists 9 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 Oct 2026.

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