24 Participants NeededMy employer runs this trial

Exercise Programs for Shoulder Pain

IA
Overseen ByIgnacio A Raguzzi, PT
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Florida
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how two different exercise programs affect shoulder tendons in people with and without shoulder pain. Participants will engage in both isotonic (steady tension) and plyometric (fast, explosive movements) exercises, with a break in between. Researchers will use ultrasound to assess tendon changes and gather information on pain and sensitivity before and after the exercises. This trial suits individuals who can perform moderate arm exercises, such as tennis or housework, and either have one-sided shoulder pain or have not experienced recent shoulder pain. As an unphased trial, it allows participants to contribute to valuable research on exercise impacts without the constraints of traditional clinical trial phases.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. However, if you have had a corticosteroid injection in the last 6 weeks, you cannot participate.

What prior data suggests that these exercise programs are safe for individuals with and without shoulder pain?

Research shows that both isotonic and plyometric exercise programs are generally safe and manageable.

For isotonic exercises, studies have found that they can reduce pain and improve shoulder function. In one study, participants reported a 47.6% decrease in pain after performing isotonic exercises. These exercises also strengthened shoulders without causing major injuries or side effects.

Regarding plyometric exercises, research suggests they effectively reduce shoulder pain and improve function. In one case, participants experienced better shoulder stability and strength with minimal risk of injury. Plyometric exercises activate key shoulder muscles, helping to prevent injuries.

Overall, both exercise programs have demonstrated safety with few negative effects. Participants can expect reduced pain and improved function with either program.12345

Why are researchers excited about this trial?

Researchers are excited about these exercise programs for shoulder pain because they could offer a more dynamic approach to rehabilitation compared to standard physical therapy, which often focuses on static exercises. The isotonic exercise program emphasizes controlled, consistent muscle contractions, which can improve strength and flexibility. The plyometric exercise program, on the other hand, involves explosive movements that enhance muscle power and coordination. By combining these two types of exercises, the programs aim to provide a comprehensive improvement in shoulder function and pain relief, potentially leading to faster recovery times and better long-term outcomes for patients.

What evidence suggests that these exercise programs could be effective for shoulder pain?

Research has shown that certain exercise programs can reduce shoulder pain and improve shoulder function. In this trial, participants will engage in different sequences of exercise programs. One group will start with isotonic exercises, which involve moving muscles through a range of motion and are known for lowering pain levels in conditions like shoulder impingement. These exercises effectively reduce pain and disability while strengthening muscles and increasing endurance.

Another group will begin with plyometric exercises, which involve quick and powerful movements. These exercises can enhance shoulder stability and function by improving the body's ability to sense movement and position, crucial for shoulder health. Together, these exercise programs offer promising methods to manage shoulder pain and improve quality of life.34567

Are You a Good Fit for This Trial?

This trial is for adults aged 18 to 45 who can use their shoulder for moderate exercise, like tennis or housework. Both people with and without shoulder pain can join.

Inclusion Criteria

General inclusion criteria
I am between 18 and 45 years old.
I meet the general requirements for this study.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Exercise Program 1

Participants undergo the first exercise program, with evaluations using ultrasound and self-reported measures

1 day
1 visit (in-person)

Interim Period

Participants have a rest period between exercise programs

Up to 15 days

Exercise Program 2

Participants undergo the second exercise program, with evaluations using ultrasound and self-reported measures

1 day
1 visit (in-person)

Follow-up

Participants are monitored for changes in tendon thickness and pain sensitivity after each exercise program

24 hours after each exercise program

What Are the Treatments Tested in This Trial?

Interventions

  • Isotonic exercise program
  • Plyometric exercise program

Trial Overview

The study compares the short-term effects on the shoulder tendon after two types of exercise: isotonic (steady movement) and plyometric (explosive movement). Each participant tries both exercises, separated by up to 15 days.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Plyometric exercise then Isotonic exerciseExperimental Treatment2 Interventions
Group II: Isotonic exercise then Plyometric exerciseExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Florida

Lead Sponsor

Trials
1,428
Recruited
987,000+

Citations

Isometric versus isotonic exercise in individuals with rotator ...

This protocol for a randomized clinical trial aims to compare the effects of two types of exercise (isometric and isotonic) on shoulder pain, functioning, ...

EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE ON ...

In addition, individuals with patellar tendinopathy showed a decrease in pain level immediately after using isometric exercise compared to isotonic exercise.

3.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37956135/

Isometric versus isotonic exercise in individuals with rotator ...

This protocol for a randomized clinical trial aims to compare the effects of two types of exercise (isometric and isotonic) on shoulder pain, functioning, ...

The Efficacy of Exercise Therapy for Rotator Cuff–Related ...

These exercise programs are proposed to reduce pain and disability, increase muscle strength and endurance, improve neuromuscular control, and ...

isometric exercise Vs isotonic exercise in rotator cuff ...

An evaluation of the effectiveness of isometric and isotonic exercises at reducing pain in posterior rotator cuff tendinopathy. IRAS ID. 223879. Contact name.

Isometric or Isotonic Exercises in Alleviating Chronic Neck ...

Isometric exercises yielded a 70.4% pain reduction (P < 0.001) and a 14.9% HRQoL improvement (P = 0.002), while isotonic training showed a 47.6% ...

Isometric versus isotonic exercise in individuals with rotator ...

Conclusion It was shown that both groups had significantly increased isometric strength, decreased pain and better function after 3 months of ...