The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial.

Autor: Naunton J; Monash Musculoskeletal Research Unit (MMRU), Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Building B, Peninsula Campus, Monash University, Victoria, 3199, Australia; Physiotherapy, Department of Rural Allied Health, La Trobe University Rural Health School, Bendigo, Victoria, 3550, Australia; Physiotherapy & Exercise Physiology, Allied Health and Continuing Care, Bendigo Health, Bendigo, Victoria, 3550, Australia. Electronic address: josh.naunton@monash.edu., Kidgell D; Monash Exercise Neuroplasticity Unit, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Building B, Peninsula Campus, Monash University, Victoria, 3199, Australia., Bennell K; Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, Level 7, Alan Gilbert Building, The University of Melbourne, Victoria, 3010, Australia., Haines T; Rehabilitation, Ageing and Independent Living Research Centre, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Building G, Peninsula Campus, Monash University, Victoria, 3199, Australia., Malliaras P; Monash Musculoskeletal Research Unit (MMRU), Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Building B, Peninsula Campus, Monash University, Victoria, 3199, Australia.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2024 Nov 15; Vol. 75, pp. 103218. Date of Electronic Publication: 2024 Nov 15.
DOI: 10.1016/j.msksp.2024.103218
Abstrakt: Background: The most effective exercise variables for rotator cuff tendinopathy are unknown.
Objective: Determine feasibility of a fully powered trial comparing high load-volume versus low load-volume exercise for adults with rotator cuff tendinopathy.
Design: Two arm, multi-centre pilot and feasibility randomised controlled trial.
Methods: Participants aged over 18 were recruited via social media and randomised into 12 weeks of either high load-volume exercise (i.e. with dumbbell resistance) or low load-volume exercise (i.e. without added resistance). Feasibility outcomes were rates of recruitment, retention, questionnaire completion, adverse events and adherence to prescribed exercise.
Results: Fifteen participants were randomised to high load-volume and 16 to low load-volume (18/31 were female). Retention rate was 84% at 6 weeks, and 81% at 12 and 26 weeks. Five participants withdrew and one participant was lost to follow up. Questionnaire completion rate was 78%. Adherence to the prescribed exercise sets was 77%. Recruitment, conversion and retention rates were above the pre-defined success criterion. There were no serious adverse events.
Conclusion: A fully powered multi-centre randomised trial is feasible with minor amendments addressing exercise adherence and questionnaire response rate. Future trials should utilise outcomes that consider participants baseline physical activity levels and adequately measure pain disparate from performance.
(Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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