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Final Program


Final Program

712 - The Efficacy of Early Eccentric Exercise in Reducing Rotator Cuff Pain and Improving Function, a pilot study

Thursday, February 27, 2025
5:00 PM - 6:30 PM MST

    Presenting Author(s)

  • MG

    Mariem Gaddour, MD

    Doctor
    physical medicine and rehabilitation department, university hospital Sahloul , Sousse, Tunisia
    Sousse, Sousse, Tunisia

    • Co-Author(s)

  • IL

    Ines Loubiri, MD

    assistant doctor
    Sahloul Hospital
    ouardanine, Al Munastir, Tunisia

  • RM

    Rihab Moncer, MD

    Doctor
    sahloul university hospital
    SOUSSE, Sousse, Tunisia

  • Mg

    Marwa ghanmi, MD (she/her/hers)

    assistant professor in physical medicine and rehabilitation
    university hospital of kairouan
    sahloul, Sousse, Tunisia

  • sj

    sonia jemni, MD

    Professor
    sahloul
    sousse, Sousse, Tunisia

Objectives: Rotator cuff tendinopathy (RCT) is a prevalent shoulder pathology with significant functional consequences. Despite numerous treatment options, the optimal timing for initiating eccentric strengthening exercises remains a subject of debate.

The aim of our study was to demonstrate the benefits of early eccentric strengthening in the management of RCT to reduce pain, improve mobility, muscle strength, and function.

Design: We conducted  a prospective, interventional, comparative study between two groups of patients with RCT. Group A received a conventional protocol (with the introduction of eccentric exercise from the 5th week), while group B received the same rehabilitation procedures but with early eccentric strengthening (from the 2nd week).

Assessments were performed at the beginning and end of the intervention, focusing on pain( VAS scale) , joint mobility, muscle strength (MRS scale ), and function(SPADI , DASH score and  Constant-Murley Shoulder Score

Results:  Initially, both groups A and B had mean constant Murley scores that were considered “poor” (43.8 et 40.4 respectively). At the end of the intervention, the mean final score was 83.8% in group A (considered good), while it was "excellent" in group B (91%). Likewise,  a greater improvement was observed within group B  concerning other evaluated parameters

Conclusions:

These results are encouraging for updating therapeutic practices and implementing early eccentric exercise in the therapeutic protocol for RCT. Nevertheless, further studies are needed to provide more significant information and draw more robust conclusions.