Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial
Introduction Pain is one of the primary symptoms affecting individuals with rotator cuff tendinopathy. Physical exercise serves as the main approach for managing this condition, aiming to restore movement patterns, optimise scapular kinematics and improve strength and local muscular endurance. Pain...
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BMJ Publishing Group
2025-02-01
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| author | César Augusto Medeiros Silva Clécio Gabriel de Souza Vinicius Batista Lima Hannely Beatriz Menezes Cosme Romário Nóbrega Santos Fonseca Fuad Ahmad Hazime Rodrigo Scattone da Silva Rodrigo Pegado de Abreu Freitas |
| author_facet | César Augusto Medeiros Silva Clécio Gabriel de Souza Vinicius Batista Lima Hannely Beatriz Menezes Cosme Romário Nóbrega Santos Fonseca Fuad Ahmad Hazime Rodrigo Scattone da Silva Rodrigo Pegado de Abreu Freitas |
| author_sort | César Augusto Medeiros Silva |
| collection | DOAJ |
| description | Introduction Pain is one of the primary symptoms affecting individuals with rotator cuff tendinopathy. Physical exercise serves as the main approach for managing this condition, aiming to restore movement patterns, optimise scapular kinematics and improve strength and local muscular endurance. Pain neuromodulation techniques, such as transcranial direct current stimulation (tDCS), may offer complementary non-pharmacological options for pain relief by promoting central modulation and altering cortical excitability.Methods and analysis This protocol outlines a randomised, blinded clinical trial. Participants will be randomly allocated to two groups: G1 (active tDCS combined with progressive exercise) and G2 (sham tDCS combined with progressive exercise). The protocol will span 4 weeks, with two sessions per week. Pain intensity, measured using the numerical pain scale, will serve as the primary outcome. Secondary outcomes will include physical function, range of motion, global perception of change and treatment adherence.Ethics and dissemination This protocol was approved by the Ethics Committee Health Sciences College of Trairi, Federal University of Rio Grande do Norte (number: 6.821.408). Followed the Declaration of Helsinki recommendations for research with human beings. The results will be published later in peer-reviewed journals and scientific events.Trial registration number The Brazilian Registry of Clinical Trials (RBR-59xmv6s); Results. |
| format | Article |
| id | doaj-art-8efa7361ed3d4083841846359ede9223 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-8efa7361ed3d4083841846359ede92232025-02-07T07:00:11ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-091840Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trialCésar Augusto Medeiros Silva0Clécio Gabriel de Souza1Vinicius Batista Lima2Hannely Beatriz Menezes Cosme3Romário Nóbrega Santos Fonseca4Fuad Ahmad Hazime5Rodrigo Scattone da Silva6Rodrigo Pegado de Abreu Freitas71 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil1 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil1 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil1 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil1 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil2 Physical Therapy, Universidade Federal do Piauí, Campus Universitário de Parnaíba, Parnaiba, Brazil1 Health Sciences College of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil3 Graduate Program in Rehabilitation Science, Federal University of Rio Grande do Norte, Natal, BrazilIntroduction Pain is one of the primary symptoms affecting individuals with rotator cuff tendinopathy. Physical exercise serves as the main approach for managing this condition, aiming to restore movement patterns, optimise scapular kinematics and improve strength and local muscular endurance. Pain neuromodulation techniques, such as transcranial direct current stimulation (tDCS), may offer complementary non-pharmacological options for pain relief by promoting central modulation and altering cortical excitability.Methods and analysis This protocol outlines a randomised, blinded clinical trial. Participants will be randomly allocated to two groups: G1 (active tDCS combined with progressive exercise) and G2 (sham tDCS combined with progressive exercise). The protocol will span 4 weeks, with two sessions per week. Pain intensity, measured using the numerical pain scale, will serve as the primary outcome. Secondary outcomes will include physical function, range of motion, global perception of change and treatment adherence.Ethics and dissemination This protocol was approved by the Ethics Committee Health Sciences College of Trairi, Federal University of Rio Grande do Norte (number: 6.821.408). Followed the Declaration of Helsinki recommendations for research with human beings. The results will be published later in peer-reviewed journals and scientific events.Trial registration number The Brazilian Registry of Clinical Trials (RBR-59xmv6s); Results.https://bmjopen.bmj.com/content/15/2/e091840.full |
| spellingShingle | César Augusto Medeiros Silva Clécio Gabriel de Souza Vinicius Batista Lima Hannely Beatriz Menezes Cosme Romário Nóbrega Santos Fonseca Fuad Ahmad Hazime Rodrigo Scattone da Silva Rodrigo Pegado de Abreu Freitas Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial BMJ Open |
| title | Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial |
| title_full | Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial |
| title_fullStr | Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial |
| title_full_unstemmed | Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial |
| title_short | Transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy: a protocol for a blinded randomised controlled trial |
| title_sort | transcranial direct current stimulation combined with physical exercise in rotator cuff tendinopathy a protocol for a blinded randomised controlled trial |
| url | https://bmjopen.bmj.com/content/15/2/e091840.full |
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