| CTRI Number |
CTRI/2026/02/102767 [Registered on: 02/02/2026] Trial Registered Prospectively |
| Last Modified On: |
30/01/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Cross Sectional Study |
| Study Design |
Other |
|
Public Title of Study
|
How Shoulder Joint Rotation Limitation Is Linked to Shoulder Blade Movement Problems In Rotator Cuff Related Shoulder Pain |
|
Scientific Title of Study
|
Association Between Glenohumeral Internal Rotation Deficit and Scapular Dyskinesia in Rotator Cuff Related Shoulder Pain: A Cross-Sectional Study |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Tephilla Paulose |
| Designation |
PG STUDENT |
| Affiliation |
Institute of physiotherapy, Srinivas University |
| Address |
Musculoskeletal Sciences and Sports Physiotherapy Department,
Institute Of Physiotherapy,
Srinivas University,
Pandeshwar,
Dakshina Kannada
Mangalore
Dakshina Kannada
KARNATAKA
575001
India |
| Phone |
6374346683 |
| Fax |
|
| Email |
tephiipaulose@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr M Premkumar |
| Designation |
PROFESSOR |
| Affiliation |
Institute of physiotherapy, Srinivas University |
| Address |
Musculoskeletal Sciences and Sports Physiotherapy Department,
Institute Of Physiotherapy,
Srinivas University,
Pandeshwar,
Dakshina Kannada
Mangalore
Dakshina Kannada
KARNATAKA
575001
India |
| Phone |
9442508754 |
| Fax |
|
| Email |
premkumar.ipt@srinivasuniversity.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Tephilla Paulose |
| Designation |
PG STUDENT |
| Affiliation |
Institute of physiotherapy, Srinivas University |
| Address |
Musculoskeletal Sciences and Sports Physiotherapy Department,
Institute Of Physiotherapy,
Srinivas University,
Pandeshwar,
Dakshina Kannada
Mangalore
Dakshina Kannada
KARNATAKA
575001
India |
| Phone |
6374346683 |
| Fax |
|
| Email |
tephiipaulose@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
TEPHILLA PAULOSE |
| Address |
Musculoskeletal Sciences and Sports Physiotherapy Department,
Institute Of Physiotherapy,
Srinivas University,
Pandeshwar,
Dakshina Kannada
Mangalore
575001 |
| Type of Sponsor |
Other [SELF] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr TEPHILLA PAULOSE |
Institute of Physiotherapy, Srinivas University |
Musculoskeletal sciences and sports physiotherapy department,
Institute of Physiotherapy, Srinivas University,
City campus- ground floor, Pandeshwar,
Dakshina Kannada,
Mangalore
Dakshina Kannada
KARNATAKA |
06374346683
tephiipaulose@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL REVIEW BOARD AND ETHICAL COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M758||Other shoulder lesions, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Nil |
Nil |
|
|
Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Age above 40 years
Persistent shoulder pain localized in deltoid region
Difficulty in lifting, reaching, or external rotation
|
|
| ExclusionCriteria |
| Details |
• Non shoulder related pain -symptoms originating from cervical spine, thoracic outlet syndrome or systematic conditions
• Severe structural damage like dislocation, advanced osteoarthritis or neoplasm
• Recent shoulder surgery
• Current or past carcinoma
• Corticosteroid injection within the last 6 weeks
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Range of Motion |
at baseline |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="109"
Sample Size from India="109"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
11/02/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0"
Months="3"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
NEED OF THE STUDY
The rotator cuff includes both internal and
external rotators that are essential for shoulder stability and function.
However, most clinical and sports research has focused heavily on external
rotators, with limited attention to internal rotation deficits. Glenohumeral
Internal Rotation Deficit (GIRD) is a known risk factor for shoulder
dysfunction, yet its clinical impact, particularly its association with
scapular dyskinesia in rotator cuff-related shoulder pain, is underexplored.
Since proper internal rotation is crucial for scapulohumeral rhythm and rotator
cuff health, ignoring this aspect may miss a key contributor to shoulder
pathology. Therefore, this study is needed to fill the gap in understanding the
role of internal rotation deficits and scapular mechanics in rotator
cuff-related shoulder pain, aiming to improve clinical evaluation and targeted
rehabilitation strategies. 1.1. HYPOTHESIS
NULL HYPOTHESIS There shall be no statistically
significant difference in the amount of glenohumeral internal rotation deficit and scapular dyskinesia
in rotator cuff related shoulder pain ALTERNATE HYPOTHESIS There shall be a statistically
significant difference in the amount of glenohumeral internal rotation deficit
and scapular dyskinesia in rotator cuff related shoulder pain
|