Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Attention-shift exercise program for rotator cuff–related shoulder pain

Official title: The Effect of an Exercise Program Based on Attentional Focus Shifting on Clinical Outcomes in Rotator Cuff Related Shoulder Pain

Run by Istanbul University · NCT07546084 · Data updated 2026-11-12

This will test whether doing shoulder exercises while also performing attention-shifting movements reduces pain and improves function for people with rotator cuff-related shoulder pain.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment46 (estimated)
SponsorIstanbul University
Academic / other
Locations1 site (Istanbul)
StatusRecruiting
StartedMay 15, 2026
Main results expectedMay 15, 2027
Study endsJune 15, 2027
Registry record updatedApril 22, 2026
Trial IDNCT07546084 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with rotator cuff–related shoulder pain for at least 3 months, pain ≥3/10 during activity, a painful arc or positive subacromial impingement tests, provoked pain on resisted shoulder tests, and able to complete questionnaires in Turkish are ideal candidates.

Probably not a fit

Patients with adhesive capsulitis, massive rotator cuff tears, prior shoulder surgery, advanced shoulder osteoarthritis or acromioclavicular pathology, fractures/dislocations, or neurological disorders are excluded and unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, parallel-group trial will enroll 46 adults with rotator cuff–related shoulder pain and randomly assign them to a standard supervised shoulder rehabilitation program or the same program combined with concurrent motor tasks that direct attention away from the painful shoulder. Both groups receive standardized patient education and attend 12 supervised sessions (60–75 minutes each) over six weeks, with follow-up at 12 weeks. Outcomes include pain intensity, shoulder function, and pain catastrophizing measured at baseline, post-intervention, and follow-up. The study compares whether adding attention-shifting tasks during exercise yields greater short- and medium-term improvements than standard rehabilitation alone.

Why it matters

Potential benefit: If successful, the approach could reduce pain, improve shoulder function, and lower pain catastrophizing more than standard exercise alone.

How similar studies have gone: Some pain and rehabilitation research on attentional focus or dual-task approaches shows modest reductions in pain and improved function, but application specifically to rotator cuff–related shoulder pain is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Having symptoms persisting for at least 3 months
* Experiencing pain intensity of at least 3 on the Numeric Pain Rating Scale (NPRS) during activity
* Presence of a painful arc during shoulder flexion or abduction
* Positive Neer test or Hawkins-Kennedy test
* Pain provoked by resisted external rotation/abduction of the humerus, or a positive Jobe (Empty Can) test
* Having a clinical diagnosis of subacromial pain syndrome, rotator cuff tendinopathy, subacromial bursitis, or symptomatic partial/full-thickness rotator cuff tear
* Being able to understand and complete questionnaires in Turkish

Exclusion Criteria:

* Presence of adhesive capsulitis (≥30% limitation in passive range of motion)
* Advanced osteoarthritis of the shoulder
* History of fracture or dislocation affecting the shoulder region
* Advanced acromioclavicular joint pathology
* Massive rotator cuff tear (positive lag signs)
* Previous shoulder surgery
* Presence of neurological disorders
* Diagnosis of rheumatoid arthritis
* History of cancer
* Symptomatic cervical spine pathology
* Corticosteroid injection to the shoulder within the past 6 weeks
* Cognitive impairments that may interfere with the ability to perform clinical tasks or execute attention shift-based exercises

Where it's running

  • Istanbul University-Cerrahpasa
    Istanbul, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.