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 type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 46 (estimated) |
| Sponsor | Istanbul University Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | May 15, 2026 |
| Main results expected | May 15, 2027 |
| Study ends | June 15, 2027 |
| Registry record updated | April 22, 2026 |
| Trial ID | NCT07546084 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
- Study coordinator: Rezzan Atay, Bachelor's degree
- Email: rezzan.atay@ogr.iuc.edu.tr
- Phone: 90+ 505 485 75 49
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Nociplastic Pain in SAPS: A Look at Pain Types in Shoulder Pain
This study tests how common nociplastic pain is among people with subacromial pain syndrome who have shoulder pain for at least 3 months.
-
Pain phenotype and response to corticosteroid injection in SAPS
This study tests whether people with subacromial pain syndrome who have a nociplastic pain pattern respond differently to a corticosteroid injection than those without that pattern.
-
Dual-task shoulder exercise program for rotator cuff–related pain
This trial tests whether doing shoulder exercises together with simple cognitive tasks helps adults with rotator cuff–related shoulder pain reduce pain and improve function compared with standard shoulder exercises.
-
Who benefits most from patient education alone for rotator cuff–related shoulder pain?
This project will test whether patient education alone helps people aged 18–65 with rotator cuff–related shoulder pain reduce pain and improve function.
-
Hybrid mobile health and telerehabilitation vs in-person physiotherapy for shoulder pain
This study tests whether a mobile-health program, tele-rehabilitation sessions, or conventional physiotherapy can help adults with Subacromial Pain Syndrome.
-
Functional electrical stimulation plus shoulder exercises for older adults with rotator cuff pain
In older adults with rotator cuff–related shoulder pain, this study tests whether adding functional electrical stimulation to a shoulder exercise program improves muscle coordination and reduces impingement compared with exercises alone.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.