Criteria-Based Rehabilitation for Shoulder Injuries
(CRISP Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores two methods to help people recover from shoulder injuries without surgery. One group will follow the usual rehab steps with military therapists, while the other will try a new, structured program called CRISP (Criteria-Based Rehabilitation for Shoulder Injuries). The study aims to determine if there is a difference in how well people feel and function between the two methods and what helps them return to their duties. It seeks active-duty service members who have shoulder pain but haven't had surgery. As an unphased trial, this study offers participants the opportunity to contribute to innovative rehabilitation methods that could enhance recovery outcomes.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It focuses on rehabilitation for shoulder injuries, so it's best to discuss your medications with the trial coordinators or your doctor.
What prior data suggests that this criteria-based rehabilitation approach is safe for shoulder injuries?
Research has shown that the CRISP program for shoulder rehab is generally manageable for participants. People in similar studies have experienced positive outcomes with this type of physical therapy. The CRISP program employs a structured exercise plan that adapts to each person's progress, ensuring the exercises remain safe and appropriate for everyone.
No major reports of negative effects have been linked to this rehab method in the studies reviewed. This suggests that the treatment is safe for individuals with shoulder injuries who do not require surgery. Overall, the evidence supports the safety and comfort of the CRISP program for those considering joining a clinical trial.12345Why are researchers excited about this trial?
Researchers are excited about the CRISP treatment for shoulder injuries because it offers a structured and personalized rehabilitation approach. Unlike the standard physical therapy options that follow a more general protocol, CRISP combines supervised therapy sessions with a guided home exercise program tailored specifically to the patient's progress and needs. This targeted approach aims to optimize recovery by ensuring each patient receives the right exercises at the right time, potentially leading to faster and more effective rehabilitation outcomes.
What evidence suggests that the CRISP program is effective for shoulder injuries?
Research has shown that the CRISP program, which participants in this trial may receive, might be more effective for shoulder recovery than standard treatments. One study found that participants experienced less pain at rest, at night, and during activities within six weeks, with improvements continuing up to 26 weeks. This suggests that CRISP could help individuals recover faster and return to normal activities sooner. Exercise therapy, in general, has improved pain, movement, and shoulder function in the short term. Overall, CRISP may be a promising option for those seeking effective recovery from shoulder injuries.23678
Who Is on the Research Team?
Marisunta Pontillo, PhD
Principal Investigator
Extremity Trauma and Amputation Center of Excellence, Defense Health Agency
Are You a Good Fit for This Trial?
This trial is for individuals with non-operative shoulder injuries, including shoulder pain and SLAP tears. Participants must be able to attend physical therapy and multiple clinical assessments at a Military Treatment Facility. Specific eligibility criteria are not provided.Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo physical therapy treatment, either standard of care or CRISP program, including supervised sessions and home exercises
Follow-up
Participants are monitored for safety and effectiveness after treatment, including patient-reported outcomes and clinical assessments
What Are the Treatments Tested in This Trial?
Interventions
- CRISP
Trial Overview
The study compares two approaches: the current standard of care versus CRISP, a novel criteria-based rehabilitation program for shoulder injuries. It will assess patient outcomes, strength differences, and factors influencing readiness to return to duty.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The CRISP group will undergo physical therapy treatment, directed by a research physical therapist, including both supervised physical therapy and a guided home exercise program.
The standard of care group will serve as the control arm and complete a period of physical rehabilitation under the supervision of a Military Health System physical therapist without study-specific guidance or interventions.
Find a Clinic Near You
Who Is Running the Clinical Trial?
United States Naval Medical Center, San Diego
Lead Sponsor
Congressionally Directed Medical Research Programs
Collaborator
Henry M. Jackson Foundation for the Advancement of Military Medicine
Collaborator
Brooke Army Medical Center
Collaborator
The Geneva Foundation
Collaborator
Citations
An Update of Systematic Reviews Examining the ...
Exercise therapy was effective for improving pain scores, active range of motion, and overall shoulder function at short-term (6–12 weeks) and ...
Efficacy of a Criteria Based Clinical Pathway for ...
The goal of this clinical trial is to compare the current standard of care for rehabilitation of non-operative shoulder injuries to a novel, ...
A standardized criteria-based progressive shoulder ...
Results: Significant reductions in pain at rest, at night and with activity (p < 0.001) occurred within six weeks and continued to 26-weeks.
4.
app.trialscreen.org
app.trialscreen.org/trials/efficacy-criteria-based-clinical-pathway-rehabilitation-shoulder-injuries-trial-nct06536114Efficacy of a Criteria Based Clinical Pathway for ...
Participants may benefit from a more effective rehabilitation program, which could lead to a faster recovery and return to full duty. The study findings may ...
Rehabilitation of the painful shoulder
Managing the painful shoulder in overhead athletes can be difficult because of a lack of time-loss injuries in overhead sports and focusing ...
Efficacy of a Criteria Based Clinical Pathway for Rehabilitation ...
The goal of this clinical trial is to compare the current standard of care for rehabilitation of non-operative shoulder injuries to a novel, ...
Effectiveness of Physiotherapy for Chronic Shoulder Pain
Members are chosen based on the scientific skills and knowledge needed to monitor the particular trial. Also called a data safety and monitoring board, or DSMB.
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