High intensity interval training (HIIT): One 20-minute HIIT session (5x1 min at VO₂max with 1 min recovery at 50% VO₂max) on cycle ergometer.
Study summary
This feasibility study investigates whether high-intensity interval training (HIIT) is feasible and acceptable for individuals with long-term shoulder pain where low-grade inflammation is suspected. Many patients do not recover fully with current local treatments, and systemic factors such as inflammation, and metabolic changes, additionally disturbances in the functioning of the nervous system often seem to play a role. HIIT is a time-efficient form of exercise that has been shown to improve inflammation and metabolic values and positively influence the balance of the nervous system. In this feasibility study, the investigators are enrolling 15 individuals with persistent shoulder pain (diagnosed with rotator cuff-related shoulder pain or frozen shoulder) with \>3 months of symptoms, and 15 individuals without shoulder complaints. All participants will undergo measurements of inflammatory levels, glycosylated hemoglobin (HbA1c), blood pressure, body composition, pain sensitivity tests, and complete questionnaires about autonomic complaints and quality of life. Participants with shoulder pain will also perform one personalized HIIT session on a cycle ergometer. The investigators will assess whether participants accept a systemic intervention for their shoulder pain, if they are cooperative, and how they feel about the session; additionally, any side effects will be recorded. The aim is to determine whether HIIT is practically feasible and safe for this group and whether there are indications that systemic factors such as inflammation and nervous system function are associated with persistent shoulder pain. The outcome will determine whether follow-up research with a larger study is worthwhile.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
Accepted
Inclusion Criteria:
Shoulder pain group
* Shoulder pain \> 3 months
* Diagnosis of rotator cuff related shoulder pain or frozen shoulder
* Understanding Dutch in speaking and writing.
Control group
o Understanding Dutch in speaking and writing
Exclusion Criteria:
Shoulder pain group
* \<18 years
* Shoulder surgery or trauma in past year
* Neurological, cancer, or neuromuscular disease
* Osteoarthritis, cervical or AC joint pathology
* Heavy physical exertion \<48h before testing
Control group
* \<18 years
* recent or recurrent neck/shoulder pain
* systemic or neurological disease
* psychiatric disorders
* pregnancy/breastfeeding
* pain medication \<48h before test
Primary outcome measure(s)
Participant acceptance and satisfaction — Immediately after the HIIT training session Participant acceptance and satisfaction of the HIIT-session will be assessed with an adapted short questionnaire based on the total shoulder arthroplasty postoperative satisfaction questionnaire.
HIIT protocol adherence — During the training session HIIT protocol adherence will be assessed by determining the percentage of HIIT-protocol completers and registration of protocol adjustments.
Intrinsic motivation — Immediately after the training session Intrinsic motivation of the participants with shoulder pain will be assessed using the intrinsic motivation inventory (IMI). From this questionnaire only the following domains will be questioned: interest/enjoyment, effort, and value/usefulness. The questions will be adapted specific to the current study, as recommended.
Study recruitment rate — During the study period Study recruitment rate will be determined by dividing the number of participants by the number of contacted individuals. Reasons for non-participation will be assessed with preset response options.
Full protocol conduction — Immediately after the assessment and training session Assessment of full protocol conduction will be assessed by registering preparation time, protocol duration, and issues with equipment and location.
Adverse events — Up to 3 days after training and assessment The severity of the adverse event will be determine based on the Common Terminology Criteria for Adverse Events (CTCAE).
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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