None listed
Conditions
Brief summary
This trial compares two eccentric exercise protocols, scapular stability and flexibility by applying them in 2 groups of patients with subacromial syndrome. The main objective is to determine whether there are differences in shoulder pain and range of motion, following an eccentric exercise program (with a load that produces pain during the exercise not exceed 40mm on a 0-100mm Visual Analogue Scale), scapular stability and flexibility exercises, compared to other eccentric exercise program (with a load that does not produce pain), scapular stability and flexibility exercises, in patients with subacromial syndrome. The secondary objective is to determine whether there are differences in shoulder function between the two groups following the implementation of the exercise programs. Besides it is evaluated the short-term effectiveness of a protocol based on eccentric exercise rotator cuff, scapular stability exercises and stretching, in order to guide clinical practice in patients with subacromial syndrome.
Interventions
The sample is divided in 2 groups: group 1 (G1) and group 2 (G2). Both perform eccentric exercise program for rotator cuff, exercises for scapular stabilizers (especially lower trapezius and anterior serratus) and upper trapezius stretch. The materials used are elastic bands and dumbbells.
The main difference between the two groups is the intensity of the exercise accomplished: G1 overcomes the exercise without any pain and G2 performs exercise with pain (never exceeding 40mm according to the
The sample is divided in 2 groups: group 1 (G1) and group 2 (G2). Both perform eccentric exercise program for rotator cuff, exercises for scapular stabilizers (especially lower trapezius and anterior serratus) and upper trapezius stretch. The materials used are elastic bands and dumbbells. The main difference between the two groups is the intensity of the exercise accomplished: G1 overcomes the exercise without any pain and G2 performs exercise with pain (never exceeding 40mm according to the Visual Analogue Scale, where 0mm is absence of pain and 100mm is worst pain experienced). Exercises: -Eccentric shoulder abductors. -Eccentric and concentric external and internal shoulder rotators. -Inferior Glide: isometric exercise (lower trapezius). -Dynamic Hug (anterior serratus). -Upper trapezius stretch. The exercise protocol is performed during 4 weeks, 5 times a week (one session per day from Monday to Friday, and Saturday and Sunday rest). Each patient is scheduled to have 20 sessions during the 4 week exercise period. The format of sessions is individual one-on-one sessions with a physiotherapist. All of them are supervised by physiotherapists of the research team to ensure adherence to treatment and proper performance. Also, the physiotherapists will take track of the patients that follow the treatment each day. Patients perform 3 sets of 10 repetitions for each abductor and rotator exercise and for the Dynamic Hug. Also, 3 sets of 10 repetitions with 5 seconds of contraction for the Inferior Glide. The rest between sets is twice as long of a set. Finally, the upper trapezius stretch is performed 30 seconds for a total of 3 times. The sessions take place at health centres of “Hospital de Manises”, Valencia (Spain). Each session will last approximately 40 minutes. Physiotherapists of the research team perform 2 individual assessments (one-on-one consultation) with each patient: The first assessment before starting the first session, and the other at the end of the 20 sessions. The variables assessed are shoulder pain (with the Visual Analogue Scale), the shoulder’s active range of motion with the use of a goniometer and shoulder function using the Constant-Murley test.
Sponsors
University of Alcala
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
25 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
Subjects with medical diagnosis of subacromial syndrome, with painful range of motion during active shoulder elevation.
Exclusion criteria
Subjects with rupture of the rotator cuff, fractures in the shoulder complex or shoulder surgery on the affected side within the past three months, frozen shoulder, shoulder prosthesis, fibromyalgia, radiologically verified malignancy, osteoarthritis of the glenohumeral joint and a history of chronic rheumatic or inflammatory disease.
Outcome results
None listed