Subacromial Decompression
Conditions
Keywords
arthroscopic subacromial decompression, exercise, physical therapy, rotator cuff, shoulder impingement syndrome, Subacromial impingement after arthroscopic subacromial decompression
Brief summary
The objective of this study was to evaluate and compare two different post-surgical rehabilitation strategies, Rehabilitation supervised by a physical therapist including exercises with progressive early activation of the rotator cuff versus basic home exercises regarding shoulder function, pain, health related quality of life and return to work after arthroscopic subacromial decompression.
Detailed description
Patients scheduled for surgery (arthroscopic subacromial decompression)and in the age 25-65 were offered to participate in the study. After surgery they were randomized to either Supervised Physical therapy with early activation of the rotator cuff (PT-group) or to home exercises (H-group). Patients in the PT group met the physical therapist twice a week for exercises and in between these visits they did their exercises at home daily. The H-group did home exercises daily. Shoulder function and pain(primary outcomes)and health related quality of life, returning to work(secondary outcomes)were assessed before surgery, one week after(baseline), 1,2,3 and 6 months after surgery by an independent physical therapist.
Interventions
OTHERExercises
Sponsors
Kalmar County Hospital
Linkoeping University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Subacromial impingement verified with Neer impingement test * At least 6 month duration of pain * Treated in primary care without satisfactory results for at least three months. * Typical history and pain location. Scheduled for surgery (subacromial decompression) * Three of these four tests must be positive: * Neer impingement test * Hawkins-Kennedy impingement sign Jobe supraspinatus test * Painful arc 60-120 degree
Exclusion criteria
* Radiological findings of malignancy osteoarthritis, fractures * Polyarthritis or fibromyalgia * Pathological hyper laxity * Lack of communication skills that prevent the use of outcome measurements * Cervical spine pathology
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shoulder function and pain | before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Health related quality of life and returning to work | before surhery and 1 w(baseline)1,2,3 and 6 months after surgery |
Outcome results
None listed