Shoulder Impingement Syndrome
Conditions
Keywords
shoulder pain, shoulder impingement, rotatorcuff pathology, supervised exercise, homebased exercise
Brief summary
The purpose of this study is to determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with shoulder pain.
Detailed description
Shoulder pain is common in the population. Various treatment modalities are used. According to the literature, it is equally good results for home exercises and for guided exercise therapy. The purpose of this study is to look at this again and determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with subacromial impingement.
Interventions
OTHERsupervised exercise
This group will receive 10 classes of supervised exercise in the 6 weeks intervention. In this classes the patients will be with a physiotherapist that will adjust their home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises
OTHERhomebased exercises
This group will receive 1 class of supervised exercise at the beginning of the 6 weeks intervention. In this class the patients will be with a physiotherapist that will put together a home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises
Sponsors
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Pain in one shoulder * Had the condition for more than 12 weeks * Pain at abduction (must be present in some part between 60 and 120 degrees) * Pain/ weakness in isometric external rotation * Positive Hawkins test
Exclusion criteria
* Instability * Labral pathology * Acromioclavicular joint (AC-joint) pathology * Complete rupture in the rotatorcuff * Glenohumeral osteoarthritis * Previously operated on current shoulder * The pain comes from neck pathology * Rheumatoid arthritis or other serious physical or mental illness * Lack of Norwegian language * Unable to start
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain and function 1 | Baseline | Shoulder Pain and Disability Index |
| Pain and function 2 | At 6 weeks | Shoulder Pain and Disability Index |
| Pain and function 3 | At 6 months | Shoulder Pain and Disability Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fear avoidance 1 | Baseline | Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back |
| Pain the last week | Baseline and once a week for 6 weeks | Numeric pain rating scale |
| Active range of motion 1 | Baseline | Abduction, flexion, external rotation and internal rotation measured with inclinometer |
| Active range of motion 2 | At 6 weeks | Abduction, flexion, external rotation and internal rotation measured with inclinometer |
| Impingement tests 1 | Baseline | Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative |
| Quality of life 1 | Baseline | The Short-Form 36 questionnaire |
| Work status 1 | Baseline | Registration of the patients work status |
| Work status 2 | At 6 weeks | Registration of the patients work status |
| Work status 3 | At 6 months | Registration of the patients work status |
| Patient satisfaction | At 6 weeks | 2 questions, one question about benefit and one about satisfaction |
| Impingement tests 2 | At 6 weeks | Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative |
| Quality of life 2 | At 6 weeks | The Short-Form 36 questionnaire |
| Fear avoidance 2 | At 6 weeks | Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back. |
Countries
Norway
Outcome results
None listed