Shoulder Impingement Syndrome
Conditions
Keywords
conservative treatment, shoulder, neurocognitive therapeutic exercise, traditional therapeutic exercise, pain
Brief summary
It is a single-blind randomized controlled clinical trial to evaluate the effectiveness of neurocognitive therapeutic exercise in subjects affected by shoulder impingement syndrome in comparison with traditional therapeutic exercise. The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). Each subject, randomly assigned to either neurocognitive therapeutic exercise (group 1) or traditional therapeutic exercise (group 2), will be submitted to one-hour session for three times a week for five weeks. The outcome measures used will be the Quick-DASH questionnaire, the Constant-Murley shoulder outcome score, the ASES score, a visual analogic scale (VAS) and the assessment will be performed at baseline (T0), at the end of treatment protocol (T1), at 3 months (T2) and 6 months (T3) from the end of treatment.
Interventions
OTHERNeurocognitive therapeutic exercise
Ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). One-hour session for three times a week for five weeks.
Different exercises as strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. One-hour session for three times a week for five weeks
Sponsors
Catholic University of the Sacred Heart
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subjects with shoulder impingement syndrome established by clinical examination, X-ray in anteroposterior, axillary and outlet views, and magnetic resonance imaging (MRI) or echography.
Exclusion criteria
* Rotator cuff and/or subscapularis tendon partial/full-thickness tears, * capsulolabral pathology responsive to surgical repair, * congenital abnormalities of the acromion, * previous surgery on the affected shoulder, * inflammatory or neurological (systemic or local) diseases involving shoulder girdles, * cognitive or psychiatric disorders, * local tumor metastasis or application of radiotherapy, * acute infections or osseous tuberculosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changing of the Quick-DASH, the short form of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire | baseline (T0), five weeks (T1), three months (T2), six months (T3) | Assessment of changing of the physical ability and symptoms of the upper extremity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changing of the Constant-Murley shoulder outcome score | baseline (T0), five weeks (T1), three months (T2), six months (T3) | assessment of changing in shoulder range of motion, pain and strength |
| changing of the American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form (ASES) score | baseline (T0), five weeks (T1), three months (T2), six months (T3) | Assessment of changing of the physical ability on daily-living tasks |
| changing of the visual analogic scale (VAS) | baseline (T0), five weeks (T1), three months (T2), six months (T3) | assessment of changing of shoulder Pain at rest |
| changing of the Likert score | baseline (T0), five weeks (T1), three months (T2), six months (T3) | assessment of changing in participant satisfaction |
Countries
Italy
Outcome results
None listed