Shoulder Impingement Syndrome
Conditions
Brief summary
Seventy subjects with shoulder impingement syndrome associated with scapular dyskinesis will be recruited and randomized into two groups of treatment. The group a will receive a strenghtening protocol with progressive overload during 20 sessions and group b will receive the same protocol with minimal load, without change during the 20 sessions. The primary outcomes measures will be pain, function, quality of life, global impression of recovery. The change will be measure from baseline at 10 weeks (after 20 sessions), 3 and 6 months (follow-up). The secundary outcomes will be disability, quality of life measure by other instruments, shoulder muscle strength and scapular 3d kinematic variables. For these data, change will be measure from baseline at 10 weeks (after 20 sessions).
Interventions
OTHERStrengthening protocol with progressive load
Strengthening protocol for scapular and shoulder muscles
OTHERStrengthening protocol without progressive load
Strengthening protocol for scapular and shoulder muscles
Sponsors
University of Nove de Julho
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* People with diagnosis shoulder impingement syndrome or supraspinatus/rotator cuff tendinopathy or subacromial bursitis * shoulder pain for more than 4 months, at least 4 points of pain in 0-10 NPRS * at least 130° shoulder active elevation * 3 or more positive of 5 physical examination tests (painful arc, external rotation resistence, Neer, empty can (Jobe) and Hawkins-Kennedy * positive dynamic scapular dyskinesis in clinical observation
Exclusion criteria
* Referred pain from vertebral spine * previous shoulder, elbow or neck surgery * complete rotator cuff tear (positive drop arm sign or substantial shoulder elevation or rotation weakness) * neoplastic or neurological disorders * previous fracture or dislocation injury (shoulder, humerus, clavicle) * adhesive capsulitis signs * inflammatory diseases * specific treatment for the shoulder in the previous four months (injection, physiotherapy) * using drugs in the previous week * inability to understand portuguese language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Numeric pain rating scale (0-10) | baseline, 10 weeks, 3 months and 6 months |
| Change in SPADI (Shoulder Pain and Disability Index) Questionnaire (0-100) | baseline, 10 weeks, 3 months and 6 months |
| Change in ASES (American Shoulder and Elbow Surgeons) Questionnaire (0-100) | baseline, 10 weeks, 3 months and 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Scapular kinematic | Change from baseline at 10 weeks | 3D data of scapula at 30, 60, 90 and 120° of shoulder abduction |
| Disabilities | Change from baseline at 10 weeks | DASH (Disabilities of the Arm, Shoulder and Hand) Questionnaire (0-100) |
| Global impression of recovery | Change from baseline at 10 weeks, 3 months and 6 months | GPE (global perceived effect) scale (-5 to +5) |
| Quality of life | Change from baseline at 10 weeks | WORC (The Western Ontario Rotator Cuff Index) Questionnaire (0-100) |
| Muscle Strength | Change from baseline at 10 weeks | Shoulder internal rotation, external rotation, adduction and abduction muscles measured by handheld dynamometer |
Countries
Brazil
Outcome results
None listed