Subacromial Impingement Syndrome
Conditions
Brief summary
The purpose of this study is to investigate and compare the effects of eccentric and concentric strength training on pain, strength, joint position sense and function in patients with subacromial impingement syndrome.
Interventions
Eccentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.
Concentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.
The participants will receive standard physiotherapy. The standard physiotherapy exercises will be supervised by the physiotherapist, same as intervention exercises.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of subacromial impingement syndrome * Complaints associated with subacromial impingement syndrome for at least 3 months * No extra pain with 90 degree abduction-90 degree external rotation position of the shoulder * Ability to complete the entire study procedure
Exclusion criteria
* Severe pain; shoulder pain is \> 7/10 * History of upper extremity fracture * History of shoulder, cervical and thoracic surgery * Having shoulder instability or frozen shoulder diagnosis * History of shoulder injuries, trauma and / or shoulder symptoms requiring treatment during the last 1 year (except than subacromial impingement syndrome) * Full-thickness rotator cuff tear * Systemic musculoskeletal disease * Neck and shoulder pain with cervical spine movement * Chest deformity or scoliosis diagnosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Function | Baseline, 12 weeks and 24 weeks | Change of Constant Murley Score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Baseline, 12 weeks and 24 weeks | Change of visual analog scale score in activity and rest |
| Upper extremity function | Baseline, 12 weeks and 24 weeks | Change of disabilities of the arm, shoulder, and hand (DASH) score |
| Isometric strength | Baseline, 12 weeks and 24 weeks | Change of shoulder abduction and external rotation isometric strength (in kg, with hand held dynamometer) |
| Eccentric strength | Baseline, 12 weeks and 24 weeks | Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer) |
| Joint position sense | Baseline, 12 weeks and 24 weeks | Change of shoulder joint repositioning angle errors (with bubble inclinometer) |
Countries
Turkey (Türkiye)