Subacromial Pain Syndrome
Conditions
Keywords
Subacromial Pain Syndrome, Subacromial ImpingementSyndrome, telerehabilitation, physiotherapy
Brief summary
The main hypothesis of the study is that telerehabilitation is an effective treatment method and it is not inferior than standard physiotherapy.The aim of this study is to evaluate the effectiveness of telerehabilitation in patients with subacromial pain syndrome by comparing it with standard physiotherapy.
Detailed description
Subacromial pain syndrome formerly known as subacromial impingement syndrome is the cause of approximately 44% to 65% of pain complaints related to the shoulder. Methods such as immobilization, drug therapy, injection techniques, physical therapy modalities and therapeutic exercises, manual therapy, acupuncture and surgery can be used in the treatment of the disease. Due to the Coronavirus disease 2019 (COVID-19) pandemic that started in Wuhan province of China in December 2019, the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. Although there are many studies on the effectiveness of telerehabilitation in the literature, there is no study on the superiority of telerehabilitation, physical therapy under supervision and home exercise program over each other.
Interventions
OTHERTelerehabilitation
The Posterior Glenohumeral Capsule Stretching Exercise, Pectoral Stretching Exercise, Push-up Against Wall Exercise, Scapular Plan Exercise, 90 Degree Shoulder Flexion Exercise, Isometric External Rotation Exercise and Isometric Internal Rotation Exercise will be applied according to the severity of the disease and the size of the disability.
OTHERStandard Physiotherapy
Active-passive exercises accompanied by a physiotherapist and physical therapy methods (electrotherapy and thermotherapy) will be applied in accordance with the standard procedure according to the patient's needs.
OTHERHome Exercise Group
The same exercise program applied to telerehabilitation group.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Masking description
Participants will not be able to be blinded due the inherent of interventions. Staff members who are responsible for statistical analysis, investigators and outcome assessors will be blinded.
Intervention model description
Prospective, triple-blinding, randomized controlled and 3-arm parallel group design clinical study. 3 arms of the study were planned to consist of telerehabilitation group, standard physiotherapy group and home exercise group.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Having subacromial pain for at least 2 weeks * Positive result of Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests . * To have internet access and equipment to participate in videoconference . * Being literate and not having cognitive dysfunction.
Exclusion criteria
* Positive drop arm test * Signs of adhesive capsulitis (restriction in range of motion-especially in abduction and external rotation) * Grade 3 or full thickness rotator cuff tear * Labral tears and other intraarticular structural pathologies * History of shoulder surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Pain Intensity at 1 and 3 months | Baseline, one and three month after the randomisation | Patients will be asked to mark their pain by giving a score between zero (no pain) and 10 (the most severe pain) on a 10 cm long visual analog scale (VAS) during each visits. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline SPADI total score at 1 and 3 months | Baseline, one and three month after the randomisation | The Shoulder Pain and Disability Index (SPADI) is a questionnaire with a total of 13 questions developed to measure shoulder pain and associated disability. In the subgroup of the pain, the patient is asked to express the severity of him/her pain by giving a score between zero (no pain) and 10 (the most severe pain) during different activities in the last week. In the subgroup of disability, the patient is asked to score between zero (no difficulty) and 10 (receiving assistance) how hard they have experienced during different activities in the last week. Zero points indicate maximum well-being, 130 points indicate maximum disability. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline range of motion of shoulder at 1 and 3 months | Baseline, one and three month after the randomisation | Range of motion of the Shoulder will be evaluated with a standard goniometer. |
Countries
Turkey (Türkiye)
Outcome results
None listed