Subacromial Impingement Syndrome
Conditions
Keywords
shoulder, rotator cuff, exercise
Brief summary
A randomized controlled trial comparing a comprehensive supervised training regimen with a validated home-based regimen for subacromial impingement syndrome.
Detailed description
The purpose of the study is to compare a comprehensive supervised training regimen (STR) based on latest evidence including heavy slow resistance training with a validated home-based regimen (HTR). We hypothesized that the STR would be superior to the HTR. Randomised control trial with blinded assessor. 126 consecutive patients with subacromial impingement syndrome were recruited and equally randomised to 12 weeks of either supervised training regimen (STR), or home-based training regimen (HTR). Primary outcomes were Constant Score (CS) and Shoulder Rating Questionnaire (SRQ) from baseline and 6 months after completed training. Results were analyzed according to intention-to treat principles.
Interventions
OTHERTraining
Sponsors
Fonden for Faglig Udvikling af Speciallægepraksis
Reumatologiklinikken
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
The patients were blindly assigned to one of the training regimens.
Intervention model description
Patients were randomized to either a supervised training regimen (STR) or a home training regimen
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subacromial impingement syndrome
Exclusion criteria
* Ongoing claim with the Labour market insurance, insurance company or comparable institution. * Ongoing application for job revalidation or health related pension. * Radiating neck pain. * Ultrasound verified complete rotator cuff tendon lesion, as defined by hypoechoic or anechoic full thickness defect of the tendon, or absence of the tendon. * Periarthritis humeroscapularis. * Acute luxation or fracture of the shoulder. * Ongoing steady analgetic treatment of other concomitant painful condition, unrelated to the patients shoulder problem.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder constant score | 6 months after ended training | Functional assessment of the shoulder |
| Shoulder Rating Questionnaire | 6 months after ended training | Self-administered questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale | 6 months after ended training | Measurement of pain on a 10 cm scale, where 0 indicates no pain, and 10 worst pain for the following muscle tests: full can test, empty can test, lift off test, resisted external rotation, palm-up test, Yergason´s test. |
| Passive motion | 6 months after ended training | Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees. |
| Hawkins test | 6 months after ended training | Placing the patient's shoulder in 90 degrees of shoulder flexion with the elbow flexed to 90 degrees, and afterwards internally rotating the arm. The test is considered to be positive if the patient experiences pain with internal rotation (rated positive = 1 and negative = 0). |
| Neer test | 6 months after ended training | Stabilization of the patient's scapula with one hand, while passively flexing the arm while it is internally rotated. If the patient reports pain in this position, then the result of the test is considered to be positive (rated positive = 1 and negative = 0). |
| Active motion | 6 months after ended training | Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees. |
Outcome results
None listed