Subacromial Impingement Syndrome
Conditions
Brief summary
The objective of this retrospective study was to look into the effects of core stabilization exercises applied in conjunction with classic physiotherapy program on pain, muscle strength, disability, and posture in SIS.
Interventions
Classical physiotherapy program=Classical physiotherapy program included transcutaneous electrical nerve stimulation, infrared radiation for 15 min, continuous ultrasound for 5 min and home exercise program. For active assistive shoulder range of motion (ROM), home exercises included the Codman exercise, flexion exercise at the ladder, and the Wand exercise, as well as some strengthening and stretching exercises performed at the pain limit with 10 repetitions twice a day (six weeks)
OTHERCore Stabilization Exercises
The interventions of the core exercise were applied when the patient lay on his/her back with his/her knees at flexion. The number of repeats for each exercise was five, and these exercises were done 3 times a week for 6 weeks with the same physiotherapist. The further steps in the exercises were extended according to the activation duration of the core muscles, and this extension was elongated 5 s
Sponsors
Yeditepe University
Acibadem University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
35 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients between the ages of 35 and 60 who were diagnosed by a Physical Therapy and Rehabilitation doctor with at least ten years of experience, whose SIS was confirmed by MRI, and who had shoulder complaints for at least three months, patients with positive signs, a positive Hawkins-Kennedy test, significant loss of active and passive shoulder movements or painful range of motion (ROM), and patients whose treatment and evaluation methods were appropriate for the study design were enrolled in the study
Exclusion criteria
* Patients who had upper extremity surgery, patients with a history of shoulder trauma and corticosteroid application to the shoulder region in the previous year, a history of shoulder dislocation, infection, tumor, adhesive capsulitis, reflex sympathetic dystrophy, congenital anomaly, rheumatic disease, and chronic severe systemic disease, as well as professional athletes and patients whose evaluations were missing in the previous month were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Numerical Rating Scale (NPRS-11) | Change from baseline pain score at 6th week | The Numerical Rating Scale (NPRS-11) is an 11-point scale for self-report of pain. It is the most commonly used unidimensional pain scale. The respondent selects a whole number (integers 0-10) that best reflects the intensity (or other quality if requested of his/her pain.0 point is the minimum and 10 point is the maximum. The higher the score, the more severe the pain. |
| New York Posture Rating Method to determine their postures | Change from baseline pain score at 6th week | The rating chart is used to assess 13 areas of the body, based on the assumption that posture is the alignment of the body and its segments. 13 regions (head, neck, shoulder, scapula, upper thoracic, waist, rips, abdomen, hips, knees, legs, feet and toes) are assessed in two different positions (lateral and posterior). A score is allocated to each area according to the position: 5 points to the correct position; 3 points for a slight deviation, and 1 point for a pronounced deviation. Total score is between 18-90 points. higher the points better the postural alignment |
| Shoulder pain and disability index | Change from baseline score of The Shoulder Pain and Disability Index at 6th week | The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability between 0 to 100, with a higher value indicating worse condition. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder mobility on the Shoulder Range of Motion | Change from baseline range of motion at 6th week | Shoulder ROM was measured in six directions (Flexion, Extension, Abduction, Adduction, Right rotation, Left rotation) with goniometer. |
| Manual muscle test | Change from baseline manual muscle testing score at 6th week | The lowest value is zero and the highest value is 5. high values are indicative of positive progress |
| Core muscle strength test | Change from baseline strenght score at 6th week | The level of difficulty was raised from stage 1 to stage 5. high values are indicative of positive progress |
| Endurance of Core Muscles | Change from baseline endurance score at 6th week | Each test was repeated three times, and the average of the measurements was used. The Biering-Sørensen test measures how many seconds the participant can keep the unsupported upper part of the body in a horizontal position.high values are indicative of positive progress |
Countries
Turkey (Türkiye)
Outcome results
None listed