Chronische schouderpijn chronic shoulder pain SAPS Subacromial pain syndrome
Conditions
Interventions
The patients will be randomly allocated to either the control (n=40)
intervention group (n=40). All patients will receive standard-care treatment
(information provided by the treating physician, rel
Sponsors
Leids Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: In order to participate in this study, a subject must meet all of the following criteria - Chronic shoulder pain (>3months). - Suspicion of subacromial origin of pain (e.g. combination of positive painful arc test, Hawkins-Kennedy test and empty can test). - Presence of conventional ultrasonography. - Presence of conventional radiographs.
Exclusion criteria
Exclusion criteria: - Younger than 18 years of age; - History of fracture or dislocation of the shoulder; - History of surgery around the shoulder; - Clinical and/or radiographic signs of comorbidities or alternative diagnoses of the affected shoulder (glenohumeral instability, glenohumeral/acromioclavicular osteoarthritis or arthritis, rheumatic disorder, history of trauma of the affected shoulder, capsulitis adhesiva, full thickness rotator cuff rupture, cervical radiculopathy, plexus lesions). - Tendinitis calcarea >3mm, although part of saps; requires different treatment methods. - Symptomatic cervical spine pathology; - Neoplasms; - Pregnancy; - Cognitive impairment; - Electronic implants (e.g. Implantable Cardioverter Defibrillator, pacemaker); - Insufficient Dutch language skills; - Refusing physical therapy treatment (for example, due to the absence of reimbursement); - Refusing ultrasound guided subacromial corticosteroid injection; - No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical outcomes are pain (Visual Analogue Scale), arm-shoulder function (Constant score). | — |
Secondary
| Measure | Time frame |
|---|---|
| Bio-physical-social health (RAND-36, Shoulder Rating Questionnaire) and, self-reported quality of life (Western Ontario Rotator Cuff index). Co-contraction as assessed with EMG will be expressed using the Activation Ratio ([AR]; range [-1 to1]), indicating the task-related amount of antagonist activation relative to the same muscle*s degree of agonistic activation, corresponding to 1 in case of pure agonist muscle activation and -1 in case of pure antagonistic activation. Furthermore, movement complexity and proprioception, factors that potentially associate with the clinical course of SAPS will be assessed using electromagnetic motion analysis (Flock of Birds, FoB). Lastly, we will evaluate the content of care provided and compliance of the patients by asking the patients to fill out a registration form on the frequency, duration and content of treatment. | — |
Countries
Netherlands
Outcome results
None listed