Musculoskeletal diseases
Conditions
Interventions
The control group of 26 subjects will carry out a program of specific exercises for elongation and strengthening of the glenohumeral and scapular muscles proposed by Camargo et al. The duration of the
Periodicity 3 times per week
Duration of the exercise program will be 6 weeks.
The experimental group of 26 subjects will carry out the same program of specific exercises for elongation and strengthening of the glenohumeral and s
E02.779.474
Sponsors
CDT Hospital San Borja de Arriaran
Universidad de las Americas
Eligibility
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: Inclusion: Users with a medical diagnosis of subacromial impingement syndrome, based on clinical and imaging criteria (Rx, ECHO and NRM) and with decreased scapular movement evaluated with a scapulometer ; Users of both genders, whose age range is between 18 and 55 years; Users who accept and sign the informed consent.
Exclusion criteria
Exclusion criteria: Exclusion: presenting pathologies of cervical origin (radiculopathies), other pathologies of the shoulder joint complex (fracture of the proximal humerus, calcific tendonitis, adhesive capsulitis, glenohumeral instability, partial or total rupture of the rotator cuff); Patients with a history of previous surgery of the affected shoulder and infiltrated with corticosteroids in the affected shoulder in the last 12 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The function of upper extremity will be evaluated with the DASH questionnaire, which is a questionnaire used to assess disability and symptoms in subjects with musculoskeletal dysfunctions, which consists of 30 items related to: (1) the degree of difficulty during the week prior to performing various physical activities due to problems in the shoulder, arm or hand (21 items); (2) the severity of each of the symptoms, pain related to activity, tingling, weakness and rigidity (5 items); And (3) the effect of the problem on social activities, work, sleep and psychological impact (4 items). A rating scale is used that goes from 1 (without difficulty to perform, without symptoms or without impact) to 5 (without being able to do, very severe or high impact symptom), the final result ranges between 0 and 100 (the higher the the score) greater disability). A transcultural adaptation to the Spanish language will be carried out, whose version showed excellent results in terms of validity, reliability and sensitivity to change. A personal survey will be made to each patient by a blind external evaluator to avoid a possible bias, each domain will be explained without intentionally answering it. | — |
Secondary
| Measure | Time frame |
|---|---|
| The function will was evaluated utilizing the Constant-Murley questionnaire, which is one of the most frequently specific instruments used and recommended to evaluate the shoulder function. The Constant-Murley score has a 100-point scoring system that is divided into 4 domains: pain (maximal 15 points), daily life activities (maximal 20 points), painless range of motion (maximal 40 points), and abduction strength evaluation (maximal 25 points) according to the methods described by Constant et al. Despite the inconveniences in the standardization of some of the measurements and the interpretation of the final results, this questionnaire presents a high correlation with other specific scales and questionnaires for the shoulder, showing a high reliability and sensitivity to detect post-intervention changes in a wide variety of shoulder pathologies.;Pain intensity at rest and during activity were assessed with a VAS, with scores ranging from 0 (“no pain”) to 10 (“the worst imaginable pain”). The VAS has been shown to be a reliable and valid instrument to assess changes in pain intensity | — |
Countries
Chile
Contacts
Public ContactFelipe Araya
Universidad de las Americas
Outcome results
None listed