Shoulder Pain, Shoulder Impingement Syndrome
Conditions
Interventions
This is a 3-arm clinical trial, comprising: active control group with n=30 who will receive exercise-based approaches, and two experimental groups: one receiving only therapeutic pain education (n=30)
medical records and their previously allocated treatments into individual opaque envelopes. Treatment protocols will be applied by experienced investigators with more than 12 years of experience. The
however, given the nature of the treatment programs, blinding the administering investigator will not be possible. Randomization and allocation concealment will be performed by a collaborator not invo
however, given the nature of the treatment programs, blinding the administering investigator will not be possible. The exercise-based intervention It will last 12 weeks, with 2 therapeutic sessions pe
Sponsors
Universidade Federal do Delta do Parnaíba
Universidade Federal do Delta do Parnaíba
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Volunteers; both genders; age = 18 years; persistent shoulder pain with a predominantly nociplastic and/or nociceptive pain phenotype; diagnosis of subacromial impingement syndrome/chronic subacromial pain; in the clinical evaluation, obtain 3 positive results out of 5 shoulder impingement tests, namely: Neer's sign, Hawkins and Kennedy test, empty can test, painful abduction arc, and external rotation resistance test
Exclusion criteria
Exclusion criteria: limitation of =50% of the range of motion for passive internal or external rotation of the shoulder in =2 planes of motion; shoulder pain >7/10 on the visual analog scale; pregnancy; cervicobrachialgia confirmed by Spurling Test; any warning signs detected in the initial history, indicating potential signs of tumor, infection, fracture or unreduced dislocation, neurological injury, non-stress-related pain in the shoulder region; history of upper limb fracture; systemic musculoskeletal disease; current or previously diagnosed carcinoma; shoulder surgery; glenohumeral instability; complete tear of any rotator cuff or biceps brachii muscle; acute traumatic shoulder pain; history of analgesic injections less than 3 months ago; cognitive disorders; Involvement in other exercise-based therapies; more than 4 hours per week of overhead shoulder training activities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that pain relief at a higher level will be observed when pain education is combined with exercise intervention after 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| All patients are expected to experience improvements in pain levels, catastrophizing, and function over time, but gains in strength and mobility are not expected with therapeutic education alone | — |
Countries
Brazil
Contacts
Public ContactCaruline Alvarenga
Caruline Rodrigues Alvarenga
Outcome results
None listed