Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement

Norwegian University of Science and Technology46 enrolled

Overview

The purpose of this study is to determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with shoulder pain.

Shoulder pain is common in the population. Various treatment modalities are used. According to the literature, it is equally good results for home exercises and for guided exercise therapy. The purpose of this study is to look at this again and determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with subacromial impingement.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Shoulder Impingement Syndrome

Interventions

supervised exerciseOTHER

This group will receive 10 classes of supervised exercise in the 6 weeks intervention. In this classes the patients will be with a physiotherapist that will adjust their home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

homebased exercisesOTHER

This group will receive 1 class of supervised exercise at the beginning of the 6 weeks intervention. In this class the patients will be with a physiotherapist that will put together a home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pain in one shoulder * Had the condition for more than 12 weeks * Pain at abduction (must be present in some part between 60 and 120 degrees) * Pain/ weakness in isometric external rotation * Positive Hawkins test Exclusion Criteria: * Instability * Labral pathology * Acromioclavicular joint (AC-joint) pathology * Complete rupture in the rotatorcuff * Glenohumeral osteoarthritis * Previously operated on current shoulder * The pain comes from neck pathology * Rheumatoid arthritis or other serious physical or mental illness * Lack of Norwegian language * Unable to start

Locations (1)

Tverrfaglig Poliklinikk, rygg-nakke-skulder. Fys.Med. og rehab., St.Olavs Hospital

Trondheim, Norway

Outcomes

Primary Outcomes

Pain and function 1

Shoulder Pain and Disability Index

Time frame: Baseline

Pain and function 2

Shoulder Pain and Disability Index

Time frame: At 6 weeks

Pain and function 3

Shoulder Pain and Disability Index

Time frame: At 6 months

Secondary Outcomes

Fear avoidance 1

Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back

Time frame: Baseline

Fear avoidance 2

Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.

Time frame: At 6 weeks

Quality of life 1

The Short-Form 36 questionnaire

Time frame: Baseline

Quality of life 2

The Short-Form 36 questionnaire

Time frame: At 6 weeks

Pain the last week

Numeric pain rating scale

Time frame: Baseline and once a week for 6 weeks

Active range of motion 1

Abduction, flexion, external rotation and internal rotation measured with inclinometer

Time frame: Baseline

Data from ClinicalTrials.gov

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