It is a single-blind randomized controlled clinical trial to evaluate the effectiveness of neurocognitive therapeutic exercise in subjects affected by shoulder impingement syndrome in comparison with traditional therapeutic exercise. The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). Each subject, randomly assigned to either neurocognitive therapeutic exercise (group 1) or traditional therapeutic exercise (group 2), will be submitted to one-hour session for three times a week for five weeks. The outcome measures used will be the Quick-DASH questionnaire, the Constant-Murley shoulder outcome score, the ASES score, a visual analogic scale (VAS) and the assessment will be performed at baseline (T0), at the end of treatment protocol (T1), at 3 months (T2) and 6 months (T3) from the end of treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). One-hour session for three times a week for five weeks.
Different exercises as strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. One-hour session for three times a week for five weeks
University Hospital "A. Gemelli", Catholic University of the Sacred Heart
Rome, Italy, Italy
changing of the Quick-DASH, the short form of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
Assessment of changing of the physical ability and symptoms of the upper extremity
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
changing of the Constant-Murley shoulder outcome score
assessment of changing in shoulder range of motion, pain and strength
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
changing of the American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form (ASES) score
Assessment of changing of the physical ability on daily-living tasks
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
changing of the visual analogic scale (VAS)
assessment of changing of shoulder Pain at rest
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
changing of the visual analogic scale (VAS)
assessment of changing of shoulder Pain during movements
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
changing of the Likert score
assessment of changing in participant satisfaction
Time frame: baseline (T0), five weeks (T1), three months (T2), six months (T3)
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