Seventy subjects with shoulder impingement syndrome associated with scapular dyskinesis will be recruited and randomized into two groups of treatment. The group "a" will receive a strenghtening protocol with progressive overload during 20 sessions and group "b" will receive the same protocol with minimal load, without change during the 20 sessions. The primary outcomes measures will be pain, function, quality of life, global impression of recovery. The change will be measure from baseline at 10 weeks (after 20 sessions), 3 and 6 months (follow-up). The secundary outcomes will be disability, quality of life measure by other instruments, shoulder muscle strength and scapular 3d kinematic variables. For these data, change will be measure from baseline at 10 weeks (after 20 sessions).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
70
Strengthening protocol for scapular and shoulder muscles
Strengthening protocol for scapular and shoulder muscles
UNINOVE
São Paulo, São Paulo, Brazil
Change in Numeric pain rating scale (0-10)
Time frame: baseline, 10 weeks, 3 months and 6 months
Change in SPADI (Shoulder Pain and Disability Index) Questionnaire (0-100)
Time frame: baseline, 10 weeks, 3 months and 6 months
Change in ASES (American Shoulder and Elbow Surgeons) Questionnaire (0-100)
Time frame: baseline, 10 weeks, 3 months and 6 months
Disabilities
DASH (Disabilities of the Arm, Shoulder and Hand) Questionnaire (0-100)
Time frame: Change from baseline at 10 weeks
Quality of life
WORC (The Western Ontario Rotator Cuff Index) Questionnaire (0-100)
Time frame: Change from baseline at 10 weeks
Muscle Strength
Shoulder internal rotation, external rotation, adduction and abduction muscles measured by handheld dynamometer
Time frame: Change from baseline at 10 weeks
Scapular kinematic
3D data of scapula at 30, 60, 90 and 120° of shoulder abduction
Time frame: Change from baseline at 10 weeks
Global impression of recovery
GPE (global perceived effect) scale (-5 to +5)
Time frame: Change from baseline at 10 weeks, 3 months and 6 months
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