Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression

NCT01054326 | Completed

• 1 other identifier: DNR 02-37
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

The objective of this study was to evaluate and compare two different post-surgical rehabilitation strategies, Rehabilitation supervised by a physical therapist including exercises with progressive early activation of the rotator cuff versus basic home exercises regarding shoulder function, pain, health related quality of life and return to work after arthroscopic subacromial decompression.

Conditions

Subacromial Decompression

Keywords

arthroscopic subacromial decompression; exercise; physical therapy; rotator cuff; shoulder impingement syndrome; Subacromial impingement after arthroscopic subacromial decompression

Outcome Measures

Primary Outcomes (1)

• Shoulder function and pain

  before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery

Secondary Outcomes (1)

• Health related quality of life and returning to work

  before surhery and 1 w(baseline)1,2,3 and 6 months after surgery

Study Arms (2)

Supervised physical therapy focusing of rotatorcuff exercises

EXPERIMENTAL

Patients did specific exercises supervised by a physical therapists twice a week during two months. Focus was on early activation of rotator cuff and scapula stabilizers following different phases in a rehabilitation program Assessments before surgery,1 week after as well as 1,2,3 and 6 months after surgery.

Other: Exercises

Home exercises

ACTIVE COMPARATOR

Patients did home exercises following a programme during three months. Assessment considering shoulder function and pain was done before surgery, 1w after as well as 1,2,3 and 6 months after surgery,

Other: Exercises

Interventions

Exercises OTHER

Home exercises; Supervised physical therapy focusing of rotatorcuff exercises

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subacromial impingement verified with Neer impingement test
• At least 6 month duration of pain
• Treated in primary care without satisfactory results for at least three months.
• Typical history and pain location. Scheduled for surgery (subacromial decompression)
• Three of these four tests must be positive:
• Neer impingement test
• Hawkins-Kennedy impingement sign Jobe supraspinatus test
• Painful arc 60-120 degree

You may not qualify if:

• Radiological findings of malignancy osteoarthritis, fractures
• Polyarthritis or fibromyalgia
• Pathological hyper laxity
• Lack of communication skills that prevent the use of outcome measurements
• Cervical spine pathology

Sponsors & Collaborators

• Linkoeping University: lead
• Kalmar County Hospital: collaborator

MeSH Terms

Conditions

Motor Activity; Shoulder Impingement Syndrome

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV

Study Record Dates

• First Submitted: January 21, 2010
• First Posted: January 22, 2010
• Study Start: January 1, 2003
• Primary Completion: January 1, 2006
• Study Completion: January 1, 2007
• Last Updated: January 22, 2010

Record last verified: 2006-01