Progressive Resistance Training of the Biceps in Subacromial Impingement Syndrome

NCT01314196 | Completed DMC

• 1 other identifier: UNCISAL/1019
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to evaluate the influence of progressive resistance training of the biceps in shoulder rehabilitation in patients with subacromial impingement syndrome (SIS). Method: a randomized controlled clinical trial, with analysis intention-to-treat, approved by the Ethics and Research (1019/08), containing sixty patients of both sexes, SIS, evaluated at the initial time (T0), with 45 days (T45) and 90 days of treatment (T90). We analyzed the pain at rest (VAS), range of shoulder movement, strength, function by The Disabilities of Arm, Shoulder and Hand (DASH) and quality of life by Short Form-36 (SF-36) and Western Ontario Rotator Cuff Index (WORC). They recommended the use of NSAIDs and analgesics in the presence of pain exacerbated, every eight hours. Study groups will perform therapeutic exercises for the shoulder and scapula stabilizers. In the experimental group associate progressive resistance training of the biceps.

Conditions

Shoulder Impingement Syndrome

Keywords

biceps; resistance training; rehabilitation; impact syndrome

Outcome Measures

Primary Outcomes (1)

• Evaluation of pain at rest and quality of life

  Pain assessment will be conducted at rest, using VAS ranging from 0 (no pain) to 10 cm (unbearable pain). The Westein Ontario Rotator Cuff Index (WORC) and Short form-36(SF-36) were the instruments used to assess the quality of life.

  initial time, 45 days and 90 days of treatment

Secondary Outcomes (1)

• Evaluation range of motion,strength and physical symptoms of the shoulder

  initial time, 45 days and 90 days of treatment

Study Arms (2)

therapeutic exercises

ACTIVE COMPARATOR

therapeutic exercises for the shoulder and scapula stabilizers

Other: therapeutic exercises

progressive resistance training biceps

EXPERIMENTAL

therapeutic exercises for the shoulder and scapula stabilizers and biceps resistance training.

Other: biceps resistance training and therapeutic exercises

Interventions

therapeutic exercises OTHER

therapeutic exercises for the shoulder and scapula stabilizers using bat without charge, training and isometric exercises commuting to the cuff muscles, without producing subacromial impaction.

therapeutic exercises

biceps resistance training and therapeutic exercises OTHER

The biceps resistance training based on calculations of maximum resistance (MR), being conduct in three series 10 reps with 50% of MR in the first series of training and 75% of MR in the second series, with 2 minutes between each and therapeutic exercises for the shoulder and scapula stabilizers.

Also known as: progressive resistance training

progressive resistance training biceps

Eligibility Criteria

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

You may qualify if:

• patients with a clinical diagnosis of injury to one or more muscles of the rotator cuff;
• pain for three months or more, and pain between three and eight, according to visual analog scale (VAS);
• Hawkins and Neer test positive;
• aged between 18 and 65

You may not qualify if:

• fractures of the upper phase of consolidation;
• patients with total rupture of the long head of the biceps due to the impossibility of getting the muscle resistance training;
• patients undergoing surgical procedures for shoulder in the three months preceding the study;
• associated rheumatic diseases because they may interfere in the evaluation of patients.

Sponsors & Collaborators

• Federal University of São Paulo: lead

Study Sites (1)

Federal University of São Paulo

São Paulo, São Paulo, 05360-160, Brazil

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• ANA C COÊLHO

  Federal University of São Paulo

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 9, 2011
• First Posted: March 14, 2011
• Study Start: December 1, 2008
• Primary Completion: October 1, 2010
• Study Completion: December 1, 2010
• Last Updated: March 14, 2011

Record last verified: 2010-12

Locations

BR (1)