Trial to Compare the Effectiveness of Group Versus Individual Therapy on Alternate Days in Patients With Subacromial Impingement Syndrome

NCT02833779 | Completed

• 1 other identifier: SSD
• Study Type: interventional
• Target: 89
• Locations: 0 countries
• Sites: N/A

Brief Summary

Pathology of the rotator cuff and subacromial bursa is considered to be the principal cause of pain and symptoms arising from the shoulder. Physiotherapy specialists often disagree about which type of exercise is most appropriate. Manual Physiotherapy combined with guided exercise is a commonly applied clinical treatment, but no proof of its effectiveness has been shown. Clinical trials comparing results of treating subacromial syndrome of the shoulder with guided self-treatment and conventional physiotherapy yielded a slightly higher improvement, basically because patients suffered from chronic tendinitis and the treatment period lasted only two weeks. That is the reason why the investigators propose a long-term follow-up study and a more complete assessment of effectiveness of the exercise prescribed to improved this pathology. Objectives:

• Assessment of effectiveness of two different types of treatment of subacromial syndrome of the shoulder.
• Comparison of effectiveness of both treatments in order to select that one yielding better results as the one to be applied as a routine practice. Patients will be assigned one of the following treatments:
• Group 1: patients will be taught exercises in groups of six people, on a daily basis for twelve sessions.
• Group 2: patients will be taught the same exercise as Group 1, individually, and will receive manual therapy consisting of muscular and joint re-centering. A modified version of the Constant scale will be used to assess mobility and pain shoulder.

Conditions

Mobility

Outcome Measures

Primary Outcomes (2)

• The assessment of pain with a visual analogue scale.

  Six Months

• The mobility (joint range of motion) with a goniometer.

  Six Months

Study Arms (2)

Group Therapy Exercises

ACTIVE COMPARATOR

Patients will be taught exercises in groups of six persons, on a daily basis for twelve sessions.

Other: Group exercises

Individual Manual Therapy Exercises

ACTIVE COMPARATOR

Patients will be taught the same exercises as in a Group 1, individually, and will receive manual therapy consisting of muscular and joint re-centering

Other: Individual exercises

Interventions

Individual exercises OTHER

Individual Manual Therapy Exercises

Group exercises OTHER

Group Therapy Exercises

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• History of shoulder pain defined as at least 2 positive results in subacromial impingement tests.
• Self-perceived pain reported by the patient under clinical examination of the shoulder.
• A minimum of 90º mobility in flexion.

You may not qualify if:

• Luxation, a history of surgery, or evidence the current shoulder pain or other symptoms under cervical examination or other shoulder bone disease, except for acromioclavicular joint arthrosis.
• Patients were receiving other physiotherapy or rehabilitation treatments.
• Patients had been treated for SIS (subacromial impingement syndrome) with injection of anti-inflammatory or analgesic drugs in the last month.

Sponsors & Collaborators

• Basque Health Service: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Registered physiotherapist

Study Record Dates

• First Submitted: July 5, 2016
• First Posted: July 14, 2016
• Study Start: April 1, 2010
• Primary Completion: October 1, 2013
• Last Updated: July 15, 2016

Record last verified: 2016-07