Effectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome

NCT03186287 | Completed DMC

• 1 other identifier: 2837-GOA
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate and compare the effects of eccentric and concentric strength training on pain, strength, joint position sense and function in patients with subacromial impingement syndrome.

Conditions

Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• Shoulder Function

  Change of Constant Murley Score

  Baseline, 12 weeks and 24 weeks

Secondary Outcomes (5)

• Pain intensity

  Baseline, 12 weeks and 24 weeks

• Upper extremity function

  Baseline, 12 weeks and 24 weeks

• Isometric strength

  Baseline, 12 weeks and 24 weeks

• Eccentric strength

  Baseline, 12 weeks and 24 weeks

• Joint position sense

  Baseline, 12 weeks and 24 weeks

Study Arms (3)

Eccentric training group

EXPERIMENTAL

The participants in this group will actively perform eccentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.

Other: Eccentric training; Other: Standard physiotherapy

Concentric training group

EXPERIMENTAL

The participants in this group will actively perform concentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.

Other: Concentric training; Other: Standard physiotherapy

Control group

ACTIVE COMPARATOR

The participants in this group will receive only standard physiotherapy.

Other: Standard physiotherapy

Interventions

Eccentric training OTHER

Eccentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.

Eccentric training group

Concentric training OTHER

Concentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.

Concentric training group

Standard physiotherapy OTHER

The participants will receive standard physiotherapy. The standard physiotherapy exercises will be supervised by the physiotherapist, same as intervention exercises.

Concentric training group; Control group; Eccentric training group

Eligibility Criteria

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

You may qualify if:

• Diagnosis of subacromial impingement syndrome
• Complaints associated with subacromial impingement syndrome for at least 3 months
• No extra pain with 90 degree abduction-90 degree external rotation position of the shoulder
• Ability to complete the entire study procedure

You may not qualify if:

• Severe pain; shoulder pain is \> 7/10
• History of upper extremity fracture
• History of shoulder, cervical and thoracic surgery
• Having shoulder instability or frozen shoulder diagnosis
• History of shoulder injuries, trauma and / or shoulder symptoms requiring treatment during the last 1 year (except than subacromial impingement syndrome)
• Full-thickness rotator cuff tear
• Systemic musculoskeletal disease
• Neck and shoulder pain with cervical spine movement
• Chest deformity or scoliosis diagnosis

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Dokuz Eylul University, School of Physical Therapy and Rehabilitation

Izmir, Balçova, 35340, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Officials

• Damla KARABAY, MSc

  Izmir Katip Celebi University

  PRINCIPAL INVESTIGATOR

• Sevgi Sevi YESILYAPRAK, PhD

  Dokuz Eylul University

  STUDY DIRECTOR

• Mehmet ERDURAN, MD

  Dokuz Eylul University

  STUDY DIRECTOR

• Cem OZCAN, MD

  Izmır Katip Celebi University Atatürk Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc

Study Record Dates

• First Submitted: June 9, 2017
• First Posted: June 14, 2017
• Study Start: September 21, 2017
• Primary Completion: March 16, 2020
• Study Completion: March 16, 2020
• Last Updated: April 17, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)