Training in Subacromial Impingement Syndrome

NCT04915430 | Completed

• 1 other identifier: PS_01
• Study Type: interventional
• Target: 126
• Locations: 0 countries
• Sites: N/A

Brief Summary

A randomized controlled trial comparing a comprehensive supervised training regimen with a validated home-based regimen for subacromial impingement syndrome.

Conditions

Subacromial Impingement Syndrome

Keywords

shoulder; rotator cuff; exercise

Outcome Measures

Primary Outcomes (2)

• Shoulder constant score

  Functional assessment of the shoulder

  6 months after ended training

• Shoulder Rating Questionnaire

  Self-administered questionnaire

  6 months after ended training

Secondary Outcomes (5)

• Passive motion

  6 months after ended training

• Active motion

  6 months after ended training

• Visual Analogue Scale

  6 months after ended training

• Neer test

  6 months after ended training

• Hawkins test

  6 months after ended training

Study Arms (2)

Supervised training regimen

ACTIVE COMPARATOR

This training regimen consisted of 3 phases: the 1st focused on restoring motion, the 2nd on strengthening of the rotator cuff muscles, and the 3rd on strengthening of the scapular muscles. Stretching completed every training session. * Motion training consisted of 6 exercises. * Postural training: shoulder shrugs and shoulder retraction exercises. * Glenohumeral training: pendulum exercises, and active assisted flexion, abduction and external rotation. * Strengthening of the rotator cuff: side lying external rotation, internal rotation and scaption. * Strengthening of the scapular muscles: press-up, push-up with a plus, serratus anterior supine punch, standing rowing (low row), and seated rowing (high row). * Training sessions ended with 4 stretches: anterior shoulder stretch, posterior shoulder stretch, inferior capsular stretch, sleepers stretch. Exercises were performed 3 times a week, with progression after the 1st week, and thereafter every 2nd week.

Other: Training

Home training regimen

ACTIVE COMPARATOR

The program consisted of the following: * 1 motion exercise: upper trapezius relaxation * 3 strengthening exercises: serratus anterior strengthening exercise, humeral external rotation with the arm at the side of the body, and humeral external rotation with a rubber band and the arm at 90 degrees abduction. * 2 stretching exercises: posterior shoulder and pectoralis minor stretching, Exercises were performed daily, with weekly progression.

Other: Training

Interventions

Training OTHER

Home training regimen; Supervised training regimen

Eligibility Criteria

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

You may qualify if:

• Subacromial impingement syndrome

You may not qualify if:

• Ongoing claim with the Labour market insurance, insurance company or comparable institution.
• Ongoing application for job revalidation or health related pension.
• Radiating neck pain.
• Ultrasound verified complete rotator cuff tendon lesion, as defined by hypoechoic or anechoic full thickness defect of the tendon, or absence of the tendon.
• Periarthritis humeroscapularis.
• Acute luxation or fracture of the shoulder.
• Ongoing steady analgetic treatment of other concomitant painful condition, unrelated to the patients shoulder problem.

Sponsors & Collaborators

• Reumatologiklinikken: lead
• Fonden for Faglig Udvikling af Speciallægepraksis: collaborator

Related Publications (1)

• Schydlowsky P, Szkudlarek M, Madsen OR. Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial. BMC Musculoskelet Disord. 2022 Jan 15;23(1):52. doi: 10.1186/s12891-021-04969-0.

  PMID: 35033043 DERIVED

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Pierre Schydlowsky, MD, PhD

  Owner of the clinics

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: The patients were blindly assigned to one of the training regimens.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients were randomized to either a supervised training regimen (STR) or a home training regimen

Study Record Dates

• First Submitted: May 11, 2021
• First Posted: June 7, 2021
• Study Start: September 1, 2013
• Primary Completion: August 1, 2018
• Study Completion: August 1, 2018
• Last Updated: June 7, 2021

Record last verified: 2021-05