Exercise intervention for subacromial impingement syndrome. A randomised controlled trial of two rehabilitation protocols.

Not Applicable

Recruiting

• Conditions: Shoulder impingement syndrome; Subacromial pain syndrome; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12615000704594
• Lead Sponsor: Fairfield Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-07-07
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 160

Inclusion Criteria

Referred for physiotherapy treatment and
a) Aged between 30-65
b) Pain is intermittent
c) Pain behaves mechanically
d) Positive for impingement signs; Hawkins-Kennedy Test, Neers Test, Painful arc and Allingham's Test

Exclusion Criteria

a) Suspected or diagnosed pathologies arising from vertebral column structures.
b) Diagnoses of neoplastic disorders.
c) Pain potentially from inflammatory (including adhesive capsulitis) or neurogenic origin.
d) Clinical features (Murrell and Walton 2001) or radiological evidence of rotator cuff tear.
e)Shoulder trauma, or cervical or upper thoracic spine injury in the previous 12 weeks.
f) Previous shoulder dislocation.
g) Previous CVA.
h) Severe pain that prevents exercises from being undertaken.
i) Bilateral shoulder pain (since comparison with the contralateral side is required for certain outcome measurements).
j) Inability to provide informed consent.
k) Patients who decline to comply with an exercise program.
l) Patients who do not speak English, Vietnamese or Arabic.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patient Specific Functional Scale (PSFS), limited to 3 items<br>[Recruitment<br>6 weeks<br>12 weeks<br>6 months];Pain levels using the Visual Analague Scale (VAS)[Recruitment<br>6 weeks<br>12 weeks<br>6 months];Compliance measured by daily exercise diary and dropouts[6 weeks<br>12 weeks<br>6 months]

Secondary Outcome Measures

Name	Time	Method
Shoulder range of motion of abduction and flexion[Recruitment<br>6 weeks<br>12 weeks<br>6 months];13 point global rating of change[6 weeks<br>12 weeks<br>6 months];Shoulder Pain and Disability Index (SPADI)[Recruitment<br>6 weeks<br>12 weeks<br>6 months];Pain self efficacy questionnaire[Recruitment<br>6 weeks<br>12 weeks<br>6 months];Patient expectations using the:<br>Patient Shoulder Outcome Expectancies (PSOE)<br>and<br>Patient Shoulder Expectancy Fulfillment (PSEF)[Recruitment<br>6 weeks<br>12 weeks<br>6 months]