The Effectiveness of Exercise in the Physiotherapy Management of Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 入组人数
- 94
- 试验地点
- 6
- 主要终点
- change from baseline in average pain scores at rest and at night using 100mm visual analogue scale (VAS).
研究概览
简要总结
The purpose of this trial is to investigate the effectiveness of an evidence based exercise program for shoulder impingement. Approximately 1% of adults consult their General Practitioner (GP) with shoulder pain each year, making it the third most common reason for musculoskeletal GP consultations in the UK. A further 50% of these patients are diagnosed with subacromial impingement syndrome (SAIS) (shoulder impingement syndrome) and commonly referred for physiotherapy treatment. This trial aims to compare the effectiveness of an evidence based exercise protocol with usual physiotherapy care.
详细描述
Physiotherapy management of shoulder impingement frequently involves exercise, however there is little evidence underpinning exercise prescription and outcomes are poor. Few trials have investigated which muscles should be targeted and how they should be strengthened with respect to the mode, frequency, duration, intensity and progression. This is a randomized controlled trial(RCT) investigating the effectiveness of an evidence based exercise program for shoulder impingement. This research may have an impact on how physiotherapists provide exercise programs to patients with shoulder impingement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients must be aged 18 years and older.
- •Shoulder pain of at least 3/10 in severity that has been diagnosed by a consultant rheumatologist, orthopaedic surgeon or general practitioner within the past 12 months.
- •Positive Hawkins-Kennedy test.
- •Positive on testing either supraspinatus (empty can test) or infraspinatus (resisted external rotation in neutral).
排除标准
- •Acute traumatic conditions.
- •Evidence of rotator cuff tear (positive drop arm test) or any other shoulder joint pathology (e.g. adhesive capsulitis, labral tears).
- •A history of fractures of the upper arm, shoulder or clavicle within the past two years.
- •A history of dislocation of the shoulder within the previous two years.
- •Postoperative conditions involving the upper arm, shoulder or clavicle.
- •Inflammatory or systemic diseases.
- •Current signs and symptoms of acute nerve root pain arising from the cervical or upper thoracic spine.
- •Previous physiotherapy for the same condition involving an exercise regime.
- •Previous corticosteroid injection of the affected shoulder within the past 6 months.
- •Unwilling participant.
结局指标
主要结局
change from baseline in average pain scores at rest and at night using 100mm visual analogue scale (VAS).
时间窗: Outcomes measured at 0, 6 and 12 weeks
Primary outcome measure: Average pain scores at rest and at night for the week prior to measurement will be recorded using a 100mm visual analogue scale (VAS). The change in pain scores at 6 and 12 weeks from baseline will be measured.
次要结局
- Western Ontario Rotator Cuff Index (WORC(0, 6 and 12 weeks)
- The American Shoulder and Elbow Surgeons function score.(0. 6 and 12 weeks)
- SF-36 Health Survey • SF-36 Health Survey(0, 6 and 12 weeks)
- Isometric strength and range of movement of shoulder flexion, abduction, external rotation and internal rotation using a hand held dynamometer.(0, 6 and 12 weeks)
研究者
Dr Joseph G McVeigh
Lecturer in Physiotherapy and PhD supervisor
University of Ulster