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Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement

Not Applicable
Completed
Conditions
Shoulder Impingement Syndrome
Interventions
Other: supervised exercise
Other: homebased exercises
Registration Number
NCT01257113
Lead Sponsor
Norwegian University of Science and Technology
Brief Summary

The purpose of this study is to determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with shoulder pain.

Detailed Description

Shoulder pain is common in the population. Various treatment modalities are used. According to the literature, it is equally good results for home exercises and for guided exercise therapy. The purpose of this study is to look at this again and determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with subacromial impingement.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
46
Inclusion Criteria
  • Pain in one shoulder
  • Had the condition for more than 12 weeks
  • Pain at abduction (must be present in some part between 60 and 120 degrees)
  • Pain/ weakness in isometric external rotation
  • Positive Hawkins test
Exclusion Criteria
  • Instability
  • Labral pathology
  • Acromioclavicular joint (AC-joint) pathology
  • Complete rupture in the rotatorcuff
  • Glenohumeral osteoarthritis
  • Previously operated on current shoulder
  • The pain comes from neck pathology
  • Rheumatoid arthritis or other serious physical or mental illness
  • Lack of Norwegian language
  • Unable to start

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
supervised exercisesupervised exerciseThe group gets 10 supervised exerciseclasses at the physiotherapy clinic in addition to homebased exercises
homebased exerciseshomebased exercisesThe group gets 1 supervised exerciseclass before they do all their exercises at home
Primary Outcome Measures
NameTimeMethod
Pain and function 1Baseline

Shoulder Pain and Disability Index

Pain and function 2At 6 weeks

Shoulder Pain and Disability Index

Pain and function 3At 6 months

Shoulder Pain and Disability Index

Secondary Outcome Measures
NameTimeMethod
Active range of motion 2At 6 weeks

Abduction, flexion, external rotation and internal rotation measured with inclinometer

Quality of life 1Baseline

The Short-Form 36 questionnaire

Fear avoidance 1Baseline

Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back

Fear avoidance 2At 6 weeks

Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.

Quality of life 2At 6 weeks

The Short-Form 36 questionnaire

Pain the last weekBaseline and once a week for 6 weeks

Numeric pain rating scale

Impingement tests 2At 6 weeks

Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative

Active range of motion 1Baseline

Abduction, flexion, external rotation and internal rotation measured with inclinometer

Impingement tests 1Baseline

Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative

Work status 3At 6 months

Registration of the patients work status

Work status 1Baseline

Registration of the patients work status

Work status 2At 6 weeks

Registration of the patients work status

Patient satisfactionAt 6 weeks

2 questions, one question about benefit and one about satisfaction

Trial Locations

Locations (1)

Tverrfaglig Poliklinikk, rygg-nakke-skulder. Fys.Med. og rehab., St.Olavs Hospital

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Trondheim, Norway

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