Effects of Overload Progressive in the Treatment of Shoulder
- Conditions
- Shoulder Impingement Syndrome
- Interventions
- Other: Strengthening protocol with progressive loadOther: Strengthening protocol without progressive load
- Registration Number
- NCT02870257
- Lead Sponsor
- University of Nove de Julho
- Brief Summary
Seventy subjects with shoulder impingement syndrome associated with scapular dyskinesis will be recruited and randomized into two groups of treatment. The group "a" will receive a strenghtening protocol with progressive overload during 20 sessions and group "b" will receive the same protocol with minimal load, without change during the 20 sessions. The primary outcomes measures will be pain, function, quality of life, global impression of recovery. The change will be measure from baseline at 10 weeks (after 20 sessions), 3 and 6 months (follow-up). The secundary outcomes will be disability, quality of life measure by other instruments, shoulder muscle strength and scapular 3d kinematic variables. For these data, change will be measure from baseline at 10 weeks (after 20 sessions).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
- People with diagnosis shoulder impingement syndrome or supraspinatus/rotator cuff tendinopathy or subacromial bursitis
- shoulder pain for more than 4 months, at least 4 points of pain in 0-10 NPRS
- at least 130° shoulder active elevation
- 3 or more positive of 5 physical examination tests (painful arc, external rotation resistence, Neer, empty can (Jobe) and Hawkins-Kennedy
- positive dynamic scapular dyskinesis in clinical observation
- Referred pain from vertebral spine
- previous shoulder, elbow or neck surgery
- complete rotator cuff tear (positive drop arm sign or substantial shoulder elevation or rotation weakness)
- neoplastic or neurological disorders
- previous fracture or dislocation injury (shoulder, humerus, clavicle)
- adhesive capsulitis signs
- inflammatory diseases
- specific treatment for the shoulder in the previous four months (injection, physiotherapy)
- using drugs in the previous week
- inability to understand portuguese language
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Progressive overload strengthening group Strengthening protocol with progressive load Strengthening protocol with progressive load Strengthening muscle exercises for the shoulder and scapular with progressive increase of load during 10 weeks (20 sessions) Strengthening group Strengthening protocol without progressive load Strengthening protocol without progressive load Strengthening muscle exercises for the shoulder and scapular without increase of load (minimal load) during 10 weeks (20 sessions)
- Primary Outcome Measures
Name Time Method Change in Numeric pain rating scale (0-10) baseline, 10 weeks, 3 months and 6 months Change in SPADI (Shoulder Pain and Disability Index) Questionnaire (0-100) baseline, 10 weeks, 3 months and 6 months Change in ASES (American Shoulder and Elbow Surgeons) Questionnaire (0-100) baseline, 10 weeks, 3 months and 6 months
- Secondary Outcome Measures
Name Time Method Disabilities Change from baseline at 10 weeks DASH (Disabilities of the Arm, Shoulder and Hand) Questionnaire (0-100)
Muscle Strength Change from baseline at 10 weeks Shoulder internal rotation, external rotation, adduction and abduction muscles measured by handheld dynamometer
Quality of life Change from baseline at 10 weeks WORC (The Western Ontario Rotator Cuff Index) Questionnaire (0-100)
Scapular kinematic Change from baseline at 10 weeks 3D data of scapula at 30, 60, 90 and 120° of shoulder abduction
Global impression of recovery Change from baseline at 10 weeks, 3 months and 6 months GPE (global perceived effect) scale (-5 to +5)
Trial Locations
- Locations (1)
UNINOVE
🇧🇷Sao Paulo, SP, Brazil