Training in Subacromial Impingement Syndrome

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome

• Registration Number: NCT04915430
• Lead Sponsor: Reumatologiklinikken

Brief Summary

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

Detailed Description

The purpose of the study is to compare a comprehensive supervised training regimen (STR) based on latest evidence including heavy slow resistance training with a validated home-based regimen (HTR). We hypothesized that the STR would be superior to the HTR.

Randomised control trial with blinded assessor. 126 consecutive patients with subacromial impingement syndrome were recruited and equally randomised to 12 weeks of either supervised training regimen (STR), or home-based training regimen (HTR). Primary outcomes were Constant Score (CS) and Shoulder Rating Questionnaire (SRQ) from baseline and 6 months after completed training. Results were analyzed according to intention-to treat principles.

Study Timeline

• Study Start: 2013-09
• Primary Completion: 2018-08
• Study Completion: 2018-08
• Status Verified: 2021-05
• Study First Submitted: 2021-05-11
• Study First Submitted QC: 2021-05-31
• Last Update Submitted: 2021-05-31
• Study First Posted: 2021-06-07
• Last Update Posted: 2021-06-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 126

Inclusion Criteria

• Subacromial impingement syndrome

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Shoulder constant score	6 months after ended training	Functional assessment of the shoulder
Shoulder Rating Questionnaire	6 months after ended training	Self-administered questionnaire

Secondary Outcome Measures

Name	Time	Method
Neer test	6 months after ended training	Stabilization of the patient's scapula with one hand, while passively flexing the arm while it is internally rotated. If the patient reports pain in this position, then the result of the test is considered to be positive (rated positive = 1 and negative = 0).
Hawkins test	6 months after ended training	Placing the patient's shoulder in 90 degrees of shoulder flexion with the elbow flexed to 90 degrees, and afterwards internally rotating the arm. The test is considered to be positive if the patient experiences pain with internal rotation (rated positive = 1 and negative = 0).
Passive motion	6 months after ended training	Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees.
Active motion	6 months after ended training	Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees.
Visual Analogue Scale	6 months after ended training	Measurement of pain on a 10 cm scale, where 0 indicates no pain, and 10 worst pain for the following muscle tests: full can test, empty can test, lift off test, resisted external rotation, palm-up test, Yergason´s test.