The Effect of Axioscapular and Rotator Cuff Exercise Training Sequence in Patients With Subacromial Impingement Syndrome: A Randomized Crossover Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Numeric Pain Score
研究概览
简要总结
Randomized crossover trial evaluating the impact of exercise training sequence of axioscapular and rotator cuff exercises in patients diagnosed with subacromial impingement syndrome.
详细描述
While physical therapy is an effective element in the rehabilitation of rotator cuff (RC) disease, the most effective sequence of training interventions has not been defined. The purpose of this study is to determine if there is a difference in pain or function in patients who are given RC strengthening prior to or after initiating scapular stabilization exercises.
The study was a prospective randomized crossover design. 26 men and 14 women, mean age 51, diagnosed with subacromial impingement syndrome (SAIS) were randomly assigned to one of two groups for a comprehensive and standardized rehabilitation program over six visits at an orthopedic outpatient clinic. One group was prescribed a 4-week program of scapular stabilization exercises while the other group began with RC strengthening exercises. The crossover design had each group add the previously excluded four exercises to their second month of rehabilitation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18-80 years of age
- •diagnosis of Neer Stage I/II subacromial impingement with a primary pain complaint in the shoulder and/or upper arm
- •presence of at least two of the following findings: painful arc, weakness in external rotation, positive impingement sign (Hawkins-Kennedy or Neer/Walsh tests), pain and/or weakness with resistance to internal rotation, external rotation, or scapular plane elevation.
排除标准
- •concurrent medical co-morbidities including pregnancy, diabetes, and rheumatoid arthritis -
- •osteoarthritis greater than grade 2 on the Kellgren-Lawrence scale
- •current diagnosis and/or previous history of glenohumeral instability or dislocation
- •full-thickness rotator cuff tear
- •adhesive capsulitis
- •fractures of the scapula, clavicle or humerus
- •scapulothoracic or rotator cuff paresis
- •shoulder surgery in past year
- •inability to speak the English language at a level sufficient to obtain informed consent.
研究组 & 干预措施
Scapular Training
Initiated scapular training exercise for the first 4 weeks followed by addition of rotator cuff exercises the next four weeks
干预措施: Scapular Training (Other)
Rotator Cuff Training
initiated rotator cuff training exercise for the first 4 weeks followed by addition of scapular training exercises the next four weeks.
干预措施: Rotator Cuff Training (Other)
结局指标
主要结局
Numeric Pain Score
时间窗: 16 weeks
pain levels
Global Rating of Change
时间窗: 16 weeks
patient satisfaction
American Shoulder Elbow Surgeon's Outcome Score
时间窗: 16 weeks
self-report of function
Global Percentage of Improvement
时间窗: 16 weeks
patient perception of status
次要结局
未报告次要终点
研究者
Ed Mulligan
Associate Professor
University of Texas Southwestern Medical Center