Comparison of the Effects of Home Exercise Program and Isokinetic Exercise Program on Pain, Muscle Strength, Functionality, Sense of Proprioception and Quality of Life in Subacromial Impingement Syndrome Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Home Exercise
- Sponsor
- Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Assessment of muscle strenght
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The aim of this study is to evaluate and compare the effects of home exercise program and isokinetic exercise program on pain, muscle strength, functionality, proprioception sensation and quality of life in patients with subacromial impingement syndrome.
Detailed Description
The study was designed prospectively. A total of 50 patients with subacromial impingement syndrome according to clinical and MRI findings with shoulder pain for at least 3 months were included in the study. Patients were randomly divided into two groups. The first group (isokinetic exercise group, n = 25) was given isokinetic exercise. The second group(home exercise group, n=25) was given home exercise program. Patients were evaluated before and after treatment and 3 months after the end of treatment. In the evaluation, VAS, Shoulder Pain and Disability Index, Constant Murley Scoring, Shoulder Disability Questionnaire, Health Assessment Questionnaire, Pittsburgh Sleep Quality Index, Humic Norm II isokinetic device were used. At statistically evaluation of data Student T Test and Mann Whitney U tests were used. In qualitative datas comparison Ki-Kare Test was used. Significance was evaluated at the level of p\< 0.05.
Investigators
Sevgi Atar
Administrative Director of PMR Clinic
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Eligibility Criteria
Inclusion Criteria
- •Shoulder pain and functional disability at least 6 months
Exclusion Criteria
- •Instability of shoulder, Stage 2-3 adhesive capsulitis, tendinitis or bursitis, cervical radiculopathy, underwent surgery, norological diseases
Outcomes
Primary Outcomes
Assessment of muscle strenght
Time Frame: 3 months
The investigators evaluated it with isokinetic cybex dynamometer. The isokinetic cybex dynamometer assessments using newton-meter for muscle strenght and angle degree for velocity measurements.
Assessment of sense of proprioseption
Time Frame: 3 months
The investigators evaluated it with isokinetic cybex dynamometer. The isokinetic cybex dynamometer assessments using angle degree for sense of position.
Assessment of quality of life
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment quality of life values with Pittsburg sleep quality index. The Pittsburg sleep quality index consisting of 23 questions that scored from zero to three.
Assessment of shoulder examination findings
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment shoulder examination findings. The investigators used to painful arc test consisting of 13 questions that scored from zero to ten.
Assessment of shoulder pain
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment for shoulder pain. The investigators used to visual analog score for pain that scored from zero to ten.
Assessment of shoulder disability
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment for shoulder disability. The investigators used to shoulder disability questionnare consisting of 16 questions that scored yes or no. Calculation; score = \[Yes counts / (Yes counts + No counts)\]x100. The score seems, zero point is maximal fine health and 100 points (maximal point) is poor health.
Assessment of shoulder functions
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment shoulder functions and muscle strenght. The investigators used to Constant-Murley functional evaluate scale consisting of four parameters that scored from zero to one hundered.
Assessment of physical health situation
Time Frame: 3 months
The investigators evaluated to pre-treatment, intermediate post-treatment, and late post-treatment for physical health situation. The investigators used to health evaluated inventory. The inventroy consisting of 20 questions that scored from zero to three per question. Zero point is maximal fine health and 60 points are maximal poor health.