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Subacromial pain syndrome of the shoulder - comparisons between guided training and home based training with or without mobilizations and a control, in terms of clinical outcome at 6 week, 3 and 6 month follow-up.

Not Applicable
Completed
Conditions
Subacromial pain syndrome
Musculoskeletal Diseases
Registration Number
ISRCTN67469356
Lead Sponsor
Karolinska Institutet
Brief Summary

2021 Results article in https://pubmed.ncbi.nlm.nih.gov/33634829/ Study 1 (added 11/07/2023) 2022 Results article in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8860700/ Study 2 (added 11/07/2023)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
170
Inclusion Criteria

1. Aged 20-59 years
2. SAPS for 4 weeks to 1 year
3. Normal passive glenohumeral range of motion, a positive Hawkins sign and/or pain with isometric contraction of any of the rotator cuff muscles. For inclusion at least two of these tests must be positive together with a positive painful arc. Patients with rotator cuff ruptures were included if they met these criteria and didn't present with any lag signs

Exclusion Criteria

1. Bilateral shoulder pain
2. Earlier corticosteroid injection
3. Diabetes mellitus
4. Signs of full-thickness rotator cuff tears with a positive drop arm test
5. Rheumatoid arthritis
6. Arthroses
7. Frozen shoulder
8. Severe fibromyalgia
9. Earlier dislocation of the shoulder and previous operations in the shoulder
10. Thoracic or cervical syndromes

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Shoulder pain, activities of daily living, range of motion and strength, measured using the Constant and Murley Score at baseline, after 6 week, 3 and 6 months
Secondary Outcome Measures
NameTimeMethod
1. Pain, measured using the visual analogue scale (VAS) at baseline, 6 weeks, 3 and 6 months<br>2. Range of motion (ROM), measured using in degrees using a goniometer and a Myerin meter at baseline, 6 weeks, 3 and 6 months<br>3. Personality, measured using Swedish universities Scales of Personality (SSP) at 6 weeks<br>4. Health related quality of life (physical symptoms, sports and recreation, work, lifestyle and emotion), measured using the Western Ontario Rotator Cuff (WORC) Index at baseline, 3 and 6 months<br>5. Single Assessment Numeric Evaluation (SANE) with only one question: How would you rate your shoulder today as a percentage of normal (0% to 100% scale with 100% being normal)?, at baseline, 3 and 6 months
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