Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 主要终点
- Shoulder function and pain
研究概览
简要总结
The objective of this study was to evaluate and compare two different post-surgical rehabilitation strategies, Rehabilitation supervised by a physical therapist including exercises with progressive early activation of the rotator cuff versus basic home exercises regarding shoulder function, pain, health related quality of life and return to work after arthroscopic subacromial decompression.
详细描述
Patients scheduled for surgery (arthroscopic subacromial decompression)and in the age 25-65 were offered to participate in the study. After surgery they were randomized to either Supervised Physical therapy with early activation of the rotator cuff (PT-group) or to home exercises (H-group). Patients in the PT group met the physical therapist twice a week for exercises and in between these visits they did their exercises at home daily. The H-group did home exercises daily. Shoulder function and pain(primary outcomes)and health related quality of life, returning to work(secondary outcomes)were assessed before surgery, one week after(baseline), 1,2,3 and 6 months after surgery by an independent physical therapist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subacromial impingement verified with Neer impingement test
- •At least 6 month duration of pain
- •Treated in primary care without satisfactory results for at least three months.
- •Typical history and pain location. Scheduled for surgery (subacromial decompression)
- •Three of these four tests must be positive:
- •Neer impingement test
- •Hawkins-Kennedy impingement sign Jobe supraspinatus test
- •Painful arc 60-120 degree
排除标准
- •Radiological findings of malignancy osteoarthritis, fractures
- •Polyarthritis or fibromyalgia
- •Pathological hyper laxity
- •Lack of communication skills that prevent the use of outcome measurements
- •Cervical spine pathology
结局指标
主要结局
Shoulder function and pain
时间窗: before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery
次要结局
- Health related quality of life and returning to work(before surhery and 1 w(baseline)1,2,3 and 6 months after surgery)