Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression

Subacromial Decompression Clinical Trial

Official title:

Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01054326
• Other study ID #: DNR 02-37
• Status: Completed
• Phase: N/A
• First received: January 21, 2010
• Last updated: January 21, 2010
• Start date: January 2003
• Est. completion date: January 2007

Study information

• Verified date: January 2006
• Source: Linkoeping University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: January 2007
• Est. primary completion date: January 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 25 Years to 65 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Subacromial Decompression

Intervention

Other:
• Exercises

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Linkoeping University	Kalmar County Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Shoulder function and pain		before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery	No
Secondary	Health related quality of life and returning to work		before surhery and 1 w(baseline)1,2,3 and 6 months after surgery