Shoulder Eccentric External Rotator Training for Subacromial Pain Syndrome

Subacromial Impingement Syndrome Clinical Trial

Official title:

Shoulder External Rotator Eccentric Training for Subacromial Impingement Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02153827
• Other study ID #: 12111308exp
• Status: Recruiting
• Phase: N/A
• First received: March 31, 2014
• Last updated: April 13, 2015
• Start date: March 2014
• Est. completion date: September 2016

Study information

• Verified date: April 2015
• Source: Nova Southeastern University
• Contact: Eric J Chaconas, DPT
• Phone: 9048260084
• Email: echaconas[@]usa.edu
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to examine the effects of eccentric exercise to the shoulder muscles for people with shoulder pain. Identifying specific exercise protocols for individuals with shoulder pain will provide evidence to help clinicians select the best interventions.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 68
• Est. completion date: September 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Presence of non-acute shoulder pain (greater than 3 months duration)

• 3 out of the 6 following tests positive, Neer impingement, Hawkins-Kennedy impingement, empty can test, resisted external rotation test, palpable tenderness at the insertion of the supraspinatus or infraspinatus, and painful arc from 60° to 120° during active abduction.

• Age over 18 years old

• Sufficient ability to read English as required for completing questionnaires

Exclusion Criteria:

• Red flags noted in the patient's Medical Screening Questionnaire (MSQ) (ie. tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, prolonged history of steroid use)

• Full thickness supraspinatus or infraspinatus tendon tear as determined by a positive drop arm test, lag sign or rent test.

• Shoulder adhesive capsulitis as evidenced by a limitation in passive motion for all shoulder planes of movement.

• Having an upper extremity amputation.

• Individuals having a history of surgery to the cervical spine or involved upper extremity for a musculoskeletal, neurological or dermatological condition for which they are at the time of data collection receiving post-operative care.

• Pending legal action regarding their shoulder pain

• Inability to comply with treatment and follow up schedule

• Insufficient English language skills to complete all questionnaires

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Shoulder Impingement Syndrome
• Subacromial Impingement Syndrome
• Syndrome

Intervention

Other:
• Eccentric Shoulder External Rotator Training

• General Shoulder exercise
general exercise consisting of active shoulder movements

Locations

Country	Name	City	State
United States	University of St. Augustine	St. Augustine	Florida

Sponsors (2)

Lead Sponsor	Collaborator
Nova Southeastern University	University of St. Augustine

Country where clinical trial is conducted

United States, 

References & Publications (5)

Bernhardsson S, Klintberg IH, Wendt GK. Evaluation of an exercise concept focusing on eccentric strength training of the rotator cuff for patients with subacromial impingement syndrome. Clin Rehabil. 2011 Jan;25(1):69-78. doi: 10.1177/0269215510376005. Ep — View Citation

Camargo PR, Avila MA, Alburquerque-Sendín F, Asso NA, Hashimoto LH, Salvini TF. Eccentric training for shoulder abductors improves pain, function and isokinetic performance in subjects with shoulder impingement syndrome: a case series. Rev Bras Fisioter. — View Citation

Holmgren T, Björnsson Hallgren H, Öberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ. 2012 Feb 20;344:e787. doi: 10.1136/bmj.e787. — View Citation

Jonsson P, Wahlström P, Ohberg L, Alfredson H. Eccentric training in chronic painful impingement syndrome of the shoulder: results of a pilot study. Knee Surg Sports Traumatol Arthrosc. 2006 Jan;14(1):76-81. Epub 2005 May 5. — View Citation

Maenhout AG, Mahieu NN, De Muynck M, De Wilde LF, Cools AM. Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial. Knee Surg Sports Traumatol — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in external to internal and abduction strength ratios		week 1,3, 6 and 6 months	No
Primary	Change in bodyweight adjusted mean isometric strength	measured in force pounds	week 1,3,6, 6 months	No
Primary	Change in Western Ontario Rotator Cuff Index	shoulder functional self report measure	week 1,3,6 and 6 months	No
Secondary	Global rating of change		week 3,6 and 6 months	No
Secondary	Numeric Pain rating scale		week 1,3,6 and 6 months	No
Secondary	shoulder active range of motion		week 1,3,6 and 6 months	No
Secondary	Upper quarter Y balance test		week 1,3,6 and 6 months	No