Exercise Training Sequence for Subacromial Impingement Syndrome

Subacromial Impingement Syndrome Clinical Trial

Official title:

The Effect of Axioscapular and Rotator Cuff Exercise Training Sequence in Patients With Subacromial Impingement Syndrome: A Randomized Crossover Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02478567
• Other study ID #: 052012-017
• Status: Completed
• Phase: N/A
• First received: June 16, 2015
• Last updated: June 17, 2015
• Start date: August 2012
• Est. completion date: January 2015

Study information

• Verified date: June 2015
• Source: University of Texas Southwestern Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Randomized crossover trial evaluating the impact of exercise training sequence of axioscapular and rotator cuff exercises in patients diagnosed with subacromial impingement syndrome.

Description:

While physical therapy is an effective element in the rehabilitation of rotator cuff (RC) disease, the most effective sequence of training interventions has not been defined. The purpose of this study is to determine if there is a difference in pain or function in patients who are given RC strengthening prior to or after initiating scapular stabilization exercises.

The study was a prospective randomized crossover design. 26 men and 14 women, mean age 51, diagnosed with subacromial impingement syndrome (SAIS) were randomly assigned to one of two groups for a comprehensive and standardized rehabilitation program over six visits at an orthopedic outpatient clinic. One group was prescribed a 4-week program of scapular stabilization exercises while the other group began with RC strengthening exercises. The crossover design had each group add the previously excluded four exercises to their second month of rehabilitation.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: January 2015
• Est. primary completion date: August 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• 18-80 years of age

• diagnosis of Neer Stage I/II subacromial impingement with a primary pain complaint in the shoulder and/or upper arm

• presence of at least two of the following findings: painful arc, weakness in external rotation, positive impingement sign (Hawkins-Kennedy or Neer/Walsh tests), pain and/or weakness with resistance to internal rotation, external rotation, or scapular plane elevation.

Exclusion Criteria:

• concurrent medical co-morbidities including pregnancy, diabetes, and rheumatoid arthritis -

• osteoarthritis greater than grade 2 on the Kellgren-Lawrence scale

• current diagnosis and/or previous history of glenohumeral instability or dislocation

• full-thickness rotator cuff tear

• adhesive capsulitis

• fractures of the scapula, clavicle or humerus

• scapulothoracic or rotator cuff paresis

• shoulder surgery in past year

• inability to speak the English language at a level sufficient to obtain informed consent.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Shoulder Impingement Syndrome
• Subacromial Impingement Syndrome
• Syndrome

Intervention

Other:
• Rotator Cuff Training
four specific band-resisted strength training exercises for scapula
• Scapular Training
four specific band-resisted strength training exercises for rotator cuff

Locations

Country	Name	City	State
United States	UT Southwestern Medical Center	Dallas	Texas

Sponsors (1)

Lead Sponsor	Collaborator
University of Texas Southwestern Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	American Shoulder Elbow Surgeon's Outcome Score	self-report of function	16 weeks	No
Primary	Numeric Pain Score	pain levels	16 weeks	No
Primary	Global Rating of Change	patient satisfaction	16 weeks	No
Primary	Global Percentage of Improvement	patient perception of status	16 weeks	No