Subacromial Impingement Syndrome Clinical Trial
Official title:
Comparison of the Effectiveness of Supervised Heavy Slow Resistance Training and Eccentric Exercise Training in Patients With Rotator Cuff Tendinopathy: A Randomized Controlled Clinical Trial
Rotator cuff tendinopathy, also called subbracromial impingement syndrome, is one of the most important causes of anterior shoulder pain. Although exercise training is known as an effective intervention method in the treatment of rotator cuff/subacromial impingement problems, there is no definite consensus on which type of exercise is more effective. The aim of this study is to analyze and compare the effects of the Heavy Slow Resistance (HSR) training and eccentric exercise training on pain, function, supraspinatus tendon structure, muscle strength, range of motion, subjective perception of improvement and treatment satisfaction in individuals with subacromial shoulder pain associated with rotator cuff tendinopathy.
Status | Not yet recruiting |
Enrollment | 22 |
Est. completion date | December 31, 2025 |
Est. primary completion date | March 31, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Describing subacromial pain - Rotator cuff tendinopathy (subacromial impingement syndrome, biceps tendinitis and rotator cuff I. and II. stage diagnosis) - Continuation of diagnostic symptoms for at least 30 days Exclusion Criteria: - Prior shoulder surgery - Sign of cervical radiculopathy - Shoulder instability or history of upper extremity fracture - Full-thickness rotator cuff tear - Adhesive capsulitis - Humeroscapular periarthritis (osteoarthritis, inflammatory arthropathies, etc.) - Neoplasm/malignant status - Other independent from shoulder problem being on regular analgesic therapy for ongoing painful conditions - Subacromial corticosteroids in the last 2 months having received an injection or participating in a shoulder rehabilitation program |
Country | Name | City | State |
---|---|---|---|
Turkey | Gazi University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation | Ankara | Çankaya |
Lead Sponsor | Collaborator |
---|---|
Mustafa Kemal University | The Scientific and Technological Research Council of Turkey |
Turkey,
Bateman M, Adams N. A randomised controlled feasibility study investigating the use of eccentric and concentric strengthening exercises in the treatment of rotator cuff tendinopathy. SAGE Open Med. 2014 Jan 28;2:2050312113520151. doi: 10.1177/2050312113520151. eCollection 2014. — View Citation
Beyer R, Kongsgaard M, Hougs Kjaer B, Ohlenschlaeger T, Kjaer M, Magnusson SP. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. Am J Sports Med. 2015 Jul;43(7):1704-11. doi: 10.1177/0363546515584760. Epub 2015 May 27. — View Citation
Macias-Hernandez SI, Garcia-Morales JR, Hernandez-Diaz C, Tapia-Ferrusco I, Velez-Gutierrez OB, Nava-Bringas TI. Tolerance and effectiveness of eccentric vs. concentric muscle strengthening in rotator cuff partial tears and moderate to severe shoulder pain. A randomized pilot study. J Clin Orthop Trauma. 2020 Aug 3;14:106-112. doi: 10.1016/j.jcot.2020.07.031. eCollection 2021 Mar. — View Citation
Schydlowsky P, Szkudlarek M, Madsen OR. Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial. BMC Musculoskelet Disord. 2022 Jan 15;23(1):52. doi: 10.1186/s12891-021-04969-0. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The supraspinatus tendon thickness and elasticity | Affected party the supraspinatus tendon thickness and elasticity value will be evaluated by shear-wave elastography by a specialist radiologist. | 6 weeks | |
Secondary | Isometric muscle strength | Isometric muscle strength of the external and internal rotators of the shoulder and the supraspinatus muscle will be evaluated by manual muscle testing. For manual muscle testing a digital hand-held dynamometer will be used. | 6 weeks | |
Secondary | Shoulder range of motion | A digital inclinometer will be used to evaluate the range of motion of the shoulder joint. Reviews shoulder flexion, abduction, internal and external rotation movements will be done. Active movement without pain (painless NEH) will be measured. All measurements will be repeated three times and averaged and recorded in degrees. | 6 weeks | |
Secondary | The level of pain and disability associated with the shoulder | The Shoulder Pain And Disability Index (SPADI), to assess the level of shoulder-related pain and disability will be used. | 6 weeks | |
Secondary | Shoulder pain severity | The Numerical Pain Rating Scale will be used to assess the severity of shoulder pain. | 6 weeks |
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