Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement

Shoulder Impingement Syndrome Clinical Trial

Official title:

Is Supervised Exercise Therapy a Better Option Than Home Exercises for Patients With Subacromial Impingement When Looking at Pain and Function?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01257113
• Other study ID #: 2010/2591
• Status: Completed
• Phase: N/A
• Start date: January 2011
• Est. completion date: April 2013

Study information

• Verified date: November 2019
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with shoulder pain.

Description:

Shoulder pain is common in the population. Various treatment modalities are used. According to the literature, it is equally good results for home exercises and for guided exercise therapy. The purpose of this study is to look at this again and determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with subacromial impingement.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: April 2013
• Est. primary completion date: December 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Pain in one shoulder

• Had the condition for more than 12 weeks

• Pain at abduction (must be present in some part between 60 and 120 degrees)

• Pain/ weakness in isometric external rotation

• Positive Hawkins test

Exclusion Criteria:

• Instability

• Labral pathology

• Acromioclavicular joint (AC-joint) pathology

• Complete rupture in the rotatorcuff

• Glenohumeral osteoarthritis

• Previously operated on current shoulder

• The pain comes from neck pathology

• Rheumatoid arthritis or other serious physical or mental illness

• Lack of Norwegian language

• Unable to start

Related Conditions & MeSH terms

• Shoulder Impingement Syndrome

Intervention

Other:
• supervised exercise
This group will receive 10 classes of supervised exercise in the 6 weeks intervention. In this classes the patients will be with a physiotherapist that will adjust their home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises
• homebased exercises
This group will receive 1 class of supervised exercise at the beginning of the 6 weeks intervention. In this class the patients will be with a physiotherapist that will put together a home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

Locations

Country	Name	City	State
Norway	Tverrfaglig Poliklinikk, rygg-nakke-skulder. Fys.Med. og rehab., St.Olavs Hospital	Trondheim

Sponsors (1)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology

Country where clinical trial is conducted

Norway, 

References & Publications (1)

Granviken F, Vasseljen O. Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial. J Physiother. 2015 Jul;61(3):135-41. doi: 10.1016/j.jphys.2015.05.014. Epub 2015 Jun 18. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain and function 1	Shoulder Pain and Disability Index	Baseline
Primary	Pain and function 2	Shoulder Pain and Disability Index	At 6 weeks
Primary	Pain and function 3	Shoulder Pain and Disability Index	At 6 months
Secondary	Fear avoidance 1	Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back	Baseline
Secondary	Fear avoidance 2	Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.	At 6 weeks
Secondary	Quality of life 1	The Short-Form 36 questionnaire	Baseline
Secondary	Quality of life 2	The Short-Form 36 questionnaire	At 6 weeks
Secondary	Pain the last week	Numeric pain rating scale	Baseline and once a week for 6 weeks
Secondary	Active range of motion 1	Abduction, flexion, external rotation and internal rotation measured with inclinometer	Baseline
Secondary	Active range of motion 2	Abduction, flexion, external rotation and internal rotation measured with inclinometer	At 6 weeks
Secondary	Impingement tests 1	Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative	Baseline
Secondary	Impingement tests 2	Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative	At 6 weeks
Secondary	Work status 1	Registration of the patients work status	Baseline
Secondary	Work status 2	Registration of the patients work status	At 6 weeks
Secondary	Work status 3	Registration of the patients work status	At 6 months
Secondary	Patient satisfaction	2 questions, one question about benefit and one about satisfaction	At 6 weeks