Training in Subacromial Impingement Syndrome

Subacromial Impingement Syndrome Clinical Trial

Official title:

Comprehensive Supervised Heavy Training Program Versus Home Training Regimen in Patients With Subacromial Impingement Syndrome: a Randomized Trial.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04915430
• Other study ID #: PS_01
• Status: Completed
• Phase: N/A
• Start date: September 2013
• Est. completion date: August 2018

Study information

• Verified date: May 2021
• Source: Reumatologiklinikken
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A randomized controlled trial comparing a comprehensive supervised training regimen with a validated home-based regimen for subacromial impingement syndrome.

Description:

The purpose of the study is to compare a comprehensive supervised training regimen (STR) based on latest evidence including heavy slow resistance training with a validated home-based regimen (HTR). We hypothesized that the STR would be superior to the HTR.

Randomised control trial with blinded assessor. 126 consecutive patients with subacromial impingement syndrome were recruited and equally randomised to 12 weeks of either supervised training regimen (STR), or home-based training regimen (HTR). Primary outcomes were Constant Score (CS) and Shoulder Rating Questionnaire (SRQ) from baseline and 6 months after completed training. Results were analyzed according to intention-to treat principles.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 126
• Est. completion date: August 2018
• Est. primary completion date: August 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Subacromial impingement syndrome

Exclusion Criteria:

• Ongoing claim with the Labour market insurance, insurance company or comparable institution.

• Ongoing application for job revalidation or health related pension.

• Radiating neck pain.

• Ultrasound verified complete rotator cuff tendon lesion, as defined by hypoechoic or anechoic full thickness defect of the tendon, or absence of the tendon.

• Periarthritis humeroscapularis.

• Acute luxation or fracture of the shoulder.

• Ongoing steady analgetic treatment of other concomitant painful condition, unrelated to the patients shoulder problem.

Related Conditions & MeSH terms

• Rotator Cuff Injuries
• Shoulder Impingement Syndrome
• Subacromial Impingement Syndrome
• Syndrome

Intervention

Other:
• Training

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Reumatologiklinikken	Fonden for Faglig Udvikling af Speciallægepraksis

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Shoulder constant score	Functional assessment of the shoulder	6 months after ended training
Primary	Shoulder Rating Questionnaire	Self-administered questionnaire	6 months after ended training
Secondary	Passive motion	Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees.	6 months after ended training
Secondary	Active motion	Shoulder flexion, measurement in degrees; Shoulder abduction, measurement in degrees; Shoulder internal rotation, measurement in degrees; Shoulder external rotation, measurement in degrees.	6 months after ended training
Secondary	Visual Analogue Scale	Measurement of pain on a 10 cm scale, where 0 indicates no pain, and 10 worst pain for the following muscle tests: full can test, empty can test, lift off test, resisted external rotation, palm-up test, Yergason´s test.	6 months after ended training
Secondary	Neer test	Stabilization of the patient's scapula with one hand, while passively flexing the arm while it is internally rotated. If the patient reports pain in this position, then the result of the test is considered to be positive (rated positive = 1 and negative = 0).	6 months after ended training
Secondary	Hawkins test	Placing the patient's shoulder in 90 degrees of shoulder flexion with the elbow flexed to 90 degrees, and afterwards internally rotating the arm. The test is considered to be positive if the patient experiences pain with internal rotation (rated positive = 1 and negative = 0).	6 months after ended training