Exercise in the Physiotherapy Management of Shoulder Impingement (EaSI)

U

Ulster University

Status

Unknown

Conditions

Subacromial Impingement Syndrome

Treatments

Other: Evidence based exercise protocol
Other: Usual physiotherapy without exercise

Study type

Interventional

Funder types

Other

Identifiers

NCT01691157
11/NI/0026 version 3.1

Details and patient eligibility

About

The purpose of this trial is to investigate the effectiveness of an evidence based exercise program for shoulder impingement. Approximately 1% of adults consult their General Practitioner (GP) with shoulder pain each year, making it the third most common reason for musculoskeletal GP consultations in the UK. A further 50% of these patients are diagnosed with subacromial impingement syndrome (SAIS) (shoulder impingement syndrome) and commonly referred for physiotherapy treatment. This trial aims to compare the effectiveness of an evidence based exercise protocol with usual physiotherapy care.

Full description

Physiotherapy management of shoulder impingement frequently involves exercise, however there is little evidence underpinning exercise prescription and outcomes are poor. Few trials have investigated which muscles should be targeted and how they should be strengthened with respect to the mode, frequency, duration, intensity and progression. This is a randomized controlled trial(RCT) investigating the effectiveness of an evidence based exercise program for shoulder impingement. This research may have an impact on how physiotherapists provide exercise programs to patients with shoulder impingement.

Enrollment

94 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients must be aged 18 years and older.
  • Shoulder pain of at least 3/10 in severity that has been diagnosed by a consultant rheumatologist, orthopaedic surgeon or general practitioner within the past 12 months.
  • Positive Hawkins-Kennedy test.
  • Positive on testing either supraspinatus (empty can test) or infraspinatus (resisted external rotation in neutral).

Exclusion criteria

  • Acute traumatic conditions.
  • Evidence of rotator cuff tear (positive drop arm test) or any other shoulder joint pathology (e.g. adhesive capsulitis, labral tears).
  • A history of fractures of the upper arm, shoulder or clavicle within the past two years.
  • A history of dislocation of the shoulder within the previous two years.
  • Postoperative conditions involving the upper arm, shoulder or clavicle.
  • Inflammatory or systemic diseases.
  • Current signs and symptoms of acute nerve root pain arising from the cervical or upper thoracic spine.
  • Previous physiotherapy for the same condition involving an exercise regime.
  • Previous corticosteroid injection of the affected shoulder within the past 6 months.
  • Unwilling participant.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

94 participants in 2 patient groups

Usual physiotherapy without exercise
Active Comparator group
Description:
Will receive 6 sessions of modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine.
Treatment:
Other: Usual physiotherapy without exercise
Exercise
Experimental group
Description:
Will receive an evidence based exercise protocol but no other physiotherapeutic modalities
Treatment:
Other: Evidence based exercise protocol

Trial contacts and locations

4

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Central trial contact

Catherine E Hanratty, BSc Hons; Joseph G McVeigh, BSc Hons

Data sourced from clinicaltrials.gov

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