Study of Neurocognitive Therapeutic Exercise in the Shoulder Impingement Syndrome in Comparison With Traditional Therapeutic Exercise

Catholic University of the Sacred Heart

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: Traditional therapeutic exercise; Other: Neurocognitive therapeutic exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT01785745

486/2012

Details and patient eligibility

About

It is a single-blind randomized controlled clinical trial to evaluate the effectiveness of neurocognitive therapeutic exercise in subjects affected by shoulder impingement syndrome in comparison with traditional therapeutic exercise. The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). Each subject, randomly assigned to either neurocognitive therapeutic exercise (group 1) or traditional therapeutic exercise (group 2), will be submitted to one-hour session for three times a week for five weeks. The outcome measures used will be the Quick-DASH questionnaire, the Constant-Murley shoulder outcome score, the ASES score, a visual analogic scale (VAS) and the assessment will be performed at baseline (T0), at the end of treatment protocol (T1), at 3 months (T2) and 6 months (T3) from the end of treatment.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Subjects with shoulder impingement syndrome established by clinical examination, X-ray in anteroposterior, axillary and outlet views, and magnetic resonance imaging (MRI) or echography.

Exclusion criteria

• Rotator cuff and/or subscapularis tendon partial/full-thickness tears,
• capsulolabral pathology responsive to surgical repair,
• congenital abnormalities of the acromion,
• previous surgery on the affected shoulder,
• inflammatory or neurological (systemic or local) diseases involving shoulder girdles,
• cognitive or psychiatric disorders,
• local tumor metastasis or application of radiotherapy,
• acute infections or osseous tuberculosis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Traditional therapeutic exercise

Active Comparator group

Description:

The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance.

Treatment:

Other: Traditional therapeutic exercise

Neurocognitive therapeutic exercise

Experimental group

Description:

The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture).

Treatment:

Other: Neurocognitive therapeutic exercise