Training in Subacromial Impingement Syndrome

Reumatologiklinikken

Status: Completed

Conditions: Subacromial Impingement Syndrome

Treatments: Other: Training

Study type: Interventional

Funder types: Other

Identifiers

NCT04915430

PS_01

Details and patient eligibility

About

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

Full 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.

Enrollment: 126 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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126 participants in 2 patient groups

Supervised training regimen

Active Comparator group

Description:

This training regimen consisted of 3 phases: the 1st focused on restoring motion, the 2nd on strengthening of the rotator cuff muscles, and the 3rd on strengthening of the scapular muscles. Stretching completed every training session. * Motion training consisted of 6 exercises. * Postural training: shoulder shrugs and shoulder retraction exercises. * Glenohumeral training: pendulum exercises, and active assisted flexion, abduction and external rotation. * Strengthening of the rotator cuff: side lying external rotation, internal rotation and scaption. * Strengthening of the scapular muscles: press-up, push-up with a plus, serratus anterior supine punch, standing rowing (low row), and seated rowing (high row). * Training sessions ended with 4 stretches: anterior shoulder stretch, posterior shoulder stretch, inferior capsular stretch, sleepers stretch. Exercises were performed 3 times a week, with progression after the 1st week, and thereafter every 2nd week.

Treatment:

Other: Training

Home training regimen

Active Comparator group

Description:

The program consisted of the following: * 1 motion exercise: upper trapezius relaxation * 3 strengthening exercises: serratus anterior strengthening exercise, humeral external rotation with the arm at the side of the body, and humeral external rotation with a rubber band and the arm at 90 degrees abduction. * 2 stretching exercises: posterior shoulder and pectoralis minor stretching, Exercises were performed daily, with weekly progression.

Treatment:

Other: Training