Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01054326
Recruitment Status : Completed
First Posted : January 22, 2010
Last Update Posted : January 22, 2010
Kalmar County Hospital
Information provided by:
Linkoeping University

Brief Summary:
The objective of this study was to evaluate and compare two different post-surgical rehabilitation strategies, Rehabilitation supervised by a physical therapist including exercises with progressive early activation of the rotator cuff versus basic home exercises regarding shoulder function, pain, health related quality of life and return to work after arthroscopic subacromial decompression.

Condition or disease Intervention/treatment Phase
Subacromial Decompression Other: Exercises Not Applicable

Detailed Description:
Patients scheduled for surgery (arthroscopic subacromial decompression)and in the age 25-65 were offered to participate in the study. After surgery they were randomized to either Supervised Physical therapy with early activation of the rotator cuff (PT-group) or to home exercises (H-group). Patients in the PT group met the physical therapist twice a week for exercises and in between these visits they did their exercises at home daily. The H-group did home exercises daily. Shoulder function and pain(primary outcomes)and health related quality of life, returning to work(secondary outcomes)were assessed before surgery, one week after(baseline), 1,2,3 and 6 months after surgery by an independent physical therapist.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 45 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Effects of Supervised Physical Therapy With Early Activation of the Rotator Cuff Versus Home Exercises in Patients After Arthroscopic Subacromial Decompression
Study Start Date : January 2003
Actual Primary Completion Date : January 2006
Actual Study Completion Date : January 2007

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U.S. FDA Resources

Arm Intervention/treatment
Experimental: Supervised physical therapy focusing of rotatorcuff exercises
Patients did specific exercises supervised by a physical therapists twice a week during two months. Focus was on early activation of rotator cuff and scapula stabilizers following different phases in a rehabilitation program Assessments before surgery,1 week after as well as 1,2,3 and 6 months after surgery.
Other: Exercises
Active Comparator: Home exercises
Patients did home exercises following a programme during three months. Assessment considering shoulder function and pain was done before surgery, 1w after as well as 1,2,3 and 6 months after surgery,
Other: Exercises

Primary Outcome Measures :
  1. Shoulder function and pain [ Time Frame: before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery ]

Secondary Outcome Measures :
  1. Health related quality of life and returning to work [ Time Frame: before surhery and 1 w(baseline)1,2,3 and 6 months after surgery ]

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Ages Eligible for Study:   25 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Subacromial impingement verified with Neer impingement test
  • At least 6 month duration of pain
  • Treated in primary care without satisfactory results for at least three months.
  • Typical history and pain location. Scheduled for surgery (subacromial decompression)
  • Three of these four tests must be positive:

    • Neer impingement test
    • Hawkins-Kennedy impingement sign Jobe supraspinatus test
    • Painful arc 60-120 degree

Exclusion Criteria:

  • Radiological findings of malignancy osteoarthritis, fractures
  • Polyarthritis or fibromyalgia
  • Pathological hyper laxity
  • Lack of communication skills that prevent the use of outcome measurements
  • Cervical spine pathology

Responsible Party: Kajsa Johansson, PT, Med. Dr, Linköpings University Identifier: NCT01054326     History of Changes
Other Study ID Numbers: DNR 02-37
First Posted: January 22, 2010    Key Record Dates
Last Update Posted: January 22, 2010
Last Verified: January 2006

Keywords provided by Linkoeping University:
arthroscopic subacromial decompression
physical therapy
rotator cuff
shoulder impingement syndrome
Subacromial impingement after arthroscopic subacromial decompression