Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement - Full Text View

Purpose

The purpose of this study is to determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with shoulder pain.

Condition	Intervention
Shoulder Impingement Syndrome	Other: supervised exercise Other: homebased exercises


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment
Official Title:	Is Supervised Exercise Therapy a Better Option Than Home Exercises for Patients With Subacromial Impingement When Looking at Pain and Function?

Resource links provided by NLM:

MedlinePlus related topics: Exercise and Physical Fitness Shoulder Injuries and Disorders

U.S. FDA Resources

Further study details as provided by Norwegian University of Science and Technology:

Primary Outcome Measures:

Pain and function 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Shoulder Pain and Disability Index
Pain and function 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
Shoulder Pain and Disability Index
Pain and function 3 [ Time Frame: At 6 months ] [ Designated as safety issue: No ]
Shoulder Pain and Disability Index

Secondary Outcome Measures:

Fear avoidance 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back
Fear avoidance 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.
Quality of life 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
The Short-Form 36 questionnaire
Quality of life 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
The Short-Form 36 questionnaire
Pain the last week [ Time Frame: Baseline and once a week for 6 weeks ] [ Designated as safety issue: No ]
Numeric pain rating scale
Active range of motion 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Abduction, flexion, external rotation and internal rotation measured with inclinometer
Active range of motion 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
Abduction, flexion, external rotation and internal rotation measured with inclinometer
Impingement tests 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative
Impingement tests 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative
Work status 1 [ Time Frame: Baseline ] [ Designated as safety issue: No ]
Registration of the patients work status
Work status 2 [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
Registration of the patients work status
Work status 3 [ Time Frame: At 6 months ] [ Designated as safety issue: No ]
Registration of the patients work status
Patient satisfaction [ Time Frame: At 6 weeks ] [ Designated as safety issue: No ]
2 questions, one question about benefit and one about satisfaction


Enrollment:	46
Study Start Date:	January 2011
Study Completion Date:	April 2013
Primary Completion Date:	December 2012 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: supervised exercise The group gets 10 supervised exerciseclasses at the physiotherapy clinic in addition to homebased exercises	Other: supervised exercise This group will receive 10 classes of supervised exercise in the 6 weeks intervention. In this classes the patients will be with a physiotherapist that will adjust their home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises
Experimental: homebased exercises The group gets 1 supervised exerciseclass before they do all their exercises at home	Other: homebased exercises This group will receive 1 class of supervised exercise at the beginning of the 6 weeks intervention. In this class the patients will be with a physiotherapist that will put together a home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

Arms

Assigned Interventions

Experimental: supervised exercise

The group gets 10 supervised exerciseclasses at the physiotherapy clinic in addition to homebased exercises

Other: supervised exercise

This group will receive 10 classes of supervised exercise in the 6 weeks intervention. In this classes the patients will be with a physiotherapist that will adjust their home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

Experimental: homebased exercises

The group gets 1 supervised exerciseclass before they do all their exercises at home

Other: homebased exercises

This group will receive 1 class of supervised exercise at the beginning of the 6 weeks intervention. In this class the patients will be with a physiotherapist that will put together a home-exercise program and make sure they do the exercises in a good way. They will receive 4-6 exercises they shall do 3 times with 30 repetitions, 2 times every day. If necessary, they should also do stretching exercises

Detailed Description:

Shoulder pain is common in the population. Various treatment modalities are used. According to the literature, it is equally good results for home exercises and for guided exercise therapy. The purpose of this study is to look at this again and determine whether there are any difference between supervised exercise therapy and homebased exercise when looking at pain and function for patients with subacromial impingement.

Eligibility


Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Pain in one shoulder
Had the condition for more than 12 weeks
Pain at abduction (must be present in some part between 60 and 120 degrees)
Pain/ weakness in isometric external rotation
Positive Hawkins test

Exclusion Criteria:

Instability
Labral pathology
Acromioclavicular joint (AC-joint) pathology
Complete rupture in the rotatorcuff
Glenohumeral osteoarthritis
Previously operated on current shoulder
The pain comes from neck pathology
Rheumatoid arthritis or other serious physical or mental illness
Lack of Norwegian language
Unable to start

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01257113

Locations


Norway
Tverrfaglig Poliklinikk, rygg-nakke-skulder. Fys.Med. og rehab., St.Olavs Hospital
Trondheim, Norway, 7006

Sponsors and Collaborators

Norwegian University of Science and Technology

Investigators


Principal Investigator:	Ottar Vasseljen, Dr.Philos	Norwegian University of Science and Technology

More Information

No publications provided


Responsible Party:	Norwegian University of Science and Technology
ClinicalTrials.gov Identifier:	NCT01257113 History of Changes
Other Study ID Numbers:	2010/2591
Study First Received:	December 8, 2010
Last Updated:	April 26, 2013
Health Authority:	Norway:National Committee for Medical and Health Research Ethics

Keywords provided by Norwegian University of Science and Technology:


shoulder pain shoulder impingement rotatorcuff pathology supervised exercise homebased exercise

Additional relevant MeSH terms:


Shoulder Impingement Syndrome Joint Diseases Musculoskeletal Diseases

ClinicalTrials.gov processed this record on March 01, 2015