Exercise in the Physiotherapy Management of Shoulder Impingement (EaSI)
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ClinicalTrials.gov Identifier: NCT01691157 |
Recruitment Status
: Unknown
Verified October 2012 by Dr Joseph G McVeigh, University of Ulster.
Recruitment status was: Recruiting
First Posted
: September 24, 2012
Last Update Posted
: October 12, 2012
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Condition or disease | Intervention/treatment | Phase |
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Subacromial Impingement Syndrome | Other: Evidence based exercise protocol Other: Usual physiotherapy without exercise | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 94 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | The Effectiveness of Exercise in the Physiotherapy Management of Subacromial Impingement Syndrome |
Study Start Date : | September 2012 |
Estimated Primary Completion Date : | May 2013 |
Estimated Study Completion Date : | May 2013 |

Arm | Intervention/treatment |
---|---|
Active Comparator: Usual physiotherapy without exercise
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.
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Other: Usual physiotherapy without exercise
Will receive 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.
Other Name: Usual care
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Experimental: Exercise
Will receive an evidence based exercise protocol but no other physiotherapeutic modalities
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Other: Evidence based exercise protocol
An evidence based graduated exercise rehabilitation protocol will be provided and supervised by a physiotherapist. patients will receive 6 sessions of supervised physiotherapy
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- change from baseline in average pain scores at rest and at night using 100mm visual analogue scale (VAS). [ Time Frame: Outcomes measured at 0, 6 and 12 weeks ]Primary outcome measure: Average pain scores at rest and at night for the week prior to measurement will be recorded using a 100mm visual analogue scale (VAS). The change in pain scores at 6 and 12 weeks from baseline will be measured.
- Western Ontario Rotator Cuff Index (WORC [ Time Frame: 0, 6 and 12 weeks ]Secondary outcome measures will focus on function, disability and quality of life, consisting of a combination of generic, region specific and disease-specific health questionnaires. The change in scores from baseline will be measured.
- The American Shoulder and Elbow Surgeons function score. [ Time Frame: 0. 6 and 12 weeks ]Limb specific outcome measure
- SF-36 Health Survey • SF-36 Health Survey [ Time Frame: 0, 6 and 12 weeks ]Generic measure of health status
- Isometric strength and range of movement of shoulder flexion, abduction, external rotation and internal rotation using a hand held dynamometer. [ Time Frame: 0, 6 and 12 weeks ]objective measures of strength and ROM

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Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
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.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01691157
Contact: Catherine E Hanratty, BSc Hons | 0044 2890 368732 | hanratty-c@email.ulster.ac.uk | |
Contact: Joseph G McVeigh, BSc Hons | 0044 2890 368148 | j.mcveigh@ulster.ac.uk |
United Kingdom | |
Musgrave Park Hospital | Recruiting |
Belfast, N.Ireland, United Kingdom, BT9 7JB | |
Contact: Ingrid Traynor, Physio 0044289090 ext 2078 ingrid.traynor@belfasttrust.hscni.net | |
The Waveney Hospital | Recruiting |
Ballymena, N.I, United Kingdom | |
Contact: Colin Brennan, physio 00442870347853 colin.brennan@hscni.net | |
Robinson Memorial Hospital | Recruiting |
Ballymoney, N.I, United Kingdom, BT53 6HB | |
Contact: Colin Brennan, Physio 00442870347853 colin.brennan@northerntrust.hscni.net | |
The Fort Centre, Physiotherapy Department | Recruiting |
Coleraine, N.I, United Kingdom | |
Contact: Colin Brennan, Physio 00442870347853 colin.brennan@hscni.net |
Principal Investigator: | Joseph G McVeigh, BSc Hons | University of Ulster |
Responsible Party: | Dr Joseph G McVeigh, Lecturer in Physiotherapy and PhD supervisor, University of Ulster |
ClinicalTrials.gov Identifier: | NCT01691157 History of Changes |
Other Study ID Numbers: |
11/NI/0026 version 3.1 |
First Posted: | September 24, 2012 Key Record Dates |
Last Update Posted: | October 12, 2012 |
Last Verified: | October 2012 |
Keywords provided by Dr Joseph G McVeigh, University of Ulster:
Subacromial impingement syndrome Rotator cuff Exercise Physiotherapy |
Additional relevant MeSH terms:
Syndrome Rotator Cuff Injuries Shoulder Impingement Syndrome Disease Pathologic Processes Rupture |
Wounds and Injuries Shoulder Injuries Tendon Injuries Joint Diseases Musculoskeletal Diseases |