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Completed

NCT Number: NCT01257113

Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement

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.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

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

Trondheim, 7006, Norway

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Supervised Exercise

Other

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

homebased exercises

Other

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

Primary outcomes

  1. Pain and function 1

    Time frame: Baseline

    Shoulder Pain and Disability Index

  2. Pain and function 2

    Time frame: At 6 weeks

    Shoulder Pain and Disability Index

  3. Pain and function 3

    Time frame: At 6 months

    Shoulder Pain and Disability Index

Secondary outcomes

  1. Fear avoidance 1

    Time frame: Baseline

    Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back

  2. Fear avoidance 2

    Time frame: At 6 weeks

    Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.

  3. Quality of life 1

    Time frame: Baseline

    The Short-Form 36 questionnaire

  4. Quality of life 2

    Time frame: At 6 weeks

    The Short-Form 36 questionnaire

  5. Pain the last week

    Time frame: Baseline and once a week for 6 weeks

    Numeric pain rating scale

  6. Active range of motion 1

    Time frame: Baseline

    Abduction, flexion, external rotation and internal rotation measured with inclinometer

  7. Active range of motion 2

    Time frame: At 6 weeks

    Abduction, flexion, external rotation and internal rotation measured with inclinometer

  8. Impingement tests 1

    Time frame: Baseline

    Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative

  9. Impingement tests 2

    Time frame: At 6 weeks

    Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative

  10. Work status 1

    Time frame: Baseline

    Registration of the patients work status

  11. Work status 2

    Time frame: At 6 weeks

    Registration of the patients work status

  12. Work status 3

    Time frame: At 6 months

    Registration of the patients work status

  13. Patient satisfaction

    Time frame: At 6 weeks

    2 questions, one question about benefit and one about satisfaction

Sponsors and collaborators

Lead sponsor

Norwegian University of Science and Technology

Other

Registry information

Official study title

Is Supervised Exercise Therapy a Better Option Than Home Exercises for Patients With Subacromial Impingement When Looking at Pain and Function?

Important dates

Study start
2011
Primary completion
2012
Study completion
2013
First posted
Dec 9, 2010
Registry last updated
Nov 21, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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