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

This study has been completed.
Sponsor:
Collaborator:
Kalmar County Hospital
Information provided by:
Linkoeping University
ClinicalTrials.gov Identifier:
NCT01054326
First received: January 21, 2010
Last updated: NA
Last verified: January 2006
History: No changes posted
  Purpose

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 Intervention
Subacromial Decompression
Other: Exercises

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (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

Resource links provided by NLM:


Further study details as provided by Linkoeping University:

Primary Outcome Measures:
  • Shoulder function and pain [ Time Frame: before surgery, 1 w (baseline, 1,2,3 and 6 month after surgery ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • 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 ]

Enrollment: 45
Study Start Date: January 2003
Study Completion Date: January 2007
Primary Completion Date: January 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

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.

  Eligibility

Ages Eligible for Study:   25 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  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.

No Contacts or Locations Provided
  More Information

No publications provided

Responsible Party: Kajsa Johansson, PT, Med. Dr, Linköpings University
ClinicalTrials.gov Identifier: NCT01054326     History of Changes
Other Study ID Numbers: DNR 02-37
Study First Received: January 21, 2010
Last Updated: January 21, 2010
Health Authority: Sweden: Regional Ethical Review Board

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

ClinicalTrials.gov processed this record on September 30, 2014