Shoulder Eccentric External Rotator Training for Subacromial Pain Syndrome
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|ClinicalTrials.gov Identifier: NCT02153827|
Recruitment Status : Completed
First Posted : June 3, 2014
Results First Posted : October 20, 2016
Last Update Posted : October 20, 2016
|Condition or disease||Intervention/treatment||Phase|
|Subacromial Impingement Syndrome||Other: Eccentric Shoulder External Rotator Training Other: General Shoulder exercise||Not Applicable|
Prior investigations for eccentric training of the shoulder have primarily utilized a pain provocation model for exercise progression. This method of progressing resistance training load and volume assumes that pain must be increased during the exercise movement for clinical benefit to occur. When the individual reports a reduction in pain, load is increased so that the provoking pain level returns. The contrast to this approach would be a performance based progression as utilized in the Blume et al study for shoulder eccentric training. This method progresses a patient based on ability to perform a higher number of repetitions at a given load without increasing symptoms which could be favorable in many clinical settings.
Further investigation on the role of eccentric training, specifically to the shoulder external rotators, in patients with SAPS is warranted. Thus, the aim of this investigation was to compare outcomes, for individuals diagnosed with SAPS, performing a six week protocol of eccentric training to the shoulder external rotators compared to a general exercise protocol.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||48 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Shoulder External Rotator Eccentric Training for Subacromial Impingement Syndrome|
|Study Start Date :||March 2014|
|Actual Primary Completion Date :||January 2016|
|Actual Study Completion Date :||January 2016|
Experimental: Eccentric External rotator training
Eccentric Shoulder External Rotators along with scapular retraction and posterior shoulder stretching exercises.
Other: Eccentric Shoulder External Rotator Training
Eccentric training exercise for the external rotators, 3 sets of 15 daily.
Sham Comparator: General shoulder exercise
General shoulder exercise protocol of active flexion, abduction, scapular retraction and posterior shoulder stretching exercises.
Other: General Shoulder exercise
general exercise consisting of active shoulder movements
- Change in Western Ontario Rotator Cuff Index [ Time Frame: 6 months ]shoulder functional self report measure is a disease specific self reported outcome measure for individuals experiencing rotator cuff pathology. A score of 0 is the minimum score and indicates low levels of shoulder function. A score of 100 is the maximum score and indicates full shoulder function. Scores are derived by summing all 5 subscales and dividing that number by the total available number of 2100. Units for each item are derived from a visual analog scale totaling 100cm.
- Global Rating of Change [ Time Frame: 6 months ]Global rating of change is a single item questionnaire asking about total change since beginning treatment. The scale ranges from -7 (a great deal worse) to +7 (a great deal better). The unit of measure is scores on a scale.
- Numeric Pain Rating Scale [ Time Frame: 6 months ]0-10 pain scale with 0 meaning no pain and 10 being maximal pain. This is derived from a single item questionnaire.
- Shoulder Active Range of Motion [ Time Frame: 6 months ]Degrees of shoulder elevation with 0 being the least and 180 being the greatest.
- Upper Quarter Y Balance Test [ Time Frame: 6 months ]Measure of single arm reach with 0 being the least and higher numbers indicating greater distance reached.
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): NCT02153827
|United States, Florida|
|University of St. Augustine|
|St. Augustine, Florida, United States, 32086|
|Study Chair:||Morey Kolber, PhD, PT||Nova Southeastern|