The main objective is to obtain more evidence in the effects of eccentric strengthening training of the supraspinatus tendon in SIS by comparing the effects eccentric strengthening training with the effects of usual care used in SIS. Secondary…
ID
Source
Brief title
Condition
- Tendon, ligament and cartilage disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Main outcome of the study is rcovery, assessed with the Shoulder Disability
Questionnaire.
Secondary outcome
The following secondary outcomes will be used:
- Constant -score, to assess shoulder function
- 2. Shoulder pain questionnaire, to assess the amount of shoulder pain
- 3. Compliance
- 4. Illness perception
- 5. Satisfaction
At the intake (T0), after 6 (T1) and after 12 weeks (T2) the shoulder function
will be assessed with questionnaires and shoulder function tests. Outcomes of
both groups (eccentric strengthening training and usual care) will be compared
to assess the effect of the eccentric strengthening training program.
Background summary
Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain.
Sixty percent of the patients with SIS benefit from physical therapy while in
30 to 40 percent of the cases that receive physical therapy, the symptoms do
not resolve. The majority of SIS are the consequence of rotator cuff
tendinopathy. Eccentric strengthening exercises are nowadays frequently used in
treatment of tendinopathies, especially in Achilles tendinopathy eccentric
training has shown to be effective. Based on the good results with the
Achilles tendon, the idea has raised that these results can be extended to the
supraspinatus tendon in the treatment of SIS.
Study objective
The main objective is to obtain more evidence in the effects of eccentric
strengthening training of the supraspinatus tendon in SIS by comparing the
effects eccentric strengthening training with the effects of usual care used in
SIS. Secondary objectives are to find out if home exercise is an adequate
intervention and to assess the feasibility of the eccentric training program.
Study design
A randomized comparing pilot study will be used to compare an eccentric
training group (experimental group) with a usual care group (control group).
Intervention
Subjects of the exercise eccentric training program group will perform
eccentric home exercises twice a day, 7 days a week, for 12 weeks. The control
group will continue their usual care at the physiotherapy practice
Study burden and risks
This research is not associated with any risks. The worst case that can be
expected is that eccentric strengthening training turns out to be less
effective than usual care. All measurements take place at the patients
physiotherapy practice. T0 will take 30 minutes, T1 and T2 will take 20
minutes, as a result the total costs will be 70 minutes.
Hanzeplein 1
9700 RB Groningen
Nederland
Hanzeplein 1
9700 RB Groningen
Nederland
Listed location countries
Age
Inclusion criteria
- 1. Painful arc of movement during flexion or abduction*
- 2. Positive Neer or Kennedy- Hawkins impingement signs*
- 3. Pain on resisted lateral rotation, abduction or Jobe test*
- 4. Suffering from SIS with an episode of at least three months and less than one year
- 5. Male or female with an age between 18 and 60 years old
* Subjects will be included in study if they have at least one positive finding of these
categories
Exclusion criteria
. Frozen shoulder
- 2. Habitual shoulder luxation in the previous 2 years
- 3. (History of) shoulder fracture
- 4. Previous shoulder surgery
- 5. Cervical radiculopathy
- 6. Inflammatory rheumatic diseases
- 7. Other musculoskeletal problems of an upper limb
- 8. Bilateral SIS
- 9. Unable to complete (Dutch) questionnaires
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL24481.042.08 |