Supervised Exercise Therapy vs Home Exercises for Patients With Subacromial Impingement

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

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.

Study Overview

• Status: Completed
• Conditions: Shoulder Impingement Syndrome
• Intervention / Treatment: Other: supervised exercise; Other: homebased exercises

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Actual): 46
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Norway
  • Trondheim, Norway, 7006
    • Tverrfaglig Poliklinikk, rygg-nakke-skulder. Fys.Med. og rehab., St.Olavs Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: supervised exercise; The group gets 10 supervised exerciseclasses at the physiotherapy clinic in addition to homebased exercises	Other: supervised exercise; 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
Experimental: homebased exercises; The group gets 1 supervised exerciseclass before they do all their exercises at home	Other: homebased exercises; 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

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain and function 1	Shoulder Pain and Disability Index	Baseline
Pain and function 2	Shoulder Pain and Disability Index	At 6 weeks
Pain and function 3	Shoulder Pain and Disability Index	At 6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fear avoidance 1	Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back	Baseline
Fear avoidance 2	Fear-Avoidance Beliefs Questionnaire. Modified version with questions about shoulder instead of back.	At 6 weeks
Quality of life 1	The Short-Form 36 questionnaire	Baseline
Quality of life 2	The Short-Form 36 questionnaire	At 6 weeks
Pain the last week	Numeric pain rating scale	Baseline and once a week for 6 weeks
Active range of motion 1	Abduction, flexion, external rotation and internal rotation measured with inclinometer	Baseline
Active range of motion 2	Abduction, flexion, external rotation and internal rotation measured with inclinometer	At 6 weeks
Impingement tests 1	Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative	Baseline
Impingement tests 2	Hawkins test, painful arc test and isometric external rotation test is beeing conducted and scored positive or negative	At 6 weeks
Work status 1	Registration of the patients work status	Baseline
Work status 2	Registration of the patients work status	At 6 weeks
Work status 3	Registration of the patients work status	At 6 months
Patient satisfaction	2 questions, one question about benefit and one about satisfaction	At 6 weeks

Collaborators and Investigators

• Sponsor: Norwegian University of Science and Technology
• Investigators: Principal Investigator: Ottar Vasseljen, Dr.Philos, Norwegian University of Science and Technology

Publications and helpful links

General Publications

• Granviken F, Vasseljen O. Home exercises and supervised exercises are similarly effective for people with subacromial impingement: a randomised trial. J Physiother. 2015 Jul;61(3):135-41. doi: 10.1016/j.jphys.2015.05.014. Epub 2015 Jun 18.

Study record dates

Study Major Dates

• Study Start: January 1, 2011
• Primary Completion (Actual): December 1, 2012
• Study Completion (Actual): April 1, 2013

Study Registration Dates

• First Submitted: December 8, 2010
• First Submitted That Met QC Criteria: December 8, 2010
• First Posted (Estimate): December 9, 2010

Study Record Updates

• Last Update Posted (Actual): November 21, 2019
• Last Update Submitted That Met QC Criteria: November 20, 2019
• Last Verified: November 1, 2019

More Information

Terms related to this study

• Keywords: shoulder pain; supervised exercise; shoulder impingement; rotatorcuff pathology; homebased exercise
• Additional Relevant MeSH Terms: Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Shoulder Impingement Syndrome
• Other Study ID Numbers: 2010/2591