Comparison of Supervised Rehabilitation and Home Exercise Programs in Subacromial Impingement Syndrome (SAIS-REHAB)
Comparison of the Effectiveness of a Physiotherapist-Supervised Rehabilitation Program and Home Exercise Education in Subacromial Impingement Syndrome
This randomized controlled trial aims to compare the effectiveness of physiotherapist-supervised rehabilitation and home exercise programs in individuals with subacromial impingement syndrome (SAIS). SAIS is a common musculoskeletal disorder characterized by shoulder pain, reduced range of motion, and functional limitations, negatively affecting quality of life.
Participants diagnosed with SAIS will be randomly assigned to one of three groups: a supervised rehabilitation group, a home exercise group, or a control group. Randomization will be performed using an online randomization tool. Individuals in the supervised rehabilitation group will receive a structured physiotherapy program administered by a physiotherapist, while those in the home exercise group will perform a standardized exercise program at home following initial instruction. Participants in the control group will not receive any intervention during the study period and will be assessed only.
Outcome measures including pain intensity, upper extremity function, range of motion, grip strength, sleep quality, and quality of life will be evaluated at baseline and after the intervention period. The results of this study are expected to provide evidence regarding the comparative effectiveness of supervised and home-based exercise approaches in the management of SAIS.
연구 개요
상세 설명
Subacromial impingement syndrome (SAIS) is one of the most common causes of shoulder pain, leading to decreased range of motion, muscle weakness, functional limitations, and reduced quality of life. Exercise-based rehabilitation is considered a primary conservative treatment approach. However, access to supervised physiotherapy services may be limited due to long waiting times and healthcare system constraints. Home exercise programs may serve as an alternative, but evidence comparing their effectiveness with supervised rehabilitation remains limited.
This study is designed as a randomized controlled trial to compare the effectiveness of physiotherapist-supervised rehabilitation and home exercise programs in individuals with SAIS. A total of 63 participants who meet the inclusion criteria will be recruited and randomly assigned into three groups: supervised rehabilitation, home exercise, and control.
Randomization will be performed using an online randomization tool. Participants allocated to the supervised rehabilitation group will receive a structured rehabilitation program consisting of pain management modalities, range of motion exercises, strengthening exercises, and functional training under the supervision of a physiotherapist, five days per week for four weeks. The home exercise group will receive a structured exercise program including stretching, strengthening, and mobility exercises after a single training session and will continue the program independently at home. Participants in the control group will not receive any intervention during the study period and will be included in the supervised rehabilitation program after the final assessment.
Outcome measures will include pain intensity assessed by Visual Analog Scale, upper extremity function assessed by the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), shoulder range of motion measured by goniometer, grip strength measured by dynamometer, sleep quality assessed by a single-item sleep quality scale, and quality of life assessed by the WHOQOL-BREF. Assessments will be conducted at baseline and at the end of the 4-week intervention period.
The findings of this study will contribute to the literature by providing evidence on the comparative effectiveness of supervised rehabilitation and home-based exercise programs and may guide clinical decision-making in the management of SAIS.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Kırşehir
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Kırşehir, Kırşehir, 터키 (Türkiye), 40100
- 모병
- Kırşehir Ahi Evran University
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연락하다:
- Atahan Turhan, PhD
- 전화번호: 90 386 280 40 81 - 4107 - 4070
- 이메일: atahanturhan@hotmail.com
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Voluntary participation in the study
- Literate in Turkish
- Aged between 30 and 65 years
- No visual or hearing impairment
- Diagnosed with unilateral subacromial impingement syndrome by a specialist physician
- Positive painful arc test, Infraspinatus test, and Hawkins-Kennedy test
- Pain during overhead activities
Exclusion Criteria:
- Presence of a mental or psychological disorder that may affect study findings
- Inadequate cooperation
- History of upper extremity fracture within the last 6 months
- Presence of cervical neurological symptoms
- Glenohumeral instability
- Acromioclavicular joint pathology
- Full-thickness rotator cuff tear or total rupture
- Signs of glenohumeral osteoarthritis
- History of frozen shoulder
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Supervised Rehabilitation
Participants in this group will receive a physiotherapist-supervised rehabilitation program five days per week for four weeks.
The program will include pain management approaches, stretching exercises, range of motion exercises, scapular stabilization exercises, strengthening exercises, and activity modification training according to standard physiotherapy procedures.
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A physiotherapist-supervised rehabilitation program including pain management approaches, stretching exercises, range of motion exercises, scapular stabilization exercises, strengthening exercises, and activity modification training administered five days per week for four weeks.
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실험적: Home Exercise Program
Participants in this group will receive a structured home exercise program after an education session.
The program will include stretching, range of motion, scapular stabilization, and strengthening exercises to be performed independently at home for four weeks.
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A structured home exercise program including stretching, range of motion, scapular stabilization, and strengthening exercises performed independently at home for four weeks following an education session.
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간섭 없음: Control
Participants in this group will not receive any intervention during the four-week study period.
Baseline and follow-up assessments will be performed.
Individuals who are required to wait more than four weeks before starting physiotherapy sessions will be included in this group.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Pain Intensity
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Pain intensity will be assessed using the Visual Analog Scale (0-10 cm) during rest, activity, and night pain.
Higher scores indicate greater pain severity.
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Upper Extremity Function
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Upper extremity function will be assessed using the Disabilities of the Arm, Shoulder and Hand Questionnaire-Short Form (DASH-SF; 0-100).
Higher scores indicate greater disability.
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Shoulder Range of Motion
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Shoulder flexion, extension, abduction, internal rotation, and external rotation range of motion will be measured using a universal goniometer.
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Grip Strength
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Grip strength of the affected upper extremity will be assessed using a hand dynamometer.
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Sleep Quality
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Sleep quality will be assessed using the Single-Item Sleep Quality Scale (0-10).
Higher scores indicate poorer sleep quality.
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Quality of Life-WHOQOL-BREF
기간: Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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Quality of life will be assessed using the WHOQOL-BREF questionnaire.
Higher scores indicate better quality of life
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Baseline (Day 0, prior to intervention) and Week 4 (end of intervention)
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공동 작업자 및 조사자
간행물 및 유용한 링크
일반 간행물
- Gutierrez-Espinoza H, Araya-Quintanilla F, Cereceda-Muriel C, Alvarez-Bueno C, Martinez-Vizcaino V, Cavero-Redondo I. Effect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis. Phys Ther Sport. 2020 Jan;41:34-42. doi: 10.1016/j.ptsp.2019.11.003. Epub 2019 Nov 6.
- Diercks R, Bron C, Dorrestijn O, Meskers C, Naber R, de Ruiter T, Willems J, Winters J, van der Woude HJ; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop. 2014 Jun;85(3):314-22. doi: 10.3109/17453674.2014.920991. Epub 2014 May 21.
- Horowitz EH, Aibinder WR. Shoulder Impingement Syndrome. Phys Med Rehabil Clin N Am. 2023 May;34(2):311-334. doi: 10.1016/j.pmr.2022.12.001. Epub 2023 Feb 26.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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