The object of this study is to determine the effects of an eccentric muscle training for the supraspinatus muscle compared to the effects of a traditional rehabilitation program including strengthening exercises for the rotator-cuff and the scapular…
ID
Source
Brief title
Condition
- Tendon, ligament and cartilage disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- pain, measured with the patient specific complaints score (PSK) and the
Constant Murley score
- functioning in daily activities measured with Constant Murley score and PSK
- isometric strength measuring included in Constant Murley score
Secondary outcome
- tendinosis (is there any change after the treatment sessions ?)
- neovascularisation ( has there been any change in neovascular ingrowth in the
tendon after the treatment sessions?)
Background summary
A normal shoulderfunction is essential for beeing able to perform a daily
overhead activity or sport. Shoulderdysfunction such as subacromial impingement
can develop severe pain and restrict the patients daily activities and prevent
him from participating at training and competition in his sport (often at
professional level). Recent studies have shown us the complexity of diagnosing
impingement syndrome and have suggested different kinds of treatment.
(1,2,3,4,5,8,10,11,13,15,20,21,22,27,)
Still there is no scientific evidence up to date which of all suggested
treatment regimens, would be the most effective one, treating patients with
shoulder impingement.
In our opinion too many rehabilitation programs are still used in the daily
practice without any scientific evidence for their effectiveness.
The researchers would like to contribute to a better understandig of what kind
of exercises should be used treating patients with primary and secondary
impingement.
Study objective
The object of this study is to determine the effects of an eccentric muscle
training for the supraspinatus muscle compared to the effects of a traditional
rehabilitation program including strengthening exercises for the rotator-cuff
and the scapular-thoracic muscles
(without excentric exercises for the supraspinatus muscle) for patients with
primary and secondary impingement syndrome.
Finally the researchers want to determine which rehabilitation program is more
effective for the primary impingement group and which one is more effective for
the secondary impingement group.
Study design
this is a single-blinded, randomised clinical trial
Intervention
- traditional rehabilitation program:
frequency: 7x/week
12 weeks
2x/day
2 x week: one session under supervision of the fysiotherapist
remaining 5 days: exercises at home
- eccentric rehabilitation program:
frequency: 7x/week
12 weeks
2x/day
2 x week: one session under supervision of the fysiotherapist
remaining 5 days: exercises at home
Study burden and risks
there are no other risks for patients in this study compared to a standard
fysiotherapy treatment regimen which the patients of this study would undergo
anyway
Papendallaan 60
6816 VD Arnhem
Nederland
Papendallaan 60
6816 VD Arnhem
Nederland
Listed location countries
Age
Inclusion criteria
- primary subacromial impingement diagnosed with RX and ultrasound images and specific shoulder impingement tests
- secondary subacromial impingement diagnosed with impingement tests of the shoulder, instability tests and the scapular retraction and assistance test
Exclusion criteria
secondary internal impingement
coracoid impingement
combination of different types of impingement
cervico-brachialgia
large calcifications in the rotator-cuff and mechanical obstruction of osteofytes of the acromion
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 | NL17971.091.07 |