Exercise in the Physiotherapy Management of Shoulder Impingement

NCT ID: NCT01691157

Last Updated: 2012-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2013-05-31

Brief Summary

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The purpose of this trial is to investigate the effectiveness of an evidence based exercise program for shoulder impingement. Approximately 1% of adults consult their General Practitioner (GP) with shoulder pain each year, making it the third most common reason for musculoskeletal GP consultations in the UK. A further 50% of these patients are diagnosed with subacromial impingement syndrome (SAIS) (shoulder impingement syndrome) and commonly referred for physiotherapy treatment. This trial aims to compare the effectiveness of an evidence based exercise protocol with usual physiotherapy care.

Detailed Description

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Physiotherapy management of shoulder impingement frequently involves exercise, however there is little evidence underpinning exercise prescription and outcomes are poor. Few trials have investigated which muscles should be targeted and how they should be strengthened with respect to the mode, frequency, duration, intensity and progression. This is a randomized controlled trial(RCT) investigating the effectiveness of an evidence based exercise program for shoulder impingement. This research may have an impact on how physiotherapists provide exercise programs to patients with shoulder impingement.

Conditions

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Subacromial Impingement Syndrome

Keywords

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Subacromial impingement syndrome Rotator cuff Exercise Physiotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Usual physiotherapy without exercise

Will receive 6 sessions of modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine.

Group Type ACTIVE_COMPARATOR

Usual physiotherapy without exercise

Intervention Type OTHER

Will receive modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine.

Exercise

Will receive an evidence based exercise protocol but no other physiotherapeutic modalities

Group Type EXPERIMENTAL

Evidence based exercise protocol

Intervention Type OTHER

An evidence based graduated exercise rehabilitation protocol will be provided and supervised by a physiotherapist. patients will receive 6 sessions of supervised physiotherapy

Interventions

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Evidence based exercise protocol

An evidence based graduated exercise rehabilitation protocol will be provided and supervised by a physiotherapist. patients will receive 6 sessions of supervised physiotherapy

Intervention Type OTHER

Usual physiotherapy without exercise

Will receive modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine.

Intervention Type OTHER

Other Intervention Names

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Usual care

Eligibility Criteria

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Inclusion Criteria

* Patients must be aged 18 years and older.
* Shoulder pain of at least 3/10 in severity that has been diagnosed by a consultant rheumatologist, orthopaedic surgeon or general practitioner within the past 12 months.
* Positive Hawkins-Kennedy test.
* Positive on testing either supraspinatus (empty can test) or infraspinatus (resisted external rotation in neutral).

Exclusion Criteria

* Acute traumatic conditions.
* Evidence of rotator cuff tear (positive drop arm test) or any other shoulder joint pathology (e.g. adhesive capsulitis, labral tears).
* A history of fractures of the upper arm, shoulder or clavicle within the past two years.
* A history of dislocation of the shoulder within the previous two years.
* Postoperative conditions involving the upper arm, shoulder or clavicle.
* Inflammatory or systemic diseases.
* Current signs and symptoms of acute nerve root pain arising from the cervical or upper thoracic spine.
* Previous physiotherapy for the same condition involving an exercise regime.
* Previous corticosteroid injection of the affected shoulder within the past 6 months.
* Unwilling participant.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Belfast Health and Social Care Trust

OTHER

Sponsor Role collaborator

Northern Health and Social Care Trust

OTHER_GOV

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role collaborator

Keele University

OTHER

Sponsor Role collaborator

University of Ulster

OTHER

Sponsor Role lead

Responsible Party

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Dr Joseph G McVeigh

Lecturer in Physiotherapy and PhD supervisor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph G McVeigh, BSc Hons

Role: PRINCIPAL_INVESTIGATOR

University of Ulster

Locations

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Musgrave Park Hospital

Belfast, N.Ireland, United Kingdom

Site Status RECRUITING

The Waveney Hospital

Ballymena, N.I, United Kingdom

Site Status RECRUITING

Robinson Memorial Hospital

Ballymoney, N.I, United Kingdom

Site Status RECRUITING

The Fort Centre, Physiotherapy Department

Coleraine, N.I, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Catherine E Hanratty, BSc Hons

Role: CONTACT

Phone: 0044 2890 368732

Email: [email protected]

Joseph G McVeigh, BSc Hons

Role: CONTACT

Phone: 0044 2890 368148

Email: [email protected]

Facility Contacts

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Ingrid Traynor, Physio

Role: primary

Colin Brennan, physio

Role: primary

Colin Brennan, Physio

Role: primary

Colin Brennan, Physio

Role: primary

Other Identifiers

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11/NI/0026 version 3.1

Identifier Type: -

Identifier Source: org_study_id