Shoulder Eccentric External Rotator Training for Subacromial Pain Syndrome

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2016-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to examine the effects of eccentric exercise to the shoulder muscles for people with shoulder pain. Identifying specific exercise protocols for individuals with shoulder pain will provide evidence to help clinicians select the best interventions.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Neurophysiology of Weakness and Exercise in Rotator Cuff Tendinopathy

NCT02971072

Acute Pain Atrophic Goals +9 more

COMPLETED NA

Therapeutic Exercise for Rotator Cuff Tendinopathy / Subacromial Pain Syndrome - Outcomes and Mechanisms

NCT04923477

Rotator Cuff Tendinosis Rotator Cuff Tendinitis Rotator Cuff Injuries +1 more

RECRUITING NA

Exercise Training Sequence for Subacromial Impingement Syndrome

NCT02478567

Subacromial Impingement Syndrome

COMPLETED NA

Effect of Muscle Coactivation Strengthening for Rotator Cuff Tendinopathy

NCT02837848

Tendinopathy

COMPLETED NA

Comparison of Exercise Interventions in Adults With Subacromial Impingement Syndrome

NCT01508715

Shoulder Impingement Syndrome

COMPLETED NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Prior investigations for eccentric training of the shoulder have primarily utilized a pain provocation model for exercise progression. This method of progressing resistance training load and volume assumes that pain must be increased during the exercise movement for clinical benefit to occur. When the individual reports a reduction in pain, load is increased so that the provoking pain level returns. The contrast to this approach would be a performance based progression as utilized in the Blume et al study for shoulder eccentric training. This method progresses a patient based on ability to perform a higher number of repetitions at a given load without increasing symptoms which could be favorable in many clinical settings.

Further investigation on the role of eccentric training, specifically to the shoulder external rotators, in patients with SAPS is warranted. Thus, the aim of this investigation was to compare outcomes, for individuals diagnosed with SAPS, performing a six week protocol of eccentric training to the shoulder external rotators compared to a general exercise protocol.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Subacromial Impingement Syndrome

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Eccentric External rotator training

Eccentric Shoulder External Rotators along with scapular retraction and posterior shoulder stretching exercises.

Group Type EXPERIMENTAL

Eccentric Shoulder External Rotator Training

Intervention Type OTHER

Eccentric training exercise for the external rotators, 3 sets of 15 daily.

General shoulder exercise

General shoulder exercise protocol of active flexion, abduction, scapular retraction and posterior shoulder stretching exercises.

Group Type SHAM_COMPARATOR

General Shoulder exercise

Intervention Type OTHER

general exercise consisting of active shoulder movements

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Eccentric Shoulder External Rotator Training

Eccentric training exercise for the external rotators, 3 sets of 15 daily.

Intervention Type OTHER

General Shoulder exercise

general exercise consisting of active shoulder movements

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Presence of non-acute shoulder pain (greater than 3 months duration)
* 3 out of the 6 following tests positive, Neer impingement, Hawkins-Kennedy impingement, empty can test, resisted external rotation test, palpable tenderness at the insertion of the supraspinatus or infraspinatus, and painful arc from 60° to 120° during active abduction.
* Age over 18 years old
* Sufficient ability to read English as required for completing questionnaires

Exclusion Criteria

* Red flags noted in the patient's Medical Screening Questionnaire (MSQ) (ie. tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, prolonged history of steroid use)
* Full thickness supraspinatus or infraspinatus tendon tear as determined by a positive drop arm test, lag sign or rent test.
* Shoulder adhesive capsulitis as evidenced by a limitation in passive motion for all shoulder planes of movement.
* Having an upper extremity amputation.
* Individuals having a history of surgery to the cervical spine or involved upper extremity for a musculoskeletal, neurological or dermatological condition for which they are at the time of data collection receiving post-operative care.
* Pending legal action regarding their shoulder pain
* Inability to comply with treatment and follow up schedule
* Insufficient English language skills to complete all questionnaires

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No