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Influence of Kinetic Chain Training on the Treatment Outcome of Overhead Athletes With Impingement

NCT ID: NCT02670174

Last Updated: 2023-12-18

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

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2018-06-30

Brief Summary

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A randomized controlled trial will be conducted to examine the effectiveness of a traditional home exercise program versus 2 kinetic chain home exercise programs on treatment outcome of overhead athletes with shoulder impingement syndrome. Primary outcome measures are reduction of pain and disability, and improvement in functionality and sports performance. Secondary outcome measures are strength, mobility, flexibility and functional performance.

Detailed Description

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Participant are randomly assigned in 3 home exercise groups.

1. The traditional program: consists of solely strengthening the rotator cuff muscles and scapular muscles (e.g. external rotation)
2. Separate kinetic chain program: same exercises as the first group but they also receive an exercise program to separately train the core and lower body. (e.g. external rotation separately and squat separately)
3. Integrated kinetic chain program: same exercises as the first group but all exercises are performed while simultaneously activating the kinetic chain. (e.g. external rotation while squatting).

Conditions

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Shoulder Impingement Syndrome

Keywords

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Shoulder impingement syndrome Overhead athletes Kinetic chain Exercise treatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects are randomly assigned in 3 parallel intervention groups. They cannot participate in 2 or more intervention groups.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Traditional training

A home exercise program consisting of rotator cuff and scapular muscle training will be performed during 6 weeks (4 sessions/week). To monitor progress and control load progression, a physical therapist will visit the subject every week.

Group Type ACTIVE_COMPARATOR

Traditional training

Intervention Type OTHER

Separate kinetic chain training

A home exercise program consisting of traditional training exercises as well as separate exercises focusing on core and lower limb training will be performed during 6 weeks (4 sessions/week). To monitor progress and control load progression, a physical therapist will visit the subject every week.

Group Type EXPERIMENTAL

Separate kinetic chain training

Intervention Type OTHER

Integrated kinetic chain training

A home exercise program consisting of traditional training exercises while integrating core and lower limb training will be performed during 6 weeks (4 sessions/week). To monitor progress and control load progression, a physical therapist will visit the subject every week.

Group Type EXPERIMENTAL

Integrated kinetic chain training

Intervention Type OTHER

Interventions

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Traditional training

Intervention Type OTHER

Separate kinetic chain training

Intervention Type OTHER

Integrated kinetic chain training

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Symptoms of shoulder impingement on the dominant side for at least 3 months and at least 3 of the following tests are considered positive

* Jobe
* Hawkins
* Neer
* Painful arc during elevation
* Pain or lack of force production with isometric external rotation
* Apprehension test
* Relocation test
* Performing overhead sports at least 3 hours/week
* Shoulder pain interferes with sports activities
* They have not had treatment for this shoulder pain

Exclusion Criteria

* History of shoulder dislocation or subluxation
* History of orthopedic surgery
* No complaints of pain or dysfunction in the upper limb (except impingement related complaints in the dominant shoulder), lower limb or spine at the last 6 months
* Currently taking nonsteroidal anti-inflammatory medication
* Received a steroid injection in the past 12 months
* Participating in another study
* Known systemic diseases
* Known structural diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ann Cools, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

University Ghent

Locations

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Vakgroep REVAKI (Ghent University - Ghent University hospital)

Ghent, , Belgium

Site Status

Countries

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Belgium

Other Identifiers

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2015/0816

Identifier Type: -

Identifier Source: org_study_id