Trial Outcomes & Findings for Exercise Application in the Treatment of Patients With Subacromial Pain Syndrome (NCT NCT02695524)

NCT ID: NCT02695524

Last Updated: 2019-08-19

Results Overview

The Brazilian version of Shoulder Pain and Disability Index ranging 0 to 100 points. Lower scores indicate better functionality

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

baseline, four and eight weeks and sixteen weeks after randomization

Results posted on

2019-08-19

Participant Flow

Participant milestones

Participant milestones
Measure
Scapula-focused Exercises
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Overall Study
STARTED
30
30
Overall Study
COMPLETED
27
27
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Scapula-focused Exercises
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Overall Study
Lost to Follow-up
3
2
Overall Study
Death
0
1

Baseline Characteristics

Exercise Application in the Treatment of Patients With Subacromial Pain Syndrome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
47 years
STANDARD_DEVIATION 10 • n=5 Participants
51 years
STANDARD_DEVIATION 8 • n=7 Participants
49 years
STANDARD_DEVIATION 9 • n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
21 Participants
n=7 Participants
42 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Brazil
30 participants
n=5 Participants
30 participants
n=7 Participants
60 participants
n=5 Participants
Height (m)
1.64 meters
STANDARD_DEVIATION 0.08 • n=5 Participants
1.64 meters
STANDARD_DEVIATION 0.07 • n=7 Participants
1.64 meters
STANDARD_DEVIATION 0.08 • n=5 Participants
Body mass index (kg/m^2)
28.4 kg/m^2
STANDARD_DEVIATION 4.4 • n=5 Participants
29.4 kg/m^2
STANDARD_DEVIATION 4.9 • n=7 Participants
28.9 kg/m^2
STANDARD_DEVIATION 4.6 • n=5 Participants
Right hand Dominance
30 Participants
n=5 Participants
28 Participants
n=7 Participants
58 Participants
n=5 Participants
Painful shoulder on the dominant side
14 Participants
n=5 Participants
18 Participants
n=7 Participants
32 Participants
n=5 Participants
Duration of symptoms (mo)
28 months
STANDARD_DEVIATION 15 • n=5 Participants
29 months
STANDARD_DEVIATION 33 • n=7 Participants
28.8 months
STANDARD_DEVIATION 26.6 • n=5 Participants
Medication for pain
24 Participants
n=5 Participants
27 Participants
n=7 Participants
51 Participants
n=5 Participants
Body mass (Kg)
77 Kilograms
STANDARD_DEVIATION 13.9 • n=5 Participants
79.3 Kilograms
STANDARD_DEVIATION 14.2 • n=7 Participants
78.1 Kilograms
STANDARD_DEVIATION 14 • n=5 Participants

PRIMARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

The Brazilian version of Shoulder Pain and Disability Index ranging 0 to 100 points. Lower scores indicate better functionality

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Change in Functionality Evaluated With Specific Questionnaire
4 weeks
49.8 units on a scale
Interval 41.0 to 58.7
43.5 units on a scale
Interval 33.0 to 53.9
Change in Functionality Evaluated With Specific Questionnaire
8 weeks
37.1 units on a scale
Interval 27.6 to 46.6
39.7 units on a scale
Interval 28.4 to 50.9
Change in Functionality Evaluated With Specific Questionnaire
16 weeks
32.8 units on a scale
Interval 23.0 to 42.5
34.2 units on a scale
Interval 23.0 to 45.4
Change in Functionality Evaluated With Specific Questionnaire
baseline
63.3 units on a scale
Interval 56.4 to 70.1
65.7 units on a scale
Interval 57.8 to 74.5

SECONDARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

Pain Numerical Rating Scale from 0 to 10. Lower values indicate improvement in pain

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Change in Intensity of Pain Evaluated by a Scale
Baseline
3.7 units on a scale
Interval 2.3 to 5.1
3.9 units on a scale
Interval 2.6 to 5.2
Change in Intensity of Pain Evaluated by a Scale
4 weeks
2.7 units on a scale
Interval 1.5 to 4.0
1.5 units on a scale
Interval 0.5 to 2.6
Change in Intensity of Pain Evaluated by a Scale
8 weeks
1.8 units on a scale
Interval 0.7 to 3.0
1.3 units on a scale
Interval 0.3 to 2.2
Change in Intensity of Pain Evaluated by a Scale
16 weeks
0.5 units on a scale
Interval -0.09 to 1.1
1.2 units on a scale
Interval 0.3 to 2.1

SECONDARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

Strength of serratus anterior, trapezius muscles, abduction, adduction, internal and external rotation movements the arm with hand held Dynamometer.

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder abduction baseline
6.2 Kilogram-force
Interval 5.0 to 7.4
5.5 Kilogram-force
Interval 4.3 to 6.6
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder abduction 4 weeks
7.1 Kilogram-force
Interval 5.8 to 8.5
6.3 Kilogram-force
Interval 5.1 to 7.6
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder abduction 8 weeks
7.9 Kilogram-force
Interval 6.6 to 9.2
7.1 Kilogram-force
Interval 5.8 to 8.4
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder abduction 16 weeks
7.8 Kilogram-force
Interval 6.4 to 9.2
7 Kilogram-force
Interval 5.7 to 8.4
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder adduction baseline
7.8 Kilogram-force
Interval 6.2 to 9.4
7.9 Kilogram-force
Interval 6.5 to 9.4
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder adduction 4 weeks
8.8 Kilogram-force
Interval 7.0 to 10.5
9 Kilogram-force
Interval 7.2 to 10.8
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder adduction 8 weeks
9.2 Kilogram-force
Interval 7.5 to 10.8
9.2 Kilogram-force
Interval 7.6 to 10.8
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder adduction 16 weeks
8.5 Kilogram-force
Interval 7.0 to 9.9
9 Kilogram-force
Interval 7.3 to 10.7
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder external rotation baseline
5.8 Kilogram-force
Interval 4.8 to 6.8
5.7 Kilogram-force
Interval 4.7 to 6.7
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder external rotation 4 weeks
5.9 Kilogram-force
Interval 5.0 to 6.8
6.1 Kilogram-force
Interval 5.1 to 7.2
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder external rotation 8 weeks
6.5 Kilogram-force
Interval 5.7 to 7.3
6.5 Kilogram-force
Interval 5.5 to 7.5
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder external rotation 16 weeks
6.9 Kilogram-force
Interval 5.8 to 8.0
6.4 Kilogram-force
Interval 5.3 to 7.4
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder Internal rotation baseline
8.6 Kilogram-force
Interval 6.7 to 10.4
9.4 Kilogram-force
Interval 7.7 to 11.0
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder Internal rotation 4 weeks
9.1 Kilogram-force
Interval 7.4 to 10.8
10.4 Kilogram-force
Interval 8.3 to 12.4
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder Internal rotation 8 weeks
10.4 Kilogram-force
Interval 8.8 to 12.0
11.4 Kilogram-force
Interval 9.2 to 13.6
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Shoulder Internal rotation 16 weeks
10.3 Kilogram-force
Interval 8.7 to 11.9
10.7 Kilogram-force
Interval 8.7 to 12.8
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Serratus Anterior Baseline
7.2 Kilogram-force
Interval 5.6 to 8.8
6.8 Kilogram-force
Interval 5.0 to 8.5
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Serratus Anterior 4 weeks
9.1 Kilogram-force
Interval 7.0 to 11.1
10 Kilogram-force
Interval 8.0 to 12.0
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Serratus Anterior 8 weeks
10.3 Kilogram-force
Interval 8.4 to 12.0
10.8 Kilogram-force
Interval 8.7 to 13.0
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Serratus Anterior 16 weeks
11.1 Kilogram-force
Interval 8.8 to 13.3
10.6 Kilogram-force
Interval 8.4 to 12.9
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Upper Trapezius Baseline
8.3 Kilogram-force
Interval 7.0 to 10.0
8.8 Kilogram-force
Interval 7.6 to 10.0
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Upper Trapezius 4 weeks
9.8 Kilogram-force
Interval 8.3 to 11.5
11.1 Kilogram-force
Interval 9.3 to 12.8
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Upper Trapezius 8 weeks
11.1 Kilogram-force
Interval 9.4 to 12.8
12.1 Kilogram-force
Interval 10.4 to 13.8
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Upper Trapezius 16 weeks
11 Kilogram-force
Interval 9.2 to 12.6
11.4 Kilogram-force
Interval 9.5 to 13.2
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Middle Trapezius Baseline
4.4 Kilogram-force
Interval 3.5 to 5.4
3.3 Kilogram-force
Interval 2.7 to 3.9
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Middle Trapezius 4 weeks
4.9 Kilogram-force
Interval 3.9 to 5.9
4.1 Kilogram-force
Interval 3.6 to 4.7
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Middle Trapezius 8 weeks
5.1 Kilogram-force
Interval 4.3 to 6.0
4.4 Kilogram-force
Interval 3.8 to 5.0
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Middle Trapezius 16 weeks
5.4 Kilogram-force
Interval 4.3 to 6.5
4.6 Kilogram-force
Interval 3.7 to 5.5
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Lower Trapezius baseline
4.3 Kilogram-force
Interval 3.4 to 5.3
3.1 Kilogram-force
Interval 2.6 to 3.6
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Lower Trapezius 4 weeks
4.6 Kilogram-force
Interval 3.7 to 5.5
4 Kilogram-force
Interval 3.5 to 4.5
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Lower Trapezius 8 weeks
5 Kilogram-force
Interval 4.2 to 5.9
4 Kilogram-force
Interval 3.5 to 4.7
Change in Strength Evaluated by Hand Held Dynamometer and the Measures Provided in Kilogram-force (KgF)
Lower Trapezius 16 weeks
5 Kilogram-force
Interval 4.0 to 6.0
4.1 Kilogram-force
Interval 3.3 to 5.0

SECONDARY outcome

Timeframe: four, eight weeks and sixteen weeks of randomization

Global Perceived Effect Scale ranging -5 to +5 points. Positive values indicate improvement and negative values indicate worsening of symptoms

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Perceived Change Evaluated by Numerical Scale
4 weeks
2 units on a scale
Interval 1.0 to 2.9
2.8 units on a scale
Interval 2.3 to 3.4
Perceived Change Evaluated by Numerical Scale
8 weeks
2.9 units on a scale
Interval 2.1 to 3.7
3.3 units on a scale
Interval 2.8 to 3.8
Perceived Change Evaluated by Numerical Scale
16 weeks
3.3 units on a scale
Interval 2.7 to 3.9
3.1 units on a scale
Interval 2.3 to 3.8

SECONDARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

Tampa Scale of Kinesiophobia ranging 17 to 68 points. High scores indicate high degree kinesiophobia

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Change in Kinesiophobia Evaluated With Specific Questionnaire
Kinesiophobia baseline
42.1 units on a scale
Interval 39.2 to 45.0
42.8 units on a scale
Interval 39.7 to 45.9
Change in Kinesiophobia Evaluated With Specific Questionnaire
Kinesiophobia 4 weeks
39.8 units on a scale
Interval 37.0 to 42.4
40.7 units on a scale
Interval 37.8 to 43.6
Change in Kinesiophobia Evaluated With Specific Questionnaire
Kinesiophobia 8 weeks
40.2 units on a scale
Interval 36.8 to 43.5
38.9 units on a scale
Interval 35.5 to 42.3
Change in Kinesiophobia Evaluated With Specific Questionnaire
Kinesiophobia 16 weeks
38.7 units on a scale
Interval 34.2 to 40.7
37.5 units on a scale
Interval 34.2 to 40.7

SECONDARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

abduction, adduction, internal and external rotation of the shoulder

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Flexion Baseline
132.5 degrees
Interval 118.8 to 146.1
129 degrees
Interval 116.2 to 141.7
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Flexion 4 weeks
140.4 degrees
Interval 129.0 to 151.7
148.5 degrees
Interval 140.3 to 156.6
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Flexion 8 weeks
148 degrees
Interval 138.6 to 157.4
147.8 degrees
Interval 138.4 to 157.2
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Flexion 16 weeks
146.6 degrees
Interval 137.4 to 155.9
149.9 degrees
Interval 141.8 to 158.0
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Abduction Baseline
125.3 degrees
Interval 111.2 to 139.4
120.2 degrees
Interval 106.4 to 134.0
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Abduction 4 weeks
139 degrees
Interval 127.4 to 150.6
145.2 degrees
Interval 137.1 to 153.4
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Abduction 8 weeks
147.8 degrees
Interval 137.1 to 158.4
145.5 degrees
Interval 135.1 to 155.9
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Abduction 16 weeks
143.2 degrees
Interval 132.3 to 154.1
141.3 degrees
Interval 129.9 to 152.7
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder External Rotation Baseline
60.1 degrees
Interval 59.9 to 76.2
60.9 degrees
Interval 51.6 to 70.2
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder External Rotation 4 weeks
66.4 degrees
Interval 58.0 to 74.9
66.7 degrees
Interval 57.8 to 75.6
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder External Rotation 8 weeks
73.7 degrees
Interval 66.6 to 80.8
68.3 degrees
Interval 60.0 to 76.6
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder External Rotation 16 weeks
71.4 degrees
Interval 65.7 to 80.1
70 degrees
Interval 61.1 to 78.9
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Internal Rotation Baseline
49.2 degrees
Interval 43.1 to 55.2
48.6 degrees
Interval 43.1 to 54.0
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Internal Rotation 4 weeks
53.9 degrees
Interval 47.9 to 59.9
53.4 degrees
Interval 46.7 to 60.1
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Internal Rotation 8 weeks
59.2 degrees
Interval 54.2 to 64.1
54.6 degrees
Interval 40.3 to 60.0
Range of Motion Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Shoulder Internal Rotation 16 weeks
57.1 degrees
Interval 51.3 to 62.9
54.8 degrees
Interval 49.6 to 60.0

SECONDARY outcome

Timeframe: four, eight weeks and sixteen weeks after randomization

Medrisk Questionnaire ranging 13 to 80 points. High scores indicate satisfaction with treatment

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Satisfaction With Treatment Evaluated With Specific Questionnaire
Medrisk 4 weeks
60.8 units on a scale
Interval 58.9 to 62.8
63.1 units on a scale
Interval 61.7 to 64.5
Satisfaction With Treatment Evaluated With Specific Questionnaire
Medrisk 8 weeks
61.3 units on a scale
Interval 59.6 to 63.0
63.6 units on a scale
Interval 62.2 to 64.9
Satisfaction With Treatment Evaluated With Specific Questionnaire
Medrisk 16 weeks
62 units on a scale
Interval 60.5 to 63.5
63.8 units on a scale
Interval 62.5 to 65.2

SECONDARY outcome

Timeframe: baseline, four and eight weeks and sixteen weeks after randomization

upward rotation and tilt of the scapula

Outcome measures

Outcome measures
Measure
Scapula-focused Exercises
n=30 Participants
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 Participants
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 0º Baseline
5.6 degrees
Interval 4.1 to 7.0
7 degrees
Interval 4.8 to 9.2
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 0º 4 weeks
5.3 degrees
Interval 3.8 to 6.8
5.7 degrees
Interval 4.0 to 7.4
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 0º 8 weeks
5 degrees
Interval 3.4 to 6.5
5.7 degrees
Interval 3.9 to 7.4
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 0º 16 weeks
5.1 degrees
Interval 3.5 to 6.6
6.5 degrees
Interval 4.6 to 8.4
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 90º baseline
12.8 degrees
Interval 9.2 to 15.9
13.6 degrees
Interval 10.9 to 16.3
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 90º 4 weeks
13.3 degrees
Interval 10.7 to 15.4
14.5 degrees
Interval 11.8 to 17.1
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 90º 8 weeks
15 degrees
Interval 12.0 to 17.7
17.6 degrees
Interval 14.6 to 20.7
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 90º 16 weeks
16.8 degrees
Interval 13.8 to 20.0
20.6 degrees
Interval 18.2 to 23.2
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 180º baseline
30.7 degrees
Interval 26.4 to 34.2
35.5 degrees
Interval 31.6 to 39.6
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 180º 4 weeks
37.3 degrees
Interval 32.9 to 40.8
39.3 degrees
Interval 35.8 to 42.9
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 180º 8 weeks
40.9 degrees
Interval 36.9 to 44.9
44.3 degrees
Interval 40.4 to 48.1
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Upward Rotation 180º 16 weeks
39.7 degrees
Interval 35.5 to 44.0
44.5 degrees
Interval 41.5 to 47.6
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 0º baseline
18.4 degrees
Interval 15.6 to 21.0
19 degrees
Interval 17.0 to 21.1
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 0º 4 weeks
18.4 degrees
Interval 15.6 to 21.0
19 degrees
Interval 17.0 to 21.1
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 0º 8 weeks
19.7 degrees
Interval 17.0 to 22.1
19.4 degrees
Interval 17.6 to 21.2
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 0º 16 weeks
18.7 degrees
Interval 15.8 to 21.1
19.6 degrees
Interval 17.6 to 21.6
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 90º baseline
15 degrees
Interval 12.5 to 18.0
14.2 degrees
Interval 11.5 to 16.7
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 90º 4 weeks
14.6 degrees
Interval 12.1 to 17.0
13.6 degrees
Interval 11.2 to 15.9
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 90º 8 weeks
15.1 degrees
Interval 11.9 to 17.9
12.3 degrees
Interval 9.7 to 14.9
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 90º 16 weeks
13.2 degrees
Interval 9.8 to 16.4
11.7 degrees
Interval 8.7 to 14.6
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 180º baseline
4.3 degrees
Interval -0.2 to 8.9
4.2 degrees
Interval 1.3 to 7.0
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 180º 4 weeks
2 degrees
Interval -2.7 to 6.2
3.2 degrees
Interval -0.03 to 6.7
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 180º 8 weeks
3.1 degrees
Interval -0.9 to 7.0
0.1 degrees
Interval -3.6 to 3.8
Scapula Position Evaluated by Digital Inclinometer and the Measures Provided in Degrees
Anterior Tilt 180º 16 weeks
0.6 degrees
Interval -4.7 to 4.7
0.7 degrees
Interval -3.2 to 4.7

Adverse Events

Scapula-focused Exercises

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Motor Control Exercises

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Scapula-focused Exercises
n=30 participants at risk
Side lying external rotation, prone horizontal abduction , Scapular punch, Knee Push, Full can, D1 Diagonal, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises
Motor Control Exercises
n=30 participants at risk
Towel slide, Scapular Clock, PNF scapular, Inferior Glide modified, Scapular Orientation Exercise, protraction and retraction of scapula, three times a week, 8 weeks, 3x10 repetitions Scapula-focused exercises Motor control exercises
Cardiac disorders
cardiac arrest
0.00%
0/30 • 16 weeks after baseline data collection
All-Cause Mortality
3.3%
1/30 • Number of events 1 • 16 weeks after baseline data collection
All-Cause Mortality

Other adverse events

Adverse event data not reported

Additional Information

Anamaria Siriani de Oliveira

University of São Paulo

Phone: +551633154415

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place