Trial to Compare the Effectiveness of Group Versus Individual Therapy on Alternate Days in Patients With Subacromial Impingement Syndrome

NCT ID: NCT02833779

Last Updated: 2016-07-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 89 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-04-30

Brief Summary

Pathology of the rotator cuff and subacromial bursa is considered to be the principal cause of pain and symptoms arising from the shoulder. Physiotherapy specialists often disagree about which type of exercise is most appropriate. Manual Physiotherapy combined with guided exercise is a commonly applied clinical treatment, but no proof of its effectiveness has been shown. Clinical trials comparing results of treating subacromial syndrome of the shoulder with guided self-treatment and conventional physiotherapy yielded a slightly higher improvement, basically because patients suffered from chronic tendinitis and the treatment period lasted only two weeks. That is the reason why the investigators propose a long-term follow-up study and a more complete assessment of effectiveness of the exercise prescribed to improved this pathology.

Objectives:

• Assessment of effectiveness of two different types of treatment of subacromial syndrome of the shoulder.
• Comparison of effectiveness of both treatments in order to select that one yielding better results as the one to be applied as a routine practice.

Patients will be assigned one of the following treatments:

• Group 1: patients will be taught exercises in groups of six people, on a daily basis for twelve sessions.
• Group 2: patients will be taught the same exercise as Group 1, individually, and will receive manual therapy consisting of muscular and joint re-centering.

A modified version of the Constant scale will be used to assess mobility and pain shoulder.

Conditions

Mobility

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Group Therapy Exercises

Patients will be taught exercises in groups of six persons, on a daily basis for twelve sessions.

Group Type: ACTIVE_COMPARATOR

Group exercises

Intervention Type: OTHER

Individual Manual Therapy Exercises

Patients will be taught the same exercises as in a Group 1, individually, and will receive manual therapy consisting of muscular and joint re-centering

Group Type: ACTIVE_COMPARATOR

Individual exercises

Intervention Type: OTHER

Interventions

Individual exercises

Intervention Type: OTHER

Group exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• History of shoulder pain defined as at least 2 positive results in subacromial impingement tests.
• Self-perceived pain reported by the patient under clinical examination of the shoulder.
• A minimum of 90º mobility in flexion.

Exclusion Criteria

• Luxation, a history of surgery, or evidence the current shoulder pain or other symptoms under cervical examination or other shoulder bone disease, except for acromioclavicular joint arthrosis.
• Patients were receiving other physiotherapy or rehabilitation treatments.
• Patients had been treated for SIS (subacromial impingement syndrome) with injection of anti-inflammatory or analgesic drugs in the last month.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Basque Health Service

OTHER_GOV

Sponsor Role: lead

Responsible Party

Marcos Sanchez Garcia

Registered physiotherapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

SSD

Identifier Type: -

Identifier Source: org_study_id