Effects of Overload Progressive in the Treatment of Shoulder

NCT ID: NCT02870257

Last Updated: 2017-10-11

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

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2017-07-31

Brief Summary

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Seventy subjects with shoulder impingement syndrome associated with scapular dyskinesis will be recruited and randomized into two groups of treatment. The group "a" will receive a strenghtening protocol with progressive overload during 20 sessions and group "b" will receive the same protocol with minimal load, without change during the 20 sessions. The primary outcomes measures will be pain, function, quality of life, global impression of recovery. The change will be measure from baseline at 10 weeks (after 20 sessions), 3 and 6 months (follow-up). The secundary outcomes will be disability, quality of life measure by other instruments, shoulder muscle strength and scapular 3d kinematic variables. For these data, change will be measure from baseline at 10 weeks (after 20 sessions).

Detailed Description

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Conditions

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Shoulder Impingement Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Progressive overload strengthening group

Strengthening protocol with progressive load

Strengthening muscle exercises for the shoulder and scapular with progressive increase of load during 10 weeks (20 sessions)

Group Type EXPERIMENTAL

Strengthening protocol with progressive load

Intervention Type OTHER

Strengthening protocol for scapular and shoulder muscles

Strengthening group

Strengthening protocol without progressive load

Strengthening muscle exercises for the shoulder and scapular without increase of load (minimal load) during 10 weeks (20 sessions)

Group Type ACTIVE_COMPARATOR

Strengthening protocol without progressive load

Intervention Type OTHER

Strengthening protocol for scapular and shoulder muscles

Interventions

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Strengthening protocol with progressive load

Strengthening protocol for scapular and shoulder muscles

Intervention Type OTHER

Strengthening protocol without progressive load

Strengthening protocol for scapular and shoulder muscles

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* People with diagnosis shoulder impingement syndrome or supraspinatus/rotator cuff tendinopathy or subacromial bursitis
* shoulder pain for more than 4 months, at least 4 points of pain in 0-10 NPRS
* at least 130° shoulder active elevation
* 3 or more positive of 5 physical examination tests (painful arc, external rotation resistence, Neer, empty can (Jobe) and Hawkins-Kennedy
* positive dynamic scapular dyskinesis in clinical observation

Exclusion Criteria

* Referred pain from vertebral spine
* previous shoulder, elbow or neck surgery
* complete rotator cuff tear (positive drop arm sign or substantial shoulder elevation or rotation weakness)
* neoplastic or neurological disorders
* previous fracture or dislocation injury (shoulder, humerus, clavicle)
* adhesive capsulitis signs
* inflammatory diseases
* specific treatment for the shoulder in the previous four months (injection, physiotherapy)
* using drugs in the previous week
* inability to understand portuguese language
Minimum Eligible Age

35 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Nove de Julho

OTHER

Sponsor Role lead

Responsible Party

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André Serra Bley

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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André S Bley, Msd

Role: PRINCIPAL_INVESTIGATOR

University of Nove de Julho

Locations

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UNINOVE

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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1.487.198

Identifier Type: -

Identifier Source: org_study_id