Randomized Clinical Trial of Rehabilitation for Subacromial Impingement Syndrome: A Comparison of Manual Therapy + Exercise to Exercise Only
Manual Therapy and Exercise
+ Exercise Only
Lesiones de Hombro+5
+ Enfermedades de las Articulaciones
+ Enfermedades del sistema musculoesquelético
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de febrero de 2008
Fecha en la que se inscribió al primer participante.Subacromial impingement syndrome (SAIS) is a frequent cause of shoulder pain. Clinical trials investigating the effectiveness of manual therapy have demonstrated improvements in outcomes when manual therapy has been added to a program of therapeutic exercise. However, the these clinical trials (3) have significant limitations and generalizability. Two of the three 3 trials had a small number of subjects (14 \& 22 subjects) and all 3 trials had only short term follow up (<12 weeks) and used non-validated self report outcome measures. These limitations reduce the confidence with which clinicians can apply these results to the patients they treat with SAIS. Clear evidence is needed to justify the cost and clinician time required to perform manual therapy in the delivery of patient care. Therefore, the purpose of this randomized clinical trial is to examine the short-term and long-term effectiveness of manual therapy in addition to therapeutic exercise as compared to therapeutic exercise only in patients diagnosed with SAIS.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 109 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.De 18 a 75 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Inclusion Criteria: * Symptoms associated with athletic activity (35% of patients) * Diagnosis of shoulder impingement syndrome as evidence by all 3 criteria: 1. Reproduction of symptoms with impingement test: either Hawkins- Kennedy or Neer Test 2. Pain during active shoulder elevation at or above 60 degrees 3. Weakness of rotator cuff or pain during the Empty Can test or during resisted shoulder external rotation * Shoulder disability: 25/100 (0 = no disability) * Able to understand written and spoken Exclusion Criteria: * Severe pain; pain is \> 7/10 on NPRS (0 = no pain) * Shoulder surgery on affected shoulder * Traumatic shoulder dislocation within the past 3 months * Previous rehabilitation for this episode of shoulder pain * Reproduction of shoulder pain with active or passive cervical motion * Systemic inflammatory joint disease * Global loss of passive shoulder ROM, indicative of adhesive capsulitis * Full-thickness rotator cuff tear, as evidenced by any one of the following: 1. Markedly reduced shoulder external rotation strength 2. Drop arm test 3. External rotation lag sign 4. Lift off test 5. Positive findings on MRI or ultrasonography
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.2 grupos de intervención están designados en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
ExperimentalGrupo II
Comparador ActivoObjetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación