Effectiveness of Supervised Motor Control Exercises on Rotator Cuff Tendinopathies
Shoulder Impingement Syndrome, Shoulder Rotator Cuff Tendinopathy
About this trial
This is an interventional treatment trial for Shoulder Impingement Syndrome focused on measuring Shoulder, Motor control, Usual physiotherapy care, Supervised exercise program
Eligibility Criteria
Inclusion Criteria:
- Reported pain and / or stiffness to shoulder joint, localized tenderness over one of the rotator cuff muscles, reported night pain to the shoulder,
- Painful arc of movement during flexion or abduction,
- Positive Neer's Test or Kennedy-Hawkins Test,
- Pain on resisted external (lateral) rotation, abduction or Empty Can Test,
- A combined DASH-CF (Disability of the Arm, Shoulder, and Hand - Canadian French) score (all 3 subsections) greater than 15%, or a WORC-CF (Western Ontario Rotator Cuff Index - Canadian French) score greater than 12%,
- Active military members.
N.B. The minimal scores for both the DASH and WORC questionnaires are based on their minimal clinically important difference (MCID). Also, the combination of criteria 2), 3) and 4) have a good diagnostic accuracy with sensitivity and specificity values ≥ 0.74. and Positive Likelihood Ratio = 3.5.
Exclusion Criteria:
- Any prior history of shoulder surgery, dislocations, fractures, capsulitis,
- Demonstrate any systematic pathologies (such as diabetes, neurological signs or symptoms, complex regional pain syndrome, rheumatoid conditions, or signs and symptoms of vascular compression or vestibular dysfunction),
- Not able to commit to the treatment schedule of the project.
Sites / Locations
- Valcartier Garrison, Physiotherapy Clinic
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
One-on-one Usual Physiotherapy Care (Control)
Group Program (UpEx-NTP) (Exp)
The Ctl group (n =16) will receive physiotherapy usual care treatments during a 6-week period. The Ctl group will receive 2 physiotherapy treatments (30 minutes) in the clinic per week (total of 12 treatments) as well as an individualized home exercise program (HEP). Treatments will include range of motion exercises, manual therapy treatments, modalities, and strengthening exercises, as determined by the treating physiotherapist. Specific muscle group exercises and parameters will be documented by the treating physiotherapist on a provided summary sheet.
The Exp group (n =16) will partake in a 6-week group Upper Extremity Neuromuscular Training Program that consists of postural education, strength exercises, motor control exercises, and upper extremity functional tasks common for active military personnel. The UpEx-NTP program consists of 35-45 minutes of exercise, three times a week for 6 weeks (18 treatments), supervised by a physiotherapist. The program consists of 11 stations with several variations of difficulty of the same exercise per station. The exercises of each station will be performed in order of difficulty. The participant chooses one exercise to perform per station based on their current ability while respecting their pain levels at 3/10 or less.