Back to resultsEffectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome
Primary Purpose
Subacromial Impingement Syndrome
Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Eccentric training
Concentric training
Standard physiotherapy
Sponsored by
About this trial
This is an interventional treatment trial for Subacromial Impingement Syndrome
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of subacromial impingement syndrome
- Complaints associated with subacromial impingement syndrome for at least 3 months
- No extra pain with 90 degree abduction-90 degree external rotation position of the shoulder
- Ability to complete the entire study procedure
Exclusion Criteria:
- Severe pain; shoulder pain is > 7/10
- History of upper extremity fracture
- History of shoulder, cervical and thoracic surgery
- Having shoulder instability or frozen shoulder diagnosis
- History of shoulder injuries, trauma and / or shoulder symptoms requiring treatment during the last 1 year (except than subacromial impingement syndrome)
- Full-thickness rotator cuff tear
- Systemic musculoskeletal disease
- Neck and shoulder pain with cervical spine movement
- Chest deformity or scoliosis diagnosis
Sites / Locations
- Dokuz Eylul University, School of Physical Therapy and Rehabilitation
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
Eccentric training group
Concentric training group
Control group
Arm Description
The participants in this group will actively perform eccentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
The participants in this group will actively perform concentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
The participants in this group will receive only standard physiotherapy.
Outcomes
Primary Outcome Measures
Shoulder Function
Change of Constant Murley Score
Secondary Outcome Measures
Pain intensity
Change of visual analog scale score in activity and rest
Upper extremity function
Change of disabilities of the arm, shoulder, and hand (DASH) score
Isometric strength
Change of shoulder abduction and external rotation isometric strength (in kg, with hand held dynamometer)
Eccentric strength
Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer)
Joint position sense
Change of shoulder joint repositioning angle errors (with bubble inclinometer)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03186287
Brief Title
Effectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome
Official Title
Effectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
September 21, 2017 (Actual)
Primary Completion Date
March 16, 2020 (Actual)
Study Completion Date
March 16, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Dokuz Eylul University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to investigate and compare the effects of eccentric and concentric strength training on pain, strength, joint position sense and function in patients with subacromial impingement syndrome.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Subacromial Impingement Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
45 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Eccentric training group
Arm Type
Experimental
Arm Description
The participants in this group will actively perform eccentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
Arm Title
Concentric training group
Arm Type
Experimental
Arm Description
The participants in this group will actively perform concentric phase of resistive shoulder exercises. Additionally they will receive standard physiotherapy.
Arm Title
Control group
Arm Type
Active Comparator
Arm Description
The participants in this group will receive only standard physiotherapy.
Intervention Type
Other
Intervention Name(s)
Eccentric training
Intervention Description
Eccentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.
Intervention Type
Other
Intervention Name(s)
Concentric training
Intervention Description
Concentric phase of resistive shoulder exercises will be performed three sets of 15 repetitions once a day for 12 weeks using therabands. Participants will be supervised by the physiotherapist 3 days a week for the first 6 weeks, 2 days a week for the next 3 weeks and 1 day a week for the last 3 weeks.
Intervention Type
Other
Intervention Name(s)
Standard physiotherapy
Intervention Description
The participants will receive standard physiotherapy. The standard physiotherapy exercises will be supervised by the physiotherapist, same as intervention exercises.
Primary Outcome Measure Information:
Title
Shoulder Function
Description
Change of Constant Murley Score
Time Frame
Baseline, 12 weeks and 24 weeks
Secondary Outcome Measure Information:
Title
Pain intensity
Description
Change of visual analog scale score in activity and rest
Time Frame
Baseline, 12 weeks and 24 weeks
Title
Upper extremity function
Description
Change of disabilities of the arm, shoulder, and hand (DASH) score
Time Frame
Baseline, 12 weeks and 24 weeks
Title
Isometric strength
Description
Change of shoulder abduction and external rotation isometric strength (in kg, with hand held dynamometer)
Time Frame
Baseline, 12 weeks and 24 weeks
Title
Eccentric strength
Description
Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer)
Time Frame
Baseline, 12 weeks and 24 weeks
Title
Joint position sense
Description
Change of shoulder joint repositioning angle errors (with bubble inclinometer)
Time Frame
Baseline, 12 weeks and 24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of subacromial impingement syndrome
Complaints associated with subacromial impingement syndrome for at least 3 months
No extra pain with 90 degree abduction-90 degree external rotation position of the shoulder
Ability to complete the entire study procedure
Exclusion Criteria:
Severe pain; shoulder pain is > 7/10
History of upper extremity fracture
History of shoulder, cervical and thoracic surgery
Having shoulder instability or frozen shoulder diagnosis
History of shoulder injuries, trauma and / or shoulder symptoms requiring treatment during the last 1 year (except than subacromial impingement syndrome)
Full-thickness rotator cuff tear
Systemic musculoskeletal disease
Neck and shoulder pain with cervical spine movement
Chest deformity or scoliosis diagnosis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Damla KARABAY, MSc
Organizational Affiliation
Izmir Katip Celebi University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sevgi Sevi YESILYAPRAK, PhD
Organizational Affiliation
Dokuz Eylul University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Mehmet ERDURAN, MD
Organizational Affiliation
Dokuz Eylul University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Cem OZCAN, MD
Organizational Affiliation
Izmır Katip Celebi University Atatürk Training and Research Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Dokuz Eylul University, School of Physical Therapy and Rehabilitation
City
İzmir
State/Province
Balçova
ZIP/Postal Code
35340
Country
Turkey
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Effectiveness of Eccentric and Concentric Strength Training in Patients With Subacromial Impingement Syndrome
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