Mitigating the Impact of Shoulder Movement Dysfunction; a Randomized Controlled Trial
Shoulder Injuries, Shoulder Pain
About this trial
This is an interventional treatment trial for Shoulder Injuries
Eligibility Criteria
Inclusion Criteria:
- Be an active member of the University of Minnesota Intercollegiate swim team
- Be able to actively raise arm over 150 degrees as measured with a standard goniometer
Exclusion Criteria:
- Are pregnant or are trying to get pregnant
- Are breastfeeding
- Have a previous history of shoulder surgery within the past 12 months
- Have neck pain at the time of enrollment
- Do not speak English
Sites / Locations
- University of Minnesota
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Active Rehabilitation Program (ARP)
Nonspecific Passive Intervention (NPI)
Participants will be treated for symptomatic shoulder instability with the evidence-based, targeted treatment intervention. For eight weeks, there will be two treatment sessions per week lasting 30-45 minutes. Exercises in the ARP include: Low-load and high-duration rotator cuff strengthening exercises, progressive scapular muscle endurance training, plyometric strengthening exercises, and surface electromyographic (EMG) biofeedback. Each prescribed exercise in the ARP will be increased to match the participant's function at the discretion of the study clinician. Although the components of the ARP will be pre-determined, the parameters and volumes of the components will be determined and documented over the treatment phase.
Participants will be treated for symptomatic shoulder instability with the non-specific, generalized treatment intervention. For eight weeks, there will be two treatment sessions per week lasting 30-45 minutes. The NPI consists of a general approach to treating shoulder pain with passive modalities for pain modulation. These interventions are commonly practiced but have little evidence to support their use in the treatment of symptomatic shoulder instability. Although the components of the NPI will be pre-determined, the parameters and volumes of the components will be determined and documented by a study clinician over the treatment phase.