Training in Subacromial Impingement Syndrome
Subacromial Impingement Syndrome
About this trial
This is an interventional treatment trial for Subacromial Impingement Syndrome focused on measuring shoulder, rotator cuff, exercise
Eligibility Criteria
Inclusion Criteria:
- Subacromial impingement syndrome
Exclusion Criteria:
- Ongoing claim with the Labour market insurance, insurance company or comparable institution.
- Ongoing application for job revalidation or health related pension.
- Radiating neck pain.
- Ultrasound verified complete rotator cuff tendon lesion, as defined by hypoechoic or anechoic full thickness defect of the tendon, or absence of the tendon.
- Periarthritis humeroscapularis.
- Acute luxation or fracture of the shoulder.
- Ongoing steady analgetic treatment of other concomitant painful condition, unrelated to the patients shoulder problem.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Supervised training regimen
Home training regimen
This training regimen consisted of 3 phases: the 1st focused on restoring motion, the 2nd on strengthening of the rotator cuff muscles, and the 3rd on strengthening of the scapular muscles. Stretching completed every training session. Motion training consisted of 6 exercises. Postural training: shoulder shrugs and shoulder retraction exercises. Glenohumeral training: pendulum exercises, and active assisted flexion, abduction and external rotation. Strengthening of the rotator cuff: side lying external rotation, internal rotation and scaption. Strengthening of the scapular muscles: press-up, push-up with a plus, serratus anterior supine punch, standing rowing (low row), and seated rowing (high row). Training sessions ended with 4 stretches: anterior shoulder stretch, posterior shoulder stretch, inferior capsular stretch, sleepers stretch. Exercises were performed 3 times a week, with progression after the 1st week, and thereafter every 2nd week.
The program consisted of the following: 1 motion exercise: upper trapezius relaxation 3 strengthening exercises: serratus anterior strengthening exercise, humeral external rotation with the arm at the side of the body, and humeral external rotation with a rubber band and the arm at 90 degrees abduction. 2 stretching exercises: posterior shoulder and pectoralis minor stretching, Exercises were performed daily, with weekly progression.