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| Name | Class |
|---|---|
| Belfast Health and Social Care Trust | OTHER |
| Northern Health and Social Care Trust | OTHER_GOV |
| Mayo Clinic | OTHER |
| Keele University |
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The purpose of this trial is to investigate the effectiveness of an evidence based exercise program for shoulder impingement. Approximately 1% of adults consult their General Practitioner (GP) with shoulder pain each year, making it the third most common reason for musculoskeletal GP consultations in the UK. A further 50% of these patients are diagnosed with subacromial impingement syndrome (SAIS) (shoulder impingement syndrome) and commonly referred for physiotherapy treatment. This trial aims to compare the effectiveness of an evidence based exercise protocol with usual physiotherapy care.
Physiotherapy management of shoulder impingement frequently involves exercise, however there is little evidence underpinning exercise prescription and outcomes are poor. Few trials have investigated which muscles should be targeted and how they should be strengthened with respect to the mode, frequency, duration, intensity and progression. This is a randomized controlled trial(RCT) investigating the effectiveness of an evidence based exercise program for shoulder impingement. This research may have an impact on how physiotherapists provide exercise programs to patients with shoulder impingement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual physiotherapy without exercise | Active Comparator | Will receive 6 sessions of modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine. |
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| Exercise | Experimental | Will receive an evidence based exercise protocol but no other physiotherapeutic modalities |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evidence based exercise protocol | Other | An evidence based graduated exercise rehabilitation protocol will be provided and supervised by a physiotherapist. patients will receive 6 sessions of supervised physiotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| change from baseline in average pain scores at rest and at night using 100mm visual analogue scale (VAS). | Primary outcome measure: Average pain scores at rest and at night for the week prior to measurement will be recorded using a 100mm visual analogue scale (VAS). The change in pain scores at 6 and 12 weeks from baseline will be measured. | Outcomes measured at 0, 6 and 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Western Ontario Rotator Cuff Index (WORC | Secondary outcome measures will focus on function, disability and quality of life, consisting of a combination of generic, region specific and disease-specific health questionnaires. The change in scores from baseline will be measured. | 0, 6 and 12 weeks |
| The American Shoulder and Elbow Surgeons function score. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Catherine E Hanratty, BSc Hons | Contact | 0044 2890 368732 | hanratty-c@email.ulster.ac.uk | |
| Joseph G McVeigh, BSc Hons | Contact | 0044 2890 368148 | j.mcveigh@ulster.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Joseph G McVeigh, BSc Hons | University of Ulster | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Musgrave Park Hospital | Recruiting | Belfast | N.Ireland | BT9 7JB | United Kingdom |
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| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| OTHER |
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| Usual physiotherapy without exercise | Other | Will receive modified usual physiotherapy care that can consist of any physiotherapeutic modalities normally provided except exercise. this may consist of postural advice, taping, electrotherapy, acupuncture, manual joint mobilizations of the shoulder, cervical or thoracic spine. |
|
|
Limb specific outcome measure |
| 0. 6 and 12 weeks |
| SF-36 Health Survey • SF-36 Health Survey | Generic measure of health status | 0, 6 and 12 weeks |
| Isometric strength and range of movement of shoulder flexion, abduction, external rotation and internal rotation using a hand held dynamometer. | objective measures of strength and ROM | 0, 6 and 12 weeks |
| The Waveney Hospital | Recruiting | Ballymena | N.I | United Kingdom |
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| Robinson Memorial Hospital | Recruiting | Ballymoney | N.I | BT53 6HB | United Kingdom |
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| The Fort Centre, Physiotherapy Department | Recruiting | Coleraine | N.I | United Kingdom |
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| D001519 |
| Behavior |