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It is a single-blind randomized controlled clinical trial to evaluate the effectiveness of neurocognitive therapeutic exercise in subjects affected by shoulder impingement syndrome in comparison with traditional therapeutic exercise. The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). Each subject, randomly assigned to either neurocognitive therapeutic exercise (group 1) or traditional therapeutic exercise (group 2), will be submitted to one-hour session for three times a week for five weeks. The outcome measures used will be the Quick-DASH questionnaire, the Constant-Murley shoulder outcome score, the ASES score, a visual analogic scale (VAS) and the assessment will be performed at baseline (T0), at the end of treatment protocol (T1), at 3 months (T2) and 6 months (T3) from the end of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional therapeutic exercise | Active Comparator | The traditional exercise protocol contains mainly strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. |
|
| Neurocognitive therapeutic exercise | Experimental | The neurocognitive exercise protocol contains ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neurocognitive therapeutic exercise | Other | Ten exercises involving specific instruments (e.g., table inclined with a board with five concentric circles, sponges of various texture). One-hour session for three times a week for five weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| changing of the Quick-DASH, the short form of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire | Assessment of changing of the physical ability and symptoms of the upper extremity | baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| Measure | Description | Time Frame |
|---|---|---|
| changing of the Constant-Murley shoulder outcome score | assessment of changing in shoulder range of motion, pain and strength | baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| changing of the American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form (ASES) score |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital "A. Gemelli", Catholic University of the Sacred Heart | Rome | Italy | Italy |
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| Traditional therapeutic exercise | Other | Different exercises as strengthening exercises, stretching exercises, Codman's pendulum exercises and exercises against elastic band resistance. One-hour session for three times a week for five weeks |
|
Assessment of changing of the physical ability on daily-living tasks |
| baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| changing of the visual analogic scale (VAS) | assessment of changing of shoulder Pain at rest | baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| changing of the visual analogic scale (VAS) | assessment of changing of shoulder Pain during movements | baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| changing of the Likert score | assessment of changing in participant satisfaction | baseline (T0), five weeks (T1), three months (T2), six months (T3) |
| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D010146 | Pain |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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