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| Name | Class |
|---|---|
| University of St. Augustine | UNKNOWN |
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The purpose of this study is to examine the effects of eccentric exercise to the shoulder muscles for people with shoulder pain. Identifying specific exercise protocols for individuals with shoulder pain will provide evidence to help clinicians select the best interventions.
Prior investigations for eccentric training of the shoulder have primarily utilized a pain provocation model for exercise progression. This method of progressing resistance training load and volume assumes that pain must be increased during the exercise movement for clinical benefit to occur. When the individual reports a reduction in pain, load is increased so that the provoking pain level returns. The contrast to this approach would be a performance based progression as utilized in the Blume et al study for shoulder eccentric training. This method progresses a patient based on ability to perform a higher number of repetitions at a given load without increasing symptoms which could be favorable in many clinical settings.
Further investigation on the role of eccentric training, specifically to the shoulder external rotators, in patients with SAPS is warranted. Thus, the aim of this investigation was to compare outcomes, for individuals diagnosed with SAPS, performing a six week protocol of eccentric training to the shoulder external rotators compared to a general exercise protocol.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eccentric External rotator training | Experimental | Eccentric Shoulder External Rotators along with scapular retraction and posterior shoulder stretching exercises. |
|
| General shoulder exercise | Sham Comparator | General shoulder exercise protocol of active flexion, abduction, scapular retraction and posterior shoulder stretching exercises. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eccentric Shoulder External Rotator Training | Other | Eccentric training exercise for the external rotators, 3 sets of 15 daily. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Western Ontario Rotator Cuff Index | shoulder functional self report measure is a disease specific self reported outcome measure for individuals experiencing rotator cuff pathology. A score of 0 is the minimum score and indicates low levels of shoulder function. A score of 100 is the maximum score and indicates full shoulder function. Scores are derived by summing all 5 subscales and dividing that number by the total available number of 2100. Units for each item are derived from a visual analog scale totaling 100cm. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Global Rating of Change | Global rating of change is a single item questionnaire asking about total change since beginning treatment. The scale ranges from -7 (a great deal worse) to +7 (a great deal better). The unit of measure is scores on a scale. | 6 months |
| Numeric Pain Rating Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Morey Kolber, PhD, PT | Nova Southeastern | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of St. Augustine | Saint Augustine | Florida | 32086 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22349588 | Result | Holmgren T, Bjornsson Hallgren H, Oberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. BMJ. 2012 Feb 20;344:e787. doi: 10.1136/bmj.e787. | |
| 22441232 | Result | Camargo PR, Avila MA, Alburquerque-Sendin F, Asso NA, Hashimoto LH, Salvini TF. Eccentric training for shoulder abductors improves pain, function and isokinetic performance in subjects with shoulder impingement syndrome: a case series. Rev Bras Fisioter. 2012 Jan-Feb;16(1):74-83. doi: 10.1590/s1413-35552012000100013. |
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none to report
March 2014 - October 2015 participants were recruited from the local community via publicly displayed flyers.
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| ID | Title | Description |
|---|---|---|
| FG000 | Eccentric External Rotator Training | Eccentric Shoulder External Rotator Training |
| FG001 | General Shoulder Exercise | General Shoulder exercise: general exercise consisting of active shoulder movements |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Eccentric External Rotator Training | Eccentric Shoulder External Rotator Training Eccentric Shoulder External Rotator Training |
| BG001 | General Shoulder Exercise | General Shoulder exercise: general exercise consisting of active shoulder movements |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Western Ontario Rotator Cuff Index | shoulder functional self report measure is a disease specific self reported outcome measure for individuals experiencing rotator cuff pathology. A score of 0 is the minimum score and indicates low levels of shoulder function. A score of 100 is the maximum score and indicates full shoulder function. Scores are derived by summing all 5 subscales and dividing that number by the total available number of 2100. Units for each item are derived from a visual analog scale totaling 100cm. | Posted | Mean | Standard Deviation | units on a scale derived from 100cm vas | 6 months |
|
the 6 months during study data collection for each participant
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Eccentric External Rotator Training | Eccentric Shoulder External Rotator Training |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eric Chaconas | University of St. Augustine | 904-826-0084 | 1275 | echaconas@usa.edu |
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| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
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| General Shoulder exercise | Other | general exercise consisting of active shoulder movements |
|
0-10 pain scale with 0 meaning no pain and 10 being maximal pain. This is derived from a single item questionnaire. |
| 6 months |
| Shoulder Active Range of Motion | Degrees of shoulder elevation with 0 being the least and 180 being the greatest. | 6 months |
| Upper Quarter Y Balance Test | Measure of single arm reach with 0 being the least and higher numbers indicating greater distance reached. | 6 months |
| 22581193 | Result | Maenhout AG, Mahieu NN, De Muynck M, De Wilde LF, Cools AM. Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial. Knee Surg Sports Traumatol Arthrosc. 2013 May;21(5):1158-67. doi: 10.1007/s00167-012-2012-8. Epub 2012 May 12. |
| 20713438 | Result | Bernhardsson S, Klintberg IH, Wendt GK. Evaluation of an exercise concept focusing on eccentric strength training of the rotator cuff for patients with subacromial impingement syndrome. Clin Rehabil. 2011 Jan;25(1):69-78. doi: 10.1177/0269215510376005. Epub 2010 Aug 16. |
| 15877219 | Result | Jonsson P, Wahlstrom P, Ohberg L, Alfredson H. Eccentric training in chronic painful impingement syndrome of the shoulder: results of a pilot study. Knee Surg Sports Traumatol Arthrosc. 2006 Jan;14(1):76-81. doi: 10.1007/s00167-004-0611-8. Epub 2005 May 5. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Body mass | Mean | Standard Deviation | Kilograms |
|
General Shoulder exercise: general exercise consisting of active shoulder movements
|
|
| Secondary | Global Rating of Change | Global rating of change is a single item questionnaire asking about total change since beginning treatment. The scale ranges from -7 (a great deal worse) to +7 (a great deal better). The unit of measure is scores on a scale. | Posted | Mean | Standard Deviation | units on a scale | 6 months |
|
|
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| Secondary | Numeric Pain Rating Scale | 0-10 pain scale with 0 meaning no pain and 10 being maximal pain. This is derived from a single item questionnaire. | Posted | Mean | Standard Deviation | units on a scale 0-10 | 6 months |
|
|
|
| Secondary | Shoulder Active Range of Motion | Degrees of shoulder elevation with 0 being the least and 180 being the greatest. | Posted | Mean | Standard Deviation | Degrees | 6 months |
|
|
|
| Secondary | Upper Quarter Y Balance Test | Measure of single arm reach with 0 being the least and higher numbers indicating greater distance reached. | Posted | Mean | Standard Deviation | cm of reach divided by limb length | 6 months |
|
|
|
| 0 |
| 25 |
| 0 |
| 25 |
| EG001 | General Shoulder Exercise | General Shoulder exercise: general exercise consisting of active shoulder movements | 0 | 23 | 0 | 23 |
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