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Randomized crossover trial evaluating the impact of exercise training sequence of axioscapular and rotator cuff exercises in patients diagnosed with subacromial impingement syndrome.
While physical therapy is an effective element in the rehabilitation of rotator cuff (RC) disease, the most effective sequence of training interventions has not been defined. The purpose of this study is to determine if there is a difference in pain or function in patients who are given RC strengthening prior to or after initiating scapular stabilization exercises.
The study was a prospective randomized crossover design. 26 men and 14 women, mean age 51, diagnosed with subacromial impingement syndrome (SAIS) were randomly assigned to one of two groups for a comprehensive and standardized rehabilitation program over six visits at an orthopedic outpatient clinic. One group was prescribed a 4-week program of scapular stabilization exercises while the other group began with RC strengthening exercises. The crossover design had each group add the previously excluded four exercises to their second month of rehabilitation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Scapular Training | Experimental | Initiated scapular training exercise for the first 4 weeks followed by addition of rotator cuff exercises the next four weeks |
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| Rotator Cuff Training | Experimental | initiated rotator cuff training exercise for the first 4 weeks followed by addition of scapular training exercises the next four weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotator Cuff Training | Other | four specific band-resisted strength training exercises for scapula |
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| Measure | Description | Time Frame |
|---|---|---|
| American Shoulder Elbow Surgeon's Outcome Score | self-report of function | 16 weeks |
| Numeric Pain Score | pain levels | 16 weeks |
| Global Rating of Change | patient satisfaction | 16 weeks |
| Global Percentage of Improvement | patient perception of status | 16 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UT Southwestern Medical Center | Dallas | Texas | 76039 | United States |
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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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| 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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| Scapular Training | Other | four specific band-resisted strength training exercises for rotator cuff |
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