Training in Subacromial Impingement Syndrome

Comprehensive Supervised Heavy Training Program Versus Home Training Regimen in Patients With Subacromial Impingement Syndrome: a Randomized Trial.

A randomized controlled trial comparing a comprehensive supervised training regimen with a validated home-based regimen for subacromial impingement syndrome.

The purpose of the study is to compare a comprehensive supervised training regimen (STR) based on latest evidence including heavy slow resistance training with a validated home-based regimen (HTR). We hypothesized that the STR would be superior to the HTR.

Randomised control trial with blinded assessor. 126 consecutive patients with subacromial impingement syndrome were recruited and equally randomised to 12 weeks of either supervised training regimen (STR), or home-based training regimen (HTR). Primary outcomes were Constant Score (CS) and Shoulder Rating Questionnaire (SRQ) from baseline and 6 months after completed training. Results were analyzed according to intention-to treat principles.

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.