Title |
Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial
|
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Published in |
Clinical Rheumatology, October 2012
|
DOI | 10.1007/s10067-012-2093-2 |
Pubmed ID | |
Authors |
F. Struyf, J. Nijs, S. Mollekens, I. Jeurissen, S. Truijen, S. Mottram, R. Meeusen |
Abstract |
The purpose of this clinical trial is to compare the effectiveness of a scapular-focused treatment with a control therapy in patients with shoulder impingement syndrome. Therefore, a randomized clinical trial with a blinded assessor was used in 22 patients with shoulder impingement syndrome. The primary outcome measures included self-reported shoulder disability and pain. Next, patients were evaluated regarding scapular positioning and shoulder muscle strength. The scapular-focused treatment included stretching and scapular motor control training. The control therapy included stretching, muscle friction, and eccentric rotator cuff training. Main outcome measures were the shoulder disability questionnaire, diagnostic tests for shoulder impingement syndrome, clinical tests for scapular positioning, shoulder pain (visual analog scale; VAS), and muscle strength. A large clinically important treatment effect in favor of scapular motor control training was found in self-reported disability (Cohen's d = 0.93, p = 0.025), and a moderate to large clinically important improvement in pain during the Neer test, Hawkins test, and empty can test (Cohen's d 0.76, 1.04, and 0.92, respectively). In addition, the experimental group demonstrated a moderate (Cohen's d = 0.67) improvement in self-experienced pain at rest (VAS), whereas the control group did not change. The effects were maintained at three months follow-up. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 20% |
Canada | 5 | 17% |
United States | 4 | 13% |
Spain | 3 | 10% |
Norway | 2 | 7% |
Netherlands | 2 | 7% |
Brazil | 1 | 3% |
Unknown | 7 | 23% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 26 | 87% |
Scientists | 2 | 7% |
Practitioners (doctors, other healthcare professionals) | 2 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | <1% |
Portugal | 2 | <1% |
United Kingdom | 2 | <1% |
Chile | 1 | <1% |
Brazil | 1 | <1% |
Netherlands | 1 | <1% |
Sweden | 1 | <1% |
Spain | 1 | <1% |
Iran, Islamic Republic of | 1 | <1% |
Other | 0 | 0% |
Unknown | 631 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 133 | 21% |
Student > Bachelor | 109 | 17% |
Student > Doctoral Student | 49 | 8% |
Other | 48 | 7% |
Student > Ph. D. Student | 38 | 6% |
Other | 120 | 19% |
Unknown | 149 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 186 | 29% |
Nursing and Health Professions | 161 | 25% |
Sports and Recreations | 56 | 9% |
Agricultural and Biological Sciences | 14 | 2% |
Physics and Astronomy | 9 | 1% |
Other | 40 | 6% |
Unknown | 180 | 28% |