Weg, T. van der (Tetske) (2009) Eccentric Training of the Supraspinatus Tendon in Shoulder Impingement Syndrome: design of a randomized controlled trial. thesis, Human Movement Sciences.
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Abstract
Background: Shoulder pain is the second most frequent musculoskeletal complaint. The principal diagnosis of shoulder pain is the shoulder impingement syndrome. In nearly all shoulder impingement syndrome cases the supraspinatus tendon is involved, expressing in supraspinatus tendinopathy. Although a wide range of conventional treatments have been employed in the management of shoulder impingement, prolonged symptoms and complaints are frequently observed. One study assessed the effects of an eccentric training programme for the supraspinatus muscle in the management of shoulder impingement syndrome and showed promising results. However, the sample size was small and there was lack of a control group. Hence, the purpose of this study is to compare the effectiveness of an eccentric training programme for the supraspinatus muscle with the effectiveness of conventional therapy in the management of shoulder impingement syndrome. It is our hypothesis that the eccentric training programme will lead to better, or at least as good, results compared to conventional therapy. Methods/ design: The effectiveness of the eccentric training programme, compared to conventional therapy, will be assessed in a cluster randomized controlled trail. Patients between the ages of 18 and 65 with a clinical diagnosis of shoulder impingement, referred to a participating physical therapy practice or outpatient clinic, are eligible for inclusion. In half of the participating physical therapy practices and outpatient clinics the shoulder impingement patients will receive the eccentric training programme, while in the other half the patients will receive conventional treatment. The patient's choice for the practice will determine to which group he or she will be allocated. Outcome assessment will take place at baseline, after 6 and 12 weeks, and after one year follow-up. Primary outcome will be the patient-reported Shoulder Disability Questionnaire. Secondary outcome measures include disease-specific and generic measures. Treatment effects will be compared for all measurement points by using GLM repeated measures analyses. Discussion: The rational and design of an RCT comparing an eccentric training programme with conventional treatment in the management of SIS are presented. This study improves insight in the effects of eccentric training of the supraspinatus muscle in the management of shoulder impingent syndrome.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Wilgen, Dr. C. Paul van and Mouton, Drs. Leonora J. and Diercks, Prof. Dr. Ron L. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:59 |
| Last Modified: | 25 Jun 2020 10:59 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1991 |
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