Document Detail


Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial.
MedLine Citation:
PMID:  22581193     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To investigate superior value of adding heavy load eccentric training to conservative treatment in patients with subacromial impingement. METHODS: Sixty-one patients with subacromial impingement were included and randomly allocated to the traditional rotator cuff training (TT) group (n = 30, mean age = 39.4 ± 13.1 years) or traditional rotator training combined with heavy load eccentric training (TT + ET) group (n = 31, mean age = 40.2 ± 12.9 years). Isometric strength was measured to abduction at 0°, 45° and 90° of scapular abduction and to internal and external rotation. The SPADI questionnaire was used to measure shoulder pain and function. Patients rated subjective perception of improvement. Outcome was assessed at baseline, at 6 and 12 weeks after start of the intervention. Both groups received 9 physiotherapy treatments over 12 weeks. At home, the TT group performed traditional rotator cuff strengthening exercises 1x/day. The TT + ET group performed the same exercises 1x/day and a heavy load eccentric exercise 2x/day. RESULTS: After treatment, isometric strength had significantly increased in all directions, and SPADI score had significantly decreased. The TT + ET group showed a 15 % higher gain in abduction strength at 90° of scapular abduction. Chi-square tests showed patients' self-rated perception of improvement was similar in both groups. CONCLUSION: Adding heavy load eccentric training resulted in a higher gain in isometric strength at 90° of scapular abduction, but was not superior for decreasing pain and improving shoulder function. This study showed that the combination of a limited amount of physiotherapy sessions combined with a daily home exercise programme is highly effective in patients with impingement. LEVEL OF EVIDENCE: II.
Authors:
Annelies G Maenhout; Nele N Mahieu; Martine De Muynck; Lieven F De Wilde; Ann M Cools
Related Documents :
1361543 - The effects of calcitonin nasal preparations and their excipients on mucociliary cleara...
22050973 - The effect of an exercise ball on trunk muscle responses to rapid limb movement.
2432553 - Antitachycardia strategies.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-12
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  -     ISSN:  1433-7347     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Physiotherapy and Rehabilitation Sciences, Ghent University, Campus Heymans, 3B3, De Pintelaan 185, 9000, Ghent, Belgium, annelies.maenhout@ugent.be.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Primary spinal cord tumors: review of 678 surgically treated patients in Japan. A multicenter study.
Next Document:  Assessment of functional performance after anterior cruciate ligament reconstruction: a systematic r...