Document Detail


Effects of a home exercise programme on shoulder pain and functional status in construction workers.
MedLine Citation:
PMID:  14573714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Repetitive or sustained elevated shoulder postures have been identified as a significant risk factor for occupationally related shoulder musculoskeletal disorders. Construction workers exposed to routine overhead work have high rates of shoulder pain that frequently progresses to functional loss and disability. Exercise interventions have potential for slowing this progression. AIMS: To evaluate a therapeutic exercise programme intended to reduce pain and improve shoulder function. METHODS: Construction worker volunteers were screened by history and clinical examination to test for inclusion/exclusion criteria consistent with shoulder pain and impingement syndrome. Sixty seven male symptomatic workers (mean age 49) were randomised into a treatment intervention group (n = 34) and a control group (n = 33); asymptomatic subjects (n = 25) participated as an additional control group. Subjects in the intervention group were instructed in a standardised eight week home exercise programme of five shoulder stretching and strengthening exercises. Subjects in the control groups received no intervention. Subjects returned after 8-12 weeks for follow up testing. RESULTS: The intervention group showed significantly greater improvements in the Shoulder Rating Questionnaire (SRQ) score and shoulder satisfaction score than the control groups. Average post-test SRQ scores for the exercise group remained below levels for asymptomatic workers. Intervention subjects also reported significantly greater reductions in pain and disability than controls. CONCLUSIONS: Results suggest a home exercise programme can be effective in reducing symptoms and improving function in construction workers with shoulder pain.
Authors:
P M Ludewig; J D Borstad
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Occupational and environmental medicine     Volume:  60     ISSN:  1470-7926     ISO Abbreviation:  Occup Environ Med     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-10-23     Completed Date:  2003-11-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9422759     Medline TA:  Occup Environ Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  841-9     Citation Subset:  IM    
Affiliation:
Program in Physical Therapy, Department of Physical Medicine & Rehabilitation, The University of Minnesota, Minneapolis, MN 55455, USA. ludew001@umn.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Exercise Therapy / methods*
Home Care Services
Humans
Male
Middle Aged
Occupational Diseases / rehabilitation*
Pain Measurement
Patient Satisfaction
Questionnaires
Risk Factors
Severity of Illness Index
Shoulder Impingement Syndrome / rehabilitation
Shoulder Pain / rehabilitation*
Treatment Outcome
Grant Support
ID/Acronym/Agency:
U60/CCU317202/CC/CDC HHS
Comments/Corrections

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


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