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Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial

BACKGROUND: Shoulder pain is the third most common musculoskeletal disorder, often affecting people’s daily living and work capacity. The most common shoulder disorder is the subacromial impingement syndrome (SIS) which, among other pathophysiological changes, is often characterised by rotator cuff...

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Autores principales: Ingwersen, Kim G, Christensen, Robin, Sørensen, Lilli, Jørgensen, Hans RI, Jensen, Steen Lund, Rasmussen, Sten, Søgaard, Karen, Juul-Kristensen, Birgit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318133/
https://www.ncbi.nlm.nih.gov/pubmed/25622594
http://dx.doi.org/10.1186/s13063-014-0544-6
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author Ingwersen, Kim G
Christensen, Robin
Sørensen, Lilli
Jørgensen, Hans RI
Jensen, Steen Lund
Rasmussen, Sten
Søgaard, Karen
Juul-Kristensen, Birgit
author_facet Ingwersen, Kim G
Christensen, Robin
Sørensen, Lilli
Jørgensen, Hans RI
Jensen, Steen Lund
Rasmussen, Sten
Søgaard, Karen
Juul-Kristensen, Birgit
author_sort Ingwersen, Kim G
collection PubMed
description BACKGROUND: Shoulder pain is the third most common musculoskeletal disorder, often affecting people’s daily living and work capacity. The most common shoulder disorder is the subacromial impingement syndrome (SIS) which, among other pathophysiological changes, is often characterised by rotator cuff tendinopathy. Exercise is often considered the primary treatment option for rotator cuff tendinopathy, but there is no consensus on which exercise strategy is the most effective. As eccentric and high-load strength training have been shown to have a positive effect on patella and Achilles tendinopathy, the aim of this trial is to compare the efficacy of progressive high-load exercises with traditional low-load exercises in patients with rotator cuff tendinopathy. METHODS/DESIGN: The current study is a randomised, participant- and assessor-blinded, controlled multicentre trial. A total of 260 patients with rotator cuff tendinopathy will be recruited from three outpatient shoulder departments in Denmark, and randomised to either 12 weeks of progressive high-load strength training or to general low-load exercises. Patients will receive six individually guided exercise sessions with a physiotherapist and perform home-based exercises three times a week. The primary outcome measure will be change from baseline to 12 weeks in the patient-reported outcome Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. DISCUSSION: Previous studies of exercise treatment for SIS have not differentiated between subgroups of SIS and have often had methodological flaws, making it difficult to specifically design target treatment for patients diagnosed with SIS. Therefore, it was considered important to focus on a subgroup such as tendinopathy, with a specific tailored intervention strategy based on evidence from other regions of the body, and to clearly describe the intervention in a methodologically strong study. TRIAL REGISTRATION: The trial was registered with Clinicaltrials.gov (NCT01984203) on 31 October 2013.
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spelling pubmed-43181332015-02-06 Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial Ingwersen, Kim G Christensen, Robin Sørensen, Lilli Jørgensen, Hans RI Jensen, Steen Lund Rasmussen, Sten Søgaard, Karen Juul-Kristensen, Birgit Trials Study Protocol BACKGROUND: Shoulder pain is the third most common musculoskeletal disorder, often affecting people’s daily living and work capacity. The most common shoulder disorder is the subacromial impingement syndrome (SIS) which, among other pathophysiological changes, is often characterised by rotator cuff tendinopathy. Exercise is often considered the primary treatment option for rotator cuff tendinopathy, but there is no consensus on which exercise strategy is the most effective. As eccentric and high-load strength training have been shown to have a positive effect on patella and Achilles tendinopathy, the aim of this trial is to compare the efficacy of progressive high-load exercises with traditional low-load exercises in patients with rotator cuff tendinopathy. METHODS/DESIGN: The current study is a randomised, participant- and assessor-blinded, controlled multicentre trial. A total of 260 patients with rotator cuff tendinopathy will be recruited from three outpatient shoulder departments in Denmark, and randomised to either 12 weeks of progressive high-load strength training or to general low-load exercises. Patients will receive six individually guided exercise sessions with a physiotherapist and perform home-based exercises three times a week. The primary outcome measure will be change from baseline to 12 weeks in the patient-reported outcome Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. DISCUSSION: Previous studies of exercise treatment for SIS have not differentiated between subgroups of SIS and have often had methodological flaws, making it difficult to specifically design target treatment for patients diagnosed with SIS. Therefore, it was considered important to focus on a subgroup such as tendinopathy, with a specific tailored intervention strategy based on evidence from other regions of the body, and to clearly describe the intervention in a methodologically strong study. TRIAL REGISTRATION: The trial was registered with Clinicaltrials.gov (NCT01984203) on 31 October 2013. BioMed Central 2015-01-27 /pmc/articles/PMC4318133/ /pubmed/25622594 http://dx.doi.org/10.1186/s13063-014-0544-6 Text en © Ingwersen et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
Ingwersen, Kim G
Christensen, Robin
Sørensen, Lilli
Jørgensen, Hans RI
Jensen, Steen Lund
Rasmussen, Sten
Søgaard, Karen
Juul-Kristensen, Birgit
Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title_full Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title_fullStr Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title_full_unstemmed Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title_short Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
title_sort progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318133/
https://www.ncbi.nlm.nih.gov/pubmed/25622594
http://dx.doi.org/10.1186/s13063-014-0544-6
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