Exercise and Manual Therapy for Subacromial Impingement Syndrome
The purpose of this three year study is to investigate the effectiveness of conservative treatment for shoulder impingement syndrome. There are two concurrent multi-center studies on-going to examine this question.
Study 1
Effectiveness of Rehabilitation for Subacromial Impingement Syndrome
This is a multi-center clinical trial designed to examine the outcomes of treatment for patients with subacromial impingement syndrome and to develop a clinical predication rules for those patients who respond and for those who do not respond to a conservative 6-week rehabilitation program. All patients will receive the same supervised treatment of manual therapy to the upper quadrant, therapeutic exercise, posture, and a home exercise program of a prescribed progression and patient education for a maximum of 10 visits over six weeks. Manual therapy will be delivered to the thoracic spine and shoulder and therapeutic exercise to the shoulder and spine applied in a prescribed progression of therapeutic exercise aimed at improving shoulder function.
The hypotheses are: 1.) the rehabilitation program will result in significant changes in pain and quality of life 2.) there will be items from the history and examination that will identify those patients who respond favorably and those who do not respond favorably to rehabilitation at six weeks, three, six and 12 months.
The project is principally funded by the National Athletic Trainers’ Association – Research and Education Foundation for two years for $197,197.
Additional funding: Thera-Band Academy.
Participating in this clinical trial include:
- Principal investigator: Lori Michener, Ph.D., PT, ATC
- Co-investigator: Phil McClure, Ph.D., PT
- Lead clinical coordinator: Angela Tate, Ph.D., PT
- Lead data coordinator: Ian Young, PT, OCS, SCS
- Clinicians from: H/S Therapy Associates, Inc, Harleysville, Pa.; GO Sports Physical Therapy, Gettysburg, Pa.; Brooks Rehabilitation, Fla.; Pro-Rehab, Evansville, Ind.; Therapy Partners, Inc, Minneapolis, Minn.; Sheltering Arms Rehabilitation Centers, Richmond, Va.; Fredericksburg Orthopedics, Fredericksburg, Va.; Physical Rehabilitation Network La Jolla, La Jolla, Calif.
*If you are a clinician participating in this clinical trial, there are links to the training materials listed below. Please contact your regional coordinator, if you have forgotten or lost the password required to view these training materials.
Study 2
Randomized Clinical Trial of Rehabilitation for Subacromial Impingement Syndrome: A Comparison of Manual Therapy plus Exercise to Exercise Only
This is a multi-center clinical trial that is an extension of the “Effectiveness of Rehabilitation for Subacromial Impingement Syndrome” study described above. Clinical trials investigating the effectiveness of manual therapy for patients with impingement syndrome have demonstrated improvements in outcomes when manual therapy has been added to a program of therapeutic exercise. However, these clinical trials have significant limitations and generalizability, as two of the three trials had a small number of subjects (14 and 22 subjects) and all three trials had only short term follow up (less than 12 weeks) and used non-validated self report outcome measures. These limitations reduce the confidence with which clinicians can apply these results to the patients they treat with SAIS. Clear evidence is needed to justify the cost and clinician time required to perform manual therapy in the delivery of patient care. The purpose of this randomized clinical trial is to examine the short-term and long-term effectiveness of manual therapy in addition to therapeutic exercise as compared to therapeutic exercise only in patients diagnosed with SAIS. The manual therapy delivered will be to the thoracic spine and shoulder. We hypothesize that a combination of therapeutic exercise and manual therapy to the shoulder and spine will be more effective in reducing pain and shoulder disability at short-term (six weeks) and long-term (three, six, 12 months) as compared to therapeutic exercise only.
This project is partially funded by the National Athletic Trainers’ Association – Research and Education Foundation for two years for $197,197.
This project is partially funded by Brooks Rehabilitation for two years for $114,626.
Additional funding is from Thera-Band Academy.
Participating in this clinical trial include:
Chuck Thigpen, PT, Ph.D., ATC
Lori Michener, PT, Ph.D., ATC
Phil McClure, PT, Ph.D.
*If you are a clinician participating in this clinical trial, below are the links to the training materials. Please contact your regional coordinator, if you have forgotten or lost the password required to view these training materials.
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