Gutiérrez-Espinoza Héctor, Araya-Quintanilla Felipe, Zavala-González Jonathan, Gana-Hervias Gonzalo, Martínez-Vizcaino Vicente, Álvarez-Bueno Celia, Cavero-Redondo Iván
Faculty of Health, University of the Americas.
Physical Therapy Department, Clinical Hospital San Borja Arriaran.
Medicine (Baltimore). 2019 Jul;98(30):e16139. doi: 10.1097/MD.0000000000016139.
Subacromial impingement syndrome (SIS) is a common clinical condition with a multifactorial etiology. Currently, there is a great variety of therapeutic exercise modalities aimed at treating SIS. Based on alterations of the glenohumeral and/or dysfunctional scapular kinematics associated with SIS, we hypothesize that the implementation of a specific exercise program with special focus on the correction of muscle deficits should be more effective than nonspecific exercises performed at home. This article describes the rationale and methods of study aimed at testing the effectiveness of specific exercise programs versus home exercises in patients with SIS.
METHOD/DESIGN: Ninety-four patients between the ages of 18 and 50 years referred to the Physical Therapy department of the Clinical Hospital San Borja Arriaran in Chile will be randomized to 2 treatment arms. The intervention group will receive a program of specific exercises with a duration of 12 weeks, taking as a reference the algorithm of clinical decision proposed by a panel of experts. The control group will receive a program of nonspecific exercises to perform at home. Three evaluations will be performed: before the initiation of treatment, and at the 12-week and 1-year follow-up. The primary outcome measure will be the shoulder function by the Constant-Murley questionnaire, and the secondary outcome measures will be the upper extremity function by the Disabilities of the Arm, Shoulder and Hand questionnaire, and pain by the visual analog scale.
This article reports the design of a randomized clinical trial aimed at assessing the effectiveness of a specific exercise program versus home exercises in patients with SIS.
Brazilian registry of clinical trials UTN number U1111-1204-0268. Registered 27 September 2017.
肩峰下撞击综合征（SIS）是一种病因多因素的常见临床病症。目前，有各种各样旨在治疗SIS的治疗性锻炼方式。基于与SIS相关的盂肱关节改变和/或肩胛运动功能障碍，我们假设实施特别关注纠正肌肉缺陷的特定锻炼计划应比在家进行的非特定锻炼更有效。本文描述了旨在测试特定锻炼计划与家庭锻炼对SIS患者有效性的研究原理和方法。
方法/设计：将转诊至智利圣博尔哈·阿里亚兰临床医院物理治疗科的94名年龄在18至50岁之间的患者随机分为2个治疗组。干预组将接受为期12周的特定锻炼计划，以专家小组提出的临床决策算法为参考。对照组将接受在家进行的非特定锻炼计划。将进行三次评估：治疗开始前、12周和1年随访时。主要结局指标将是通过Constant-Murley问卷评估的肩部功能，次要结局指标将是通过手臂、肩部和手部功能障碍问卷评估的上肢功能，以及通过视觉模拟量表评估的疼痛。
本文报告了一项随机临床试验的设计，旨在评估特定锻炼计划与家庭锻炼对SIS患者的有效性。
巴西临床试验注册中心UTN编号U1111-1204-0268。2017年9月27日注册。
