Abstract
Objectives: Rotator cuff tendinopathy is a common source of shoulder pain characterised by persistent and/or recurrent problems for a proportion of sufferers. The aim of this study was to pilot the methods proposed to conduct a substantive study to evaluate the effectiveness of a self-managed loaded exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy. Design: A single-centre pragmatic unblinded parallel group pilot randomised controlled trial. Setting: One private physiotherapy clinic, northern England. Participants: Twenty-four participants with rotator cuff tendinopathy. Interventions: The intervention was a programme of self-managed loaded exercise. The control group received usual physiotherapy treatment. Main outcomes: Baseline assessment comprised the Shoulder Pain and Disability Index (SPADI) and the Short-Form 36, repeated three months post randomisation. Results: The recruitment target was met and the majority of participants (98%) were willing to be randomised. 100% retention was attained with all participants completing the SPADI at three months. Exercise adherence rates were excellent (90%). The mean change in SPADI score was -23.7 (95% CI -14.4 to -33.3) points for the self-managed exercise group and -19.0 (95% CI -6.0 to -31.9) points for the usual physiotherapy treatment group. The difference in three month SPADI scores was 0.1 (95% CI -16.6 to 16.9) points in favour of the usual physiotherapy treatment group. Conclusions: In keeping with previous research which indicates the need for further evaluation of self-managed loaded exercise for rotator cuff tendinopathy, these methods and the preliminary evaluation of outcome offer a foundation and stimulus to conduct a substantive study.
Original language | English |
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Pages (from-to) | 54-60 |
Number of pages | 7 |
Journal | Physiotherapy (United Kingdom) |
Volume | 100 |
Issue number | 1 |
Early online date | 19 Aug 2013 |
DOIs | |
Publication status | Published - 1 Mar 2014 |
Keywords
- Exercise
- Quality of life
- Randomised controlled trial
- Rehabilitation
- Rotator cuff tendinopathy