OBJECTIVES: To evaluate the clinical effectiveness of a self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff @entity924 . DESIGN: Multi-centre pragmatic unblinded parallel group randomised controlled trial. SETTING: UK National Health Service. @entity1 : @entity1 with a clinical diagnosis of rotator cuff @entity924 . INTERVENTIONS: The intervention was a programme of self-managed exercise prescribed by a physiotherapist in relation to the most symptomatic shoulder movement. The control group received usual physiotherapy treatment. MAIN OUTCOME MEASURES: The primary outcome measure was the Shoulder @entity158 _ Disability Index (SPADI) at three months. Secondary outcomes included the SPADI at six and twelve months. RESULTS: A total of 86 @entity1 (self-managed loaded exercise n=42; usual physiotherapy n=44) were randomised. Twenty-six @entity1 were excluded from the analysis because of lack of primary outcome data at the 3 months follow-up, leaving 60 (n=27; n=33) @entity1 for intention to treat analysis. For the primary outcome, the mean SPADI score at three months was 32.4 (SD 20.2) for the self-managed group, and 30.7 (SD 19.7) for the usual physiotherapy treatment group; mean difference adjusted for baseline score: 3.2 (95% Confidence interval -6.0 to +12.4 P = 0.49).By six and twelve months there remained no significant difference between the groups. CONCLUSIONS: This study does not provide sufficient evidence of superiority of one intervention over the other in the short-, mid- or long-term and hence a self-management programme based around a single exercise appears comparable to usual physiotherapy treatment.

A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff XXXX : A randomised controlled trial (the SELF study).

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PARTICIPANTS'] @entity924 :: ('MESH:D052256', 'Disease') :: ['tendinopathy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain']
@entity924 :: (MESH:D052256,Disease) :: ['tendinopathy']
