Dynamic Humeral Centering in Impingement Syndrome

Study Overview
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Brief Summary
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The purpose of this study is to determine wether dynamic humeral centering is effective in patients with impingement syndrome of the shoulder

Detailed Description
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Clinical trial with randomization for treatment and physiotherapist

Official Title
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Assessment of Dynamic Humeral Centering in Impingement Syndrome: a Randomized Clinical Trial

Conditions
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Degenerative Rotator Cuff Disease With Impingement Syndrome

Intervention / Treatment
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* Procedure: Dynamic humeral centering
* Procedure: Nonspecific mobilisation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age > 30 years pain duration > 1 month presence of at least 2 positive impingement test results from Neer, Yocum and Hawkins testing total Constant score < 80. Exclusion Criteria: concerning the shoulder stiffness anteroposterior instability tendinous calcification corticosteroid injection within the previous 30 days previous surgery humeral fracture inflammatory joint disease neoplastic disorders

Ages Eligible for Study
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Minimum Age: 31 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1: Dynamic humeral centering<br>Dynamic humeral centering performed for 6 weeks, in 15 supervised individual outpatient sessions, plus daily home exercises for 12 months. | Procedure: Dynamic humeral centering<br>* Dynamic humeral centering performed for 6 weeks, in 15 supervised individual outpatient sessions, plus daily home exercises for 12 months.<br>|
| Active Comparator: 2: Nonspecific mobilisation<br>Nonspecific mobilisation performed for 6 weeks, in 15 supervised individual outpatient sessions, plus daily home exercises for 12 months. | Procedure: Nonspecific mobilisation<br>* Nonspecific mobilisation performed for 6 weeks, in 15 supervised individual outpatient sessions, plus daily home exercises for 12 months.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constant total score as a mean and by category |  | at 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constant total score |  | at 12 months | 
| Constant subscores for pain, activity, mobility and strength, and self-assessed disability on a 0- to 100-point visual analog scale, and analgesic and nonsteroidal anti-inflammatory drug (NSAID) use |  | at 3 months | 
| Constant subscores for pain, activity, mobility and strength, and self-assessed disability on a 0- to 100-point visual analog scale, and analgesic and nonsteroidal anti-inflammatory drug (NSAID) use |  | at 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Degenerative rotator cuff disease, Impingement syndrome, Dynamic humeral centering, Randomized clinical trial