Specific versus general exercise programme in adults with subacromial impingement syndrome: a randomised controlled trial

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dc.contributor.authorGutiérrez Espinoza, Héctor
dc.contributor.authorAraya-Quintanilla, Felipe
dc.contributor.authorPinto Concha, Sebastián
dc.contributor.authorValenzuela-Fuenzalida, Juan
dc.contributor.authorLópez Gil, José Francisco
dc.contributor.authorRamírez Vélez, Robinson
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-05-17T13:40:21Z
dc.date.available2024-05-17T13:40:21Z
dc.date.issued2023
dc.date.updated2024-05-17T13:12:28Z
dc.description.abstractObjectives. Current evidence on the clinical effectiveness about the different types of exercises in the subacromial impingement syndrome (SIS) remains controversial. This study aims to compare the short-term (at 5 weeks) effects of a specific exercise programme with a general exercise programme on shoulder function in adults with SIS. Methods. In total, 52 adults with SIS were randomly allocated to 5 weeks to perform specific exercises (experimental group, n=26) or general exercises (control group, n=26). The primary outcome was change in shoulder function, it was assessed using the Shoulder Pain and Disability Index (SPADI) from baseline to 5 weeks. Secondary end points included changes in upper limb function (Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire), pain intensity (Visual Analog Scale (VAS)) and kinesiophobia (Tampa Scale of Kinesiophobia (TSK)). Results. All participants completed the trial. The between-group differences at 5 weeks were: SPADI, 13.5 points (95% CI: 4.3 to 15.6; ƞ2=0.22; p=0.001); DASH, 10.1 points (95% CI: 5.6 to 15.2; ƞ2=0.27; p<0.001); VAS at rest, 0.2 cm (95% CI: 0.1 to 0.3; ƞ2=0.07; p=0.553); VAS on movement, 1.7 cm (95% CI: 0.9 to 2.2; ƞ2=0.24; p<0.001); and TSK, 16.3 points (95% CI: 13.2 to 15.3; ƞ2=0.33; p<0.001). All differences favoured the experimental group and effect sizes were medium to large for most outcomes. Mediation analyses showed that the effect of the specific exercises on shoulder function was mediated by kinesiophobia (β=2.800; 95% CI: 1.063 to 4.907) and pain on movement (β= −0.690; 95% CI: −1.176 to −0.271). Conclusion. In adults with SIS, specific exercises may have a larger effect than general exercises. However, most differences did not reach the minimum threshold to be considered clinically important and the evidence to support exercise as standard treatment warrant further study.en
dc.description.sponsorshipThis study was funded by Universidad de las Americas.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGutiérrez Espinoza, H., Araya-Quintanilla, F., Pinto-Concha, S., Valenzuela-Fuenzalida, J., López-Gil, J. F., Ramírez-Velez, R. (2023) Specific versus general exercise programme in adults with subacromial impingement syndrome: a randomised controlled trial. BMJ Open Sport and Exercise Medicine, 9(3), 1-10. https://doi.org/10.1136/bmjsem-2023-001646.en
dc.identifier.doi10.1136/bmjsem-2023-001646
dc.identifier.issn2055-7647
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/48120
dc.language.isoengen
dc.publisherBMJ Publishing Groupen
dc.relation.ispartofBMJ Open Sport and Exercise Medicine 2023, 9(3), e001646en
dc.relation.publisherversionhttps://doi.org/10.1136/bmjsem-2023-001646
dc.rights© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectExerciseen
dc.subjectSubacromial impingement syndromeen
dc.subjectShoulderen
dc.titleSpecific versus general exercise programme in adults with subacromial impingement syndrome: a randomised controlled trialen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicationa8a724dc-bd51-4ab2-8e46-97e362d3ba8f
relation.isAuthorOfPublicationd0c2c11e-01d0-46ff-93b4-36b11beaf269
relation.isAuthorOfPublication.latestForDiscoveryd0c2c11e-01d0-46ff-93b4-36b11beaf269

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