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N/A Completed N=12 Treatment

Exercise Into Pain in Chronic Rotator Cuff Related Shoulder Pain: a Prospective Single-Group Feasibility Study

Shoulder Impingement Syndrome
Source: ClinicalTrials.gov NCT04154345 ↗
Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Jun 2025
Primary outcomePrimary: Rate of Adherence (Physiotherapy Session) — 7 Participants

Summary

The purpose of this study is to evaluate a) the feasibility of applying a painful exercise program in the treatment of subacromial shoulder pain and b) the time needed to collect clinical outcomes for a future randomized controlled trial.

Outcome Measures

OutcomeResultp-value
PRIMARY
Rate of Adherence (Physiotherapy Session)
7
PRIMARY
Rate of Adherence (Adherence Home Exercises)
4
PRIMARY
Shoulder Pain and Disability Index (SPADI)
29.3
SECONDARY
Fear-Avoidance Beliefs Questionnaire (FABQ-PA)
1.5
SECONDARY
Fear-Avoidance Beliefs Questionnaire (FABQ-W)
3
SECONDARY
Fear of Pain Questionnaire (FPQ-9)
SECONDARY
Passive Range of Motion (ROM) in External Rotation
4
SECONDARY
Passive ROM in Internal Rotation
1
SECONDARY
Passive ROM in Scaption
27
SECONDARY
Active ROM in External Rotation
6
SECONDARY
Active ROM in Internal Rotation
-4
SECONDARY
Active ROM in Scaption
24
SECONDARY
Maximum Voluntary Contraction (MVC) in External Rotation
14.55
SECONDARY
MVC in Internal Rotation
26.64
SECONDARY
MVC in Scaption
6.54

Eligibility Criteria

Inclusion Criteria

  • Age 18-65 years
  • Shoulder pain for at least 3 months
  • Pain in the antero-lateral shoulder region
  • At least 3 out of 5 of the following tests positive: Neer test, Hawkins-Kennedy, Jobe, painful arc between 60° and 120°, external resistance test
  • Resting pain should be at 2/10 maximum on verbal NRS scale
  • All types of occupations were included: students, workers (including overhead workers or heavy duty workers), people on sick leave and retired people

Exclusion Criteria

  • Bilateral shoulder pain
  • Corticosteroid injections 6 weeks prior to the study
  • Pregnancy, inability to understand spoken or written Dutch
  • Clinical signs of full-thickness rotator cuff tears (positive external and internal rotation lag tests and drop arm test)
  • Evidence of adhesive capsulitis (50% or more than 30° loss of passive external rotation)
  • Previous cervical, thoracic or shoulder surgery; recent fractures or dislocations on the painful shoulder
  • Symptoms of cervical radiculopathy as primary complaint (tingling, radiating pain in the arm associated with neck complaints)
  • Primary diagnosis of acromioclavicular pathology, shoulder instability
  • A radiologically confirmed fracture or presence of calcification larger than 5 mm
  • Presence of competing pathologies (inflammatory arthritis, neurological disorders, fibromyalgia, malignancy)
  • More than 4h of training in sport overhead shoulder activities per week
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04154345). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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