Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial

Review written by Jared Powell info

Key Points

  1. Supervised high intensity exercise training is not superior to low intensity home exercise training for managing subacromial shoulder pain (SSP) in this sample of participants.
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BACKGROUND & OBJECTIVE

Exercise therapy is the recommended first-line intervention to manage subacromial shoulder pain (SSP) (I refuse to use the term impingement) (1). Exercise therapy is an umbrella term that can include anything from stretching to strengthening to motor control exercise and is the most popular treatment provided by physiotherapists for managing SSP (2). Despite the popularity of exercise amongst physiotherapists and the broad recommendation to prescribe it by clinical practice guidelines, the exact structure of the ‘optimal’ exercise program for SSP is unclear.

This randomized controlled trial aimed to compare a supervised heavy resistance (HR) training program (group 1) with a home-based lower intensity training program (group 2). The authors hypothesized that the HR training program would be superior.

Exercise therapy is the recommended first-line intervention to manage subacromial shoulder pain.
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Many exercise options are on the table for helping someone with shoulder pain, because most exercise programs will improve some dimension of that person’s pain experience.

METHODS

This was a randomized controlled trial. The inclusion criteria were:

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