Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial.
Rotator Cuff Tendinopathy (RCT) is a common source of shoulder pain characterised by persistent and/or recurrent problems for a proportion of sufferers. The aim of this study was to pilot the methods proposed to conduct a substantive study to evaluate the effectiveness of a self-managed loaded exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy.
A single-centre pragmatic unblinded parallel group pilot randomised controlled trial was conducted on 24 participants with RCT. The intervention was a programme of self-managed loaded exercise. The control group received usual physiotherapy treatment. Baseline assessment comprised the Shoulder Pain and Disability Index (SPADI) and the Short-Form 36, repeated three months post randomisation. 100% retention was attained with all participants completing the SPADI at three months. Exercise adherence rates were excellent (90%).
The mean change in SPADI score was −23.7 points for the self-managed exercise group and −19.0 points for the usual physiotherapy treatment group. The difference in three-month SPADI scores was 0.1 (95% CI −16.6 to 16.9) points in favour of the usual physiotherapy treatment group.
In keeping with previous research, which indicates the need for further evaluation of self-managed loaded exercise for RCT, these methods and the preliminary evaluation of outcome offer a foundation and stimulus to conduct a substantive study > From: Littlewood et al., Physiotherapy (2013) (Epub ahead of print). All rights reserved to Elsevier Ltd.
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Dowload the Shoulder Pain and Disability Index (SPADI).