The effect of adding eccentric exercises to conventional physical therapy for patients with rotator cuff tendinopathy - 15/07/18
Résumé |
Introduction/Background |
To evaluate the effectiveness of adding an eccentric training of the rotator cuff to conventional physical therapy in patients with subacromial pain syndrome involving rotator cuff tendinopathy.
Material and method |
Fifty-nine patients with rotator cuff tendinopathy, diagnosed by a physiatrist, were included and randomly allocated into an experimental group (EG) or a control group (CG). The experimental group (n=31, mean age=57.4+13.4 years) received an eccentric training plus a conventional physical therapy, including modalities, scapular stabilization exercises and stretching, while the control group (n=28, mean age=63.1+10.0 years) received a conventional physical therapy only. Patients in both groups received treatments twice a week for 3 months. Primary outcomes were shoulder pain (a 0–100mm Visual Analog Scale; VAS) and function measured with the Disabilities of the Arm, Shoulder and Hand (DASH) score. Secondary outcome measures were isometric strength of abduction at 90° of scapular abduction (hand-held dynamometer) and shoulder range of motion (forward elevation, external rotation, and internal rotation). All measurements were taken at baseline and after treatment.
Results |
After treatment, both groups showed a significant decrease in VAS scores (EG: −16.4mm, P=0.003 and CG: −21.9mm, P<0.001) and a significant decrease in DASH score (EG: −8.8 points, P=0.01 and CG: −7.5 points, P=0.002). Both groups also had a significant increase in isometric muscle strength (EG: 1.9 pounds, P<0.001 and CG: 1.8 pounds, P=0.002). No statistically significant differences were found between the groups for any of the evaluated outcome measures.
Conclusion |
It was shown that both groups had significantly increased isometric strength, decreased pain and better function after 3 months of treatment. Conventional physical therapy with or without eccentric training is effective in treating patients with rotator cuff tendinopathy.
Le texte complet de cet article est disponible en PDF.Keywords : Rotator cuff tendinopathy, Eccentric training, Physical therapy
Plan
Vol 61 - N° S
P. e147 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.