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Titre : | Self-managed loaded exercise versus usual physiotherapy treatment for rotator cuff tendinopathy: a pilot randomised controlled trial (2014) |
Auteurs : | Chris Littlewood ; Peter Malliaras ; Sue Mawson |
Type de document : | Article |
Dans : | Physiotherapy (2014/1, 2014) |
Article en page(s) : | pp. 54-60 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Qualité de vie ; Rééducation et réadaptation |
Mots-clés: | Randomised controlled trial ; Rotator Cuff ; Coiffe des rotateurs ; Tendinopathy ; Tendinopathie ; Exercise ; Quality of Life |
Résumé : |
Objectives Rotator cuff tendinopathy 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. Design A single-centre pragmatic unblinded parallel group pilot randomised controlled trial. Setting One private physiotherapy clinic, northern England. Participants Twenty-four participants with rotator cuff tendinopathy. Interventions The intervention was a programme of self-managed loaded exercise. The control group received usual physiotherapy treatment. Main outcomes Baseline assessment comprised the Shoulder Pain and Disability Index (SPADI) and the Short-Form 36, repeated three months post randomisation. Results The recruitment target was met and the majority of participants (98%) were willing to be randomised. 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 (95% CI −14.4 to −33.3) points for the self-managed exercise group and −19.0 (95% CI −6.0 to −31.9) 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. Conclusions In keeping with previous research which indicates the need for further evaluation of self-managed loaded exercise for rotator cuff tendinopathy, these methods and the preliminary evaluation of outcome offer a foundation and stimulus to conduct a substantive study. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S003194061300059X |