Large Dose Shoulder Strengthening for Subacromial Impingement .
Effectiveness of Adding a Large Dose of Shoulder Strengthening to Current Nonoperative Care for Subacromial Impingement: A Pragmatic, Double-Blind Randomized Controlled Trial (SExSI Trial).
Am J Sports Med. 2021 Sep;49(11): 3040-3049.Two hundred patients with subacromial impingement were randomized to receive the usual nonoperative care (n=100) or a large dose of shoulder strengthening in addition to usual care (n=100). The primary outcome of interest was the Shoulder Pain and Disability Index (SPADI) at 4 months follow-up. Other outcomes of interest included shoulder strength, range of motion, health-related quality of life and the Patient Acceptable Symptom State (PASS). No significant or clinically relevant between group differences were found for any outcome at 4 months follow-up. At 4 months follow-up, only 54% of the strengthening group and 48% of the usual care group reached the PASS.
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