Comparison of the Effectiveness of a Physiotherapist-Supervised Rehabilitation Program and Home Exercise Education in Subacromial Impingement Syndrome
Led by Izmir Katip Celebi University · Updated on 2026-05-08
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I
Izmir Katip Celebi University
Lead Sponsor
K
Kirsehir Ahi Evran Universitesi
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating different exercise approaches for people with subacromial impingement syndrome (SAIS), a common shoulder condition causing pain, limited movement, muscle weakness, and reduced quality of life. This randomized controlled trial compares physiotherapist-supervised rehabilitation with home exercise programs, aiming to provide evidence about which approach works better. The study involves 63 adults aged 30 to 65 diagnosed with SAIS and includes a control group for comparison.
Participants will be randomly assigned to one of three groups: supervised rehabilitation, home exercise, or control. The supervised group will attend physiotherapy sessions five days a week for four weeks, including pain management, stretching, range of motion, scapular stabilization, strengthening exercises, and activity training. The home exercise group will receive training and then perform a structured exercise program independently at home for four weeks. The control group will not receive any intervention during the study but will be offered supervised rehabilitation after the study period.
During the study, researchers will assess pain levels, upper limb function, shoulder movement range, grip strength, sleep quality, and overall quality of life at the start and after four weeks. Evaluations use tools like the Visual Analog Scale for pain, DASH questionnaire for function, goniometer for motion, dynamometer for strength, a sleep quality scale, and WHOQOL-BREF for life quality. This study aims to guide treatment decisions for managing SAIS by comparing supervised and home-based exercises under careful monitoring.
CONDITIONS
Brief Title
Comparison of Supervised Rehabilitation and Home Exercise Programs in Subacromial Impingement Syndrome
Who Can Participate
Age: 30Years - 65Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Voluntary participation in the study
Literate in Turkish
Aged between 30 and 65 years
No visual or hearing impairment
Diagnosed with unilateral subacromial impingement syndrome by a specialist physician
Positive painful arc test, Infraspinatus test, and Hawkins-Kennedy test
Pain during overhead activities
You will not qualify if you...
Presence of a mental or psychological disorder that may affect study findings
Inadequate cooperation
History of upper extremity fracture within the last 6 months
Presence of cervical neurological symptoms
Glenohumeral instability
Acromioclavicular joint pathology
Full-thickness rotator cuff tear or total rupture
Signs of glenohumeral osteoarthritis
History of frozen shoulder
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 4 weeks
Participants receive either a physiotherapist-supervised rehabilitation program five days per week for four weeks, a home exercise program performed independently for four weeks after a training session, or no intervention during the study period.
Supervised rehabilitation group attends 5 visits per week; home exercise group has 1 education session; control group has no intervention visits during this period.
Follow-up
Duration - At Week 4
Assessments are conducted at the end of the intervention period to evaluate pain, function, range of motion, strength, sleep quality, and quality of life.
Effect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis.
Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla, Christopher Cereceda-Muriel...