Effectiveness of Supervised Physiotherapy Versus Home Exercise for Shoulder Impingement Syndrome in Adults Aged 30 to 65

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.

Comparison of Supervised Rehabilitation and Home Exercise Programs in Subacromial Impingement Syndrome