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Individualized Versus General Exercise Therapy in People With Subacromial Pain Syndrome: A Randomized Controlled
Ghazaleh Momeni1, Abbas Tabatabaei2, Mehrnaz Kajbafvala1
1Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Archives of Physical Medicine and Rehabilitation
|October 17, 2024
Summary
Individualized exercises targeting movement faults significantly reduced pain during arm raising and disability in chronic subacromial pain syndrome patients. These benefits persisted long-term, showing effectiveness for shoulder pain management.
Area of Science:
- Orthopedics
- Physical Therapy
- Rehabilitation Medicine
Background:
- Chronic subacromial pain syndrome (SAPS) significantly impacts shoulder function and quality of life.
- Current treatments often involve general exercises, but individualized approaches targeting specific movement faults (MFs) may offer superior outcomes.
Purpose of the Study:
- To assess the efficacy of individualized exercises focused on movement fault control for reducing pain and disability in individuals with chronic SAPS.
Main Methods:
- A randomized controlled trial was conducted with 38 participants diagnosed with chronic SAPS.
- Participants were assigned to either an individualized exercise group targeting MFs or a control group receiving general scapular stabilization exercises.
- Both groups underwent supervised exercise sessions twice weekly for four weeks.
Main Results:
- The individualized exercise group demonstrated a significant reduction in pain during arm raising (PAR) immediately post-intervention and at 4-month follow-up, with large effect sizes.
- Significant improvements in disability scores (SPADI and DASH) were observed in the intervention group at 2- and 4-month follow-ups compared to the control group.
Conclusions:
- Individualized exercises based on movement fault control are effective in decreasing pain during arm raising and improving function in patients with chronic SAPS.
- This targeted approach offers a promising strategy for managing shoulder pain and disability.
