Active Rehabilitation Program (ARP) for Shoulder Injuries

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University of Minnesota, Minneapolis, MN
Shoulder Injuries+1 More
Active Rehabilitation Program (ARP) - Procedure
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a specific treatment for shoulder instability is more effective than a non-specific treatment.

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Eligible Conditions

  • Shoulder Injuries
  • Shoulder Pain

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Active Rehabilitation Program (ARP) will improve 4 primary outcomes in patients with Shoulder Injuries. Measurement will happen over the course of Ten minutes to complete; Weekly for nine months, within 1 week of the intervention initiation, within 1 week of the intervention termination, and eight weeks after intervention.

Week 1
Change in Western Ontario Instability Index (WOSI)
Changes in average visual analog scale (VAS)
Within four weeks of treatment initiation and within four weeks of treatment termination
Change in the magnitude of 3D scapular rotations
Change in the magnitude of humeral head translations relative to the scapular glenoid

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

Nonspecific Passive Intervention (NPI)
1 of 2
Active Rehabilitation Program (ARP)
1 of 2
Experimental Treatment

This trial requires 50 total participants across 2 different treatment groups

This trial involves 2 different treatments. Active Rehabilitation Program (ARP) is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Nonspecific Passive Intervention (NPI)
Procedure
Participants will be treated for symptomatic shoulder instability with the non-specific, generalized treatment intervention. For eight weeks, there will be two treatment sessions per week lasting 30-45 minutes. The NPI consists of a general approach to treating shoulder pain with passive modalities for pain modulation. These interventions are commonly practiced but have little evidence to support their use in the treatment of symptomatic shoulder instability. Although the components of the NPI will be pre-determined, the parameters and volumes of the components will be determined and documented by a study clinician over the treatment phase.
Active Rehabilitation Program (ARP)
Procedure
Participants will be treated for symptomatic shoulder instability with the evidence-based, targeted treatment intervention. For eight weeks, there will be two treatment sessions per week lasting 30-45 minutes. Exercises in the ARP include: Low-load and high-duration rotator cuff strengthening exercises, progressive scapular muscle endurance training, plyometric strengthening exercises, and surface electromyographic (EMG) biofeedback. Each prescribed exercise in the ARP will be increased to match the participant's function at the discretion of the study clinician. Although the components of the ARP will be pre-determined, the parameters and volumes of the components will be determined and documented over the treatment phase.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: within four weeks of treatment initiation and within four weeks of treatment termination
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly within four weeks of treatment initiation and within four weeks of treatment termination for reporting.

Closest Location

University of Minnesota - Minneapolis, MN

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 2 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Be an active member of the University of Minnesota Intercollegiate swim team
Be able to actively raise arm over 150 degrees as measured with a standard goniometer

Patient Q&A Section

How many people get shoulder injuries a year in the United States?

"Recent findings of this study suggest that nearly four times as many male sports participants (5.9 million) have been affected by shoulder injuries as were female sports participants (1.6 million) during the same time period. This finding warrants heightened attention to prevention of sports-related shoulder injuries by men and female athletes as well as intensified consideration of strategies to reduce injury rates among these athletes." - Anonymous Online Contributor

Unverified Answer

What is shoulder injuries?

"Shoulder injury occurs in 11% of all motor vehicle collisions in the USA. Shorter operating distance, driver inexperience, the amount of tire track remaining at time of collision, or collision of a larger object at higher-than-average speed are the most common causes of shoulder injury in motor vehicle collisions. Shallow impact to a glenohumeral joint is associated with long-term disability to the arm, shoulder, and shoulder girdle. The long-term disability has been attributed to the pain and tearing of the shoulder and the long-term effects of the injury. Shallow impacts have been a major cause of collision-related shoulder injuries in the USA." - Anonymous Online Contributor

Unverified Answer

What are common treatments for shoulder injuries?

"Treatment for shoulder trauma is dependent on a thorough physical, orthopedic, and laboratory evaluation, which results in an appropriate assignment of treatment, if needed. Although treatment guidelines exist, there is no consensus regarding treatment. The shoulder is unique because only three joints – the shoulder, elbow, and wrist – directly attach to the human skeleton. Thus, injury to the shoulder may adversely affect the rest of the human body from an injury to this specific joint.\n" - Anonymous Online Contributor

Unverified Answer

Can shoulder injuries be cured?

"Patients with shoulder injuries, especially those with shoulder trauma and those whose initial radiographs demonstrate a fracture, may have a slightly improved clinical outcome if treated adequately. The patient's age and the duration of surgery are also factors determining the clinical outcome." - Anonymous Online Contributor

Unverified Answer

What are the signs of shoulder injuries?

"This research study concludes that there are signs for shoulder injuries and shoulder injuries could be managed efficiently. If there were signs of shoulder injuries in a patient, she can be hospitalized as soon as possible and can receive different treatments for the shoulder, which could prevent the shoulder injury worsening. For athletes, who often participate in sports, shoulder injuries may cause loss of performance and pain. If there was some symptoms such as loss of performance or pain, she should be hospitalized." - Anonymous Online Contributor

Unverified Answer

What causes shoulder injuries?

"There are common risk factors for shoulder injuries that can be separated into different anatomic classes. These risk factors include: age, gender, body mass index (BMI), physical inactivity and sport grade. Older athletes, especially those who have been injured or who play professional sports are at greatest risk for shoulder injuries and thus should be closely monitored." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of shoulder injuries?

"The most common primary cause of acute shoulder injuries in patients presenting to an ED is a direct blow to the shoulder. Patients who have shoulder fractures require urgent evaluation and treatment. Patients undergoing CT scans should wear a shoulder brace for the duration of the exam. Shoulder injuries are an important area for education in the emergency department. The use of a plain radiograph, in a select situation, may be useful to speed up the evaluation of the patient and reduce the time spent dealing with patients with minor shoulder injuries. Lastly, the use of computed tomography scans should be used judiciously as patients of young age or pregnant women should generally be avoided from taking them for acute shoulder injuries." - Anonymous Online Contributor

Unverified Answer

Does active rehabilitation program (arp) improve quality of life for those with shoulder injuries?

"There were no differences in improvement of shoulder pain or function in those receiving or not receiving rehab. Rehabilitation in the emergency department improves the short-term perception of function in those with shoulder injuries, but it is not a prerequisite to long-term successful functional outcomes. Recent findings are of particular importance given the high rate of shoulder injuries seen in the emergency department." - Anonymous Online Contributor

Unverified Answer

Is active rehabilitation program (arp) safe for people?

"Arpal treatment can safely reduce pain, improve function, and enhance quality of life in patients with disabling shoulder disorders. There was a trend toward a shorter length of stay in the arpal-treated group. Further validation of the arpal program and further investigation of its potential role in shoulder rehabilitation for other surgical procedures is desirable." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets shoulder injuries?

"The average age of patients that sustained shoulder injuries is around 30 years old. Onset of shoulder pain is often caused by sports, and most individuals will eventually end up with shoulder surgery. Age is not the factor that correlates with a worse outcome. The prognosis is determined equally no matter the patient's gender or age." - Anonymous Online Contributor

Unverified Answer

Is active rehabilitation program (arp) typically used in combination with any other treatments?

"Use of arp in combination with other treatments yielded statistically significant improvements on most measures of functional outcome. This may be because of various reasons, such as an additional therapeutic effect, or lack of effect with use of treatment without arp. In conclusion, the results of the existing trials, which involve small numbers of participants, call for ongoing large trials that consider different treatment combinations. The authors did not find the best combination for treatment of shoulder pain. Large-scale investigations, in particular, prospective studies, are required before a conclusion can be drawn about Arp as an effective treatment in combination with other treatments." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating shoulder injuries?

"Current research is evaluating different areas of shoulder and joint health. The number of studies that evaluate shoulder injuries has greatly increased. While not all of these studies have found that an intervention has a significant effect on shoulder stability or function, they still hold promise. The potential for new therapies is great, especially for those people who have a traumatic injury or a predisposition to shoulder dysfunction. While new treatments are being researched, it is important for patients with shoulder pain and instability to be aware that there is still no approved therapy for their disorder." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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