Evidence map›Paper›PMID 22581193›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013

Does adding heavy load eccentric training to rehabilitation of patients with unilateral subacromial impingement result in better outcome? A randomized, clinical trial.

Annelies G Maenhout, Nele N Mahieu, Martine De Muynck, Lieven F De Wilde, Ann M Cools

5 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 48 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 9 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02153827 nacompletednot on this mapstarted 2014, after this paper: background citation

Shoulder External Rotator Eccentric Training for Subacromial Impingement Syndrome

TypeinterventionalSponsorNova Southeastern UniversityRan2014 to 2016Enrolled48ConditionsSubacromial Impingement SyndromeArmsEccentric Shoulder External Rotator Training, General Shoulder exercise
NCT02214199 early_phase1completednot on this mapstarted 2014, after this paper: background citation

Effectiveness of Cervicothoracic Manipulative Treatment in Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial.

TypeinterventionalSponsorUniversidad de AlmeriaRan2014 to 2015Enrolled92ConditionsShoulder Pain, Manual Theapy, Exercises TherapyArmsManipulative Therapy Techniques, Home Exercises
NCT02695524 nacompletednot on this mapstarted 2016, after this paper: background citation

Effect of Scapula-focused Treatment With Additional Motor Control Exercises on Pain and Disability in Patients With Subacromial Pain Syndrome: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2016 to 2017Enrolled60ConditionsShoulder Impingement SyndromeArmsScapula-focused exercises, Motor control exercises
NCT03675399 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Isometric Exercise on Pain Perception in Subjects With Rotator Cuff Related Shoulder Pain

TypeinterventionalSponsorUniversity of ValenciaRan2019 to 2021Enrolled35ConditionsRotator Cuff TendinitisArmsSupra-threshold isometric exercise, Infra-threshold isometric exercise
NCT05466435 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Efficacy of Heavy Slow Resistance Training in Adults With Frozen Shoulder- a Double Blind Randomised Controlled Trial

TypeinterventionalSponsorMinistry of Health, KuwaitRan2022 to 2025Enrolled80ConditionsFrozen ShoulderArmsHeavy Slow Resistance, Control group
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 9 syntheses or guidelines pooled it, 128 citations in OpenAlex.

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  7. Manual therapy and exercise for rotator cuff disease.The Cochrane database of systematic reviews · 2016
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  9. Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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  18. Relationship between changes in neuromuscular factors and disability outcomes following a resistance exercise intervention in rotator cuff tendinopathy.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Annelies G MaenhoutDepartment of Physiotherapy and Rehabilitation Sciences, Ghent University, Campus Heymans, 3B3, De Pintelaan 185, 9000, Ghent, Belgium. annelies.maenhout@ugent.be
Nele N Mahieu
Martine De Muynck
Lieven F De Wilde
Ann M Cools
Ghent University Hospital · BEGhent University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate superior value of adding heavy load eccentric training to conservative treatment in patients with subacromial impingement.

methodsSixty-one patients with subacromial impingement were included and randomly allocated to the traditional rotator cuff training (TT) group (n = 30, mean age = 39.4 ± 13.1 years) or traditional rotator training combined with heavy load eccentric training (TT + ET) group (n = 31, mean age = 40.2 ± 12.9 years). Isometric strength was measured to abduction at 0°, 45° and 90° of scapular abduction and to internal and external rotation. The SPADI questionnaire was used to measure shoulder pain and function. Patients rated subjective perception of improvement. Outcome was assessed at baseline, at 6 and 12 weeks after start of the intervention. Both groups received 9 physiotherapy treatments over 12 weeks. At home, the TT group performed traditional rotator cuff strengthening exercises 1x/day. The TT + ET group performed the same exercises 1x/day and a heavy load eccentric exercise 2x/day.

resultsAfter treatment, isometric strength had significantly increased in all directions, and SPADI score had significantly decreased. The TT + ET group showed a 15% higher gain in abduction strength at 90° of scapular abduction. Chi-square tests showed patients' self-rated perception of improvement was similar in both groups.

conclusionAdding heavy load eccentric training resulted in a higher gain in isometric strength at 90° of scapular abduction, but was not superior for decreasing pain and improving shoulder function. This study showed that the combination of a limited amount of physiotherapy sessions combined with a daily home exercise programme is highly effective in patients with impingement. LEVEL OF EVIDENCE: II.

Indexed as

AdultExercise TherapyFemaleHumansMaleMiddle AgedRange of Motion, ArticularResistance TrainingShoulder Impingement Syndrome

Identifiers

PMID22581193
OpenAlexW2128198429

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.