ArticleInternational journal of sports physical therapy2017
SHOULDER EXTERNAL ROTATOR ECCENTRIC TRAINING VERSUS GENERAL SHOULDER EXERCISE FOR SUBACROMIAL PAIN SYNDROME: A RANDOMIZED CONTROLLED TRIAL.
Article in International journal of sports physical therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Addressing Shoulder Weakness in Individuals With Rotator Cuff-Related Shoulder Pain: A Systematic Review With Meta-analysis.The Journal of orthopaedic and sports physical therapy · 2026Pooled it
- Effects of seven types of exercise in the treatment of rotator cuff-related shoulder pain (RCRSP): a systematic review and Bayesian network meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and effectiveness.Health technology assessment (Winchester, England) · 2023Pooled it
- What are small, medium and large effect sizes for exercise treatments of tendinopathy? A systematic review and meta-analysis.BMJ open sport & exercise medicine · 2023Pooled it
- Effects of eccentric exercise in patients with subacromial impingement syndrome: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Comprehensive supervised heavy training program versus home training regimen in patients with subacromial impingement syndrome: a randomized trial.BMC musculoskeletal disorders · 2022Trial
- Effects of Thrower's Ten exercises on upper extremity performance: A randomized controlled study.Medicine · 2020Trial
- 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 · 2025Article
- Effect of Eccentric Control Exercises on Patients with Frozen Shoulder and Mild to Moderate Disability: A Single-Group Pre-Post Study.F1000Research · 2025Article
- Eccentric Versus Concentric Exercises in Patients With Rheumatoid Arthritis and Rotator Cuff Tendinopathy: A Randomized Comparative Study.Annals of rehabilitation medicine · 2023Article
- Article
- Effects of Different Types of Contraction Exercises on Shoulder Function and Muscle Strength in Patients with Adhesive Capsulitis.International journal of environmental research and public health · 2021Article
- Current concepts in the rehabilitation of rotator cuff related disorders.Journal of clinical orthopaedics and trauma · 2021Article
- Concentric and Eccentric Force Changes with Elastic Band and Isotonic Heavy Resistance Training: A Randomized Controlled Trial.International journal of sports physical therapy · 2021Article
- Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review.Diagnostics (Basel, Switzerland) · 2021Review
- Generalizability of Eccentric Exercise for Patients with Subacromial Pain Syndrome to Real-world Clinical Practice: A Propensity Score-based Analysis.Progress in rehabilitation medicine · 2021Article
- FOREARM POSITION MATTERS DURING ECCENTRIC SHOULDER EXERCISES: AN EMG RECRUITMENT STUDY WITH IMPLICATIONS FOR REHABILITATION.International journal of sports physical therapy · 2020Article
- FLYWHEEL TRAINING IN MUSCULOSKELETAL REHABILITATION: A CLINICAL COMMENTARY.International journal of sports physical therapy · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS. PURPOSE: To compare outcomes, for individuals diagnosed with SAPS, performing a 6-week protocol of eccentric training of the shoulder external rotators (ETER) compared to a general exercise (GE) protocol. STUDY
designRandomized controlled trial.
methodsForty-eight individuals (mean age 46.8 years + /-17.29) with chronic shoulder pain, and a clinical diagnosis of SAPS were randomized into either an experimental group performing ETER or a control group performing a GE program. The intervention lasted for six weeks, and outcomes were measured after three weeks, six weeks, and again at six months post intervention.
resultsThe primary outcome of function, measured by the Western Ontario Rotator Cuff Index, demonstrated a significant interaction effect derived from a multilevel hierarchical model accounting for repeated measures favoring the experimental group at week 3: 14.65 (p=.003), Week 6: 17.04 (p<.001) and six months: 15.12 (p=.007). After six months, secondary outcome measures were improved for Numeric Pain Rating Scale levels representing pain at worst (p=.006) and pain on average (p=0.02), external rotator (p<.001), internal rotator (p=0.02), and abductor strength (p<.001). There were no statistically significant differences in secondary outcome measures of Global Rating of Change, Active Range of Motion, the Upper Quarter Y Balance Test and strength ratios after six months.
conclusionAn eccentric program targeting the external rotators was superior to a general exercise program for strength, pain, and function after six months. The findings suggest eccentric training may be efficacious to improve self-report function and strength for those with SAPS. LEVEL OF EVIDENCE: 2b.
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