Article

SELF Study - OBJECTIVES: To evaluate the clinical effectiveness of a self-managed single
exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy. DESIGN: Multi-centre pragmatic unblinded parallel group randomised
controlled trial. SETTING:
UK National Health Service. PARTICIPANTS: Patients
with a clinical diagnosis of rotator cuff tendinopathy. INTERVENTIONS: The
intervention was a programme of self-managed exercise prescribed by a
physiotherapist in relation to the most symptomatic shoulder movement. The
control group received usual physiotherapy treatment. MAIN OUTCOME MEASURES: The
primary outcome measure was the Shoulder Pain & Disability Index (SPADI) at three
months. Secondary outcomes included the SPADI at six and twelve months. RESULTS:
A total of 86 patients (self-managed loaded exercise n=42; usual physiotherapy
n=44) were randomised. Twenty-six patients were excluded from the analysis
because of lack of primary outcome data at the 3 months follow-up, leaving 60
(n=27; n=33) patients for intention to treat analysis. For the primary outcome,
the mean SPADI score at three months was 32.4 (SD 20.2) for the self-managed
group, and 30.7 (SD 19.7) for the usual physiotherapy treatment group; mean
difference adjusted for baseline score: 3.2 (95% Confidence interval -6.0 to
+12.4 P = 0.49).By six and twelve months there remained no significant difference
between the groups. CONCLUSIONS: This study does not provide sufficient evidence
of superiority of one intervention over the other in the short-, mid- or
long-term and hence a self-management programme based around a single exercise
appears comparable to usual physiotherapy treatment.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS