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Effect of adding high-intensity strengthening exercises to conventional physiotherapy in athletes with shoulder impingement syndrome: A randomized controlled trial

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dc.contributor.authorFayaz, Nadia Abdelazeem
dc.contributor.authorAmr, Mohamed
dc.contributor.authorAboelwafa, Nagwa
dc.contributor.authorIbrahim, Mona Mohamed
dc.contributor.authorGamiel, Abdallah
dc.contributor.departmentSin departamento asociado
dc.date.accessioned2026-02-09T14:16:23Z
dc.date.available2026-02-09T14:16:23Z
dc.date.issued2025
dc.description.abstractThis study aimed to investigate the effect of adding high-intensity strengthening exercises (HISE) to the conventional physiotherapy program in athletes with shoulder impingement syndrome (SIS). Thirty-two athletes with SIS were randomly and equally assigned into two groups; HISE group (n=16) and conventional physiotherapy group (n=16). The HISE group received both HISE and conventional physiotherapy programs, while the conventional physiotherapy group received only the conventional physiotherapy program. Both groups received a total of 18 sessions at a rate of 3 sessions/week for six weeks. Outcome measures included shoulder function and performance, muscle strength of the external and internal rotators and supraspinatus, acromio-humeral distance at 0° and 90° abduction, and supraspinatus tendon thickness. There was a significant improvement in shoulder performance (p=0.029), shoulder muscle strength of external rotators at 0 abduction (p<0.001) and at 90-90 abduction/external rotation (p<0.001), internal rotators at 0 abduction (p=0.001) and at 90-90 abduction/external rotation (p=0.001), and supraspinatus muscle (p<0.001), acromio-humeral distance at 0 (p=0.031) and 90 degrees of active abduction (p<0.001), and supraspinatus tendon thickness (p=0.009) in the HISE group compared to the conventional physiotherapy group post-treatment. However, no significant difference was observed in shoulder function (p=0.259). It could be concluded that the addition of supervised progressive HISE to the conventional physiotherapy in SIS in athletes improves shoulder performance, muscle strength, acromio-humeral distance, and supraspinatus tendon thickness.
dc.formatapplication/pdf
dc.format.extent17
dc.identifier.citationSPORT TK. Year 2025. Volume 14. Article 164.
dc.identifier.doihttps://doi.org/10.6018/sportk.695421
dc.identifier.eissn2340-8812
dc.identifier.urihttp://hdl.handle.net/10201/202361
dc.languageeng
dc.publisherServicio de Publicaciones. Universidad de Murcia
dc.relationSin financiación externa a la Universidad
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectPhysiotherapy
dc.subjectShoulder Impingement Syndrome
dc.subjectThrowing
dc.subjectOverhead Athlete
dc.subjectHigh-Intensity Strengthening Exercises
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleEffect of adding high-intensity strengthening exercises to conventional physiotherapy in athletes with shoulder impingement syndrome: A randomized controlled trial
dc.typeinfo:eu-repo/semantics/article
dspace.entity.typePublicationes
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