Shoulder Eccentric External Rotator Training for Subacromial Pain Syndrome

Inclusion Criteria:

- Presence of non-acute shoulder pain (greater than 3 months duration)

- 3 out of the 6 following tests positive, Neer impingement, Hawkins-Kennedy
impingement, empty can test, resisted external rotation test, palpable tenderness at
the insertion of the supraspinatus or infraspinatus, and painful arc from 60° to 120°
during active abduction.

- Age over 18 years old

- Sufficient ability to read English as required for completing questionnaires

Exclusion Criteria:

- Red flags noted in the patient's Medical Screening Questionnaire (MSQ) (ie. tumor,
fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, prolonged history
of steroid use)

- Full thickness supraspinatus or infraspinatus tendon tear as determined by a positive
drop arm test, lag sign or rent test.

- Shoulder adhesive capsulitis as evidenced by a limitation in passive motion for all
shoulder planes of movement.

- Having an upper extremity amputation.

- Individuals having a history of surgery to the cervical spine or involved upper
extremity for a musculoskeletal, neurological or dermatological condition for which
they are at the time of data collection receiving post-operative care.

- Pending legal action regarding their shoulder pain

- Inability to comply with treatment and follow up schedule

- Insufficient English language skills to complete all questionnaires