The Immediate Effects of First Rib Mobilization on Pain and Range of Motion in Patients With Shoulder Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Range of motion
研究概览
简要总结
The purpose of this clinical trial is to examine whether one session of a specific manual physical therapy technique, known as first rib mobilization, can lead to immediate improvements in pain and movement in individuals with shoulder pain. We hypothesize that this single treatment will result in reduced pain and increased ability to move the shoulder and neck. Researchers will compare first rib mobilization to a sham mobilization (a look-alike hands-on position that does not mobilize the first rib) to see if first rib mobilization works to immediately reduce pain and improve movement in patients with shoulder pain.
Participants will receive first rib mobilization or a sham mobilization during a single session of physical therapy and will receive pre and post intervention measurements of their pain levels and neck and shoulder range of motion.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and Women
- •Ages 18-75 years old
- •Attending physical therapy
- •Primary complaint of shoulder pain
- •Pain intensity >3/10 on the Numeric Pain Rating Scale (NPRS)
- •A Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick DASH) score greater than 16% impaired
排除标准
- •Previous shoulder or neck surgery
- •Clinical signs of a full rotator cuff tear (positive drop arm test)
- •Having positive MRI findings of a complete rotator cuff tear
- •Having a positive Spurling's test
- •Having a steroid injection in the cervical spine and/or shoulder in the last two months
- •Having any red flags (history of cancer, upper motor neuron disorder, fractures, osteoporosis, acute inflammatory process)
- •Expressing fear/anxiety related to receiving manual therapy treatment
研究组 & 干预措施
First Rib Mobilization Group
Participants in this arm will be randomly assigned to receive a first rib mobilization on their affected side of shoulder pain by a licensed physical therapist.
干预措施: First Rib Mobilization (Other)
Sham Mobilization
Participants in this arm will be randomly assigned to receive a sham mobilization to the region of the first rib on their affected side of shoulder pain by a licensed physical therapist.
干预措施: Sham Comparator (Other)
结局指标
主要结局
Range of motion
时间窗: Cervical and shoulder active range of motion will be assessed in participants in both groups at baseline and immediately following the intervention
Cervical and Shoulder active range of motion
Pain Intensity
时间窗: Change in pain intensity from baseline to immediately following intervention in both groups
Pain Intensity will be assessed via the Numeric Pain Rating Scale (NPRS). On this scale, zero is equivalent to no pain and 10 indicates the worst possible pain.
次要结局
- Global Rating of Change(This will be administered to participants in both groups immediately after intervention)