Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Pain intensity
Study Overview
Brief Summary
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Being over 18 years of age
- •Diagnosed with Subacromial Impingement
- •Not having received any treatment for shoulder problems in the last 6 months
- •The pain has been continuing for 3 months
- •Initial pain must be 4 or higher on the Visual Analog Scale (VAS)
Exclusion Criteria
- •History of surgery in the shoulder, cervical and thoracic region
- •Having a shoulder problem such as a frozen shoulder or instability
- •Full-thickness rotator cuff tear
- •Having systemic musculoskeletal disease
- •Having systemic rheumatic disease
- •History of upper extremity fracture
- •Diagnosed with scoliosis
- •Have neurological problems
Arms & Interventions
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
Intervention: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
Intervention: shoulder mobilization (Other)
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
Intervention: neck mobilization (Other)
Conventional treatment group
Hot packs, TENS, ultrasound, and exercise
Intervention: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder mobilization
Intervention: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder mobilization
Intervention: shoulder mobilization (Other)
Outcomes
Primary Outcomes
Pain intensity
Time Frame: through study completion, an average of 1 year
Pain intensity will be evaluated with VAS. VAS is a valid and reliable self-report scale consisting of a 10 cm long horizontal line, with scores ranging from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to report the maximum pain they experienced in the last 24 hours. A change of 1.5 points is considered a minimal clinically important difference (MCID) for the VAS.
Secondary Outcomes
- The Arm, Shoulder and Hand Problems (DASH) Questionnaire(through study completion, an average of 1 year)
- Painful arch assessment(through study completion, an average of 1 year)
- Painless range of motion assessment(through study completion, an average of 1 year)
- Pressure-pain Threshold Assessment(through study completion, an average of 1 year)
- Evaluation of Tactile Sensory Acuity(through study completion, an average of 1 year)