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Effects of Mulligan's Technique in Subjects With Shoulder Impingement Syndrome

Not Applicable
Completed
Conditions
Shoulder Impingement Syndrome
Interventions
Other: Mobilization with Movement (MWM) condition/ Sham condition
Other: Sham condition/ Mobilization with Movement (MWM) condition
Registration Number
NCT02463526
Lead Sponsor
Universidade Federal de Sao Carlos
Brief Summary

Participants will be initially assessed for their suitability for inclusion in the study and will undergo a physical screening of the affected shoulder and cervical spine by an experienced physiotherapist. After, participants will be attended 72 hours after data recording of the baseline measures (range of motion with a goniometer, pressure pain threshold with a algometer, and peak force with a dynamometer) for four sessions per week with 24 hours of interval between sessions. At each experimental week session, each participant will receive one of the two treatment conditions (MWM or sham) and then will repeats the assessment. In the following week, there will be a crossover condition of each individual and 24 hours after the last treatment session, the examiner will do the last assessment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • history of shoulder pain of >1-week duration, localized at the proximal anterolateral shoulder region consistent to Shoulder Impingement Syndrome (SIS);
  • at least 1 positive impingement test (Jobe's test, Neer's test, Hawkins-Kennedy's Test) associated with painful range of motion during arm elevation; or pain during external rotation with the arm in 90 degrees of elevation in the coronal plane.
Exclusion Criteria
  • fibromyalgia (based on self-report),pregnancy, a history of onset of symptoms because of traumatic injury, other histories of shoulder injury, torn tendons, ligamentous laxity based on positive Sulcus test and apprehension test, numbness or tingling in the upper extremity, previous shoulder or neck surgery, systemic illnesses, body mass index > 28kg/m2, corticosteroid injection 3 months before evaluation, physical therapy 3 months before evaluation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Group 1 - MWM condition/Sham conditionMobilization with Movement (MWM) condition/ Sham conditionSubjects will receive treatment for 4 times with Mulligan's Mobilization with Movement (MWM) condition, and after 72 hrs, will be treated 4 times with the sham condition.
Group 1 - MWM condition/Sham conditionSham condition/ Mobilization with Movement (MWM) conditionSubjects will receive treatment for 4 times with Mulligan's Mobilization with Movement (MWM) condition, and after 72 hrs, will be treated 4 times with the sham condition.
Group 2 - Sham condition/MWM conditionMobilization with Movement (MWM) condition/ Sham conditionSubjects will receive treatment for 4 times with sham condition, and after 72 hrs, will be treated 4 times with the Mulligan's Mobilization with Movement (MWM) condition.
Group 2 - Sham condition/MWM conditionSham condition/ Mobilization with Movement (MWM) conditionSubjects will receive treatment for 4 times with sham condition, and after 72 hrs, will be treated 4 times with the Mulligan's Mobilization with Movement (MWM) condition.
Primary Outcome Measures
NameTimeMethod
Pressure Pain Threshold72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.

The pressure pain threshold will be assessed with a algometer and the unit of measure is the kilogram per square centimeter.

Secondary Outcome Measures
NameTimeMethod
Peak Force72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.

The Peak Force will be assessed with a handheld dynamometer and the unit of measure is the kilogram.

Range of Motion72 hours before the treatment starts, 24 hours after the last MWM or Shaw treatment, and 24 hours after the last treatment.

The range of motion will be assessed with a goniometer and the unit of measure is the degree

Trial Locations

Locations (1)

UFSCar

🇧🇷

São Carlos, São Paulo, Brazil

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