Subacromial Impingement Syndrome Functional Tests Correlation With Ultrasound Parameters

Recruiting

• Conditions: Subacromial Impingement Syndrome; Shoulder Bursitis; Shoulder Pain; Shoulder Tendinitis
• Interventions: Diagnostic Test: Shoulder functional tests and ultrasound

• Registration Number: NCT06384430
• Lead Sponsor: Muğla Sıtkı Koçman University

Brief Summary

In this study, among the patients who applied to the Physical Medicine and Rehabilitation outpatient clinic of Muğla Training and Research Hospital and were diagnosed with subacromial impingement by anamnesis and clinical tests, inclusion criteria) and exclusion criteria will be included in the study. Demographic data of the patients will then be recorded. DASH (Disabilities of the Arm, Shoulder and Hand) and Constant Murley scores will be calculated. 4 years of musculoskeletal ultrasound experience will be recorded by a radiologist using ultrasound (Siemens® V8, LA2-14A probe) in modified Crass position (positioning with the palm of the examined side on the posterior iliac wing) by measuring subacromial bursa thickness, supraspinatus tendon thickness, acromiohumeral distance, supraspinatus tendon thickness/acromiohumeral distance ratio. Demographic data of the patients will then be recorded. DASH (Disabilities of the Arm, Shoulder and Hand) and Constant Murley scores will be calculated.

Detailed Description

Subacromial impingement syndrome is a common shoulder pain disorder. In this study, among the patients who applied to the Physical Medicine and Rehabilitation outpatient clinic of Muğla Training and Research Hospital and were diagnosed with subacromial impingement by anamnesis and clinical tests, inclusion criteria (being between 18-70 years of age, positivity for subacromial impingement syndrome in clinical evaluation (Neer's test, Hawkins Kennedy, supraspinatus palpation test)) and exclusion criteria (under 18 years of age, over 70 years of age, rheumatologic disease diagnosis, symptomatic shoulder osteoarthritis, shoulder instability; shoulder pain in active, passive cervical spine movements, previous shoulder surgery, those with adhesive capsulitis findings (\>50% passive range of motion restriction in 2 planes or full-thickness rotator cuff tear detected on ultrasound), those who received physiotherapy or intra-articular injections in the last 3 months, those with type 2 diabetes or hypothyroidism) will be included in the study. Demographic data of the patients will then be recorded. DASH (Disabilities of the Arm, Shoulder and Hand) and Constant Murley scores will be calculated. 4 years of musculoskeletal ultrasound experience will be recorded by a radiologist using ultrasound (Siemens® V8, LA2-14A probe) in modified Crass position (positioning with the palm of the examined side on the posterior iliac wing) by measuring subacromial bursa thickness, supraspinatus tendon thickness, acromiohumeral distance, supraspinatus tendon thickness/acromiohumeral distance ratio. Demographic data of the patients will then be recorded. DASH (Disabilities of the Arm, Shoulder and Hand) and Constant Murley scores will be calculated.

Study Timeline

• Study Start: 2024-04-01
• Study First Submitted: 2024-04-22
• Study First Submitted QC: 2024-04-22
• Study First Posted: 2024-04-25
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-05
• Last Update Posted: 2024-05-07
• Primary Completion: 2024-08-31
• Study Completion: 2024-09-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

1. Being between 18-70 years old
2. Clinical evaluation positive for subacromial impingement syndrome (Neer's test, Hawkins Kennedy, supraspinatus palpation test)

Exclusion Criteria

1. Under 18, over 70 years of age
2. Those diagnosed with rheumatologic diseases
3. Those with symptomatic shoulder osteoarthritis
4. Those with shoulder instability
5. Shoulder pain in active, passive cervical spine movements
6. Previous shoulder surgery
7. Findings of adhesive capsulitis (>50% restriction of passive range of motion in 2 planes or detection of a full-thickness rotator cuff tear on ultrasound)
8. Physiotherapy or intra-articular injection in the last 3 months
9. Diagnosis of type 2 diabetes or hypothyroidism

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients with subacromial impingement syndrome	Shoulder functional tests and ultrasound	Patients with subacromial impingement syndrome: Being between 18-70 years old Clinical evaluation positive for subacromial impingement syndrome (Neer's test, Hawkins Kennedy, supraspinatus palpation test)

Primary Outcome Measures

Name	Time	Method
supraspinatus tendon thickness	1 day	supraspinatus tendon thickness measure
subacromial bursa thickness	1 day	subacromial bursa thickness measure
acromiohumeral distance	1 day	acromiohumeral distance measure

Trial Locations

Locations (1)

Mugla Egitim Arastima; 🇹🇷 Mugla, Turkey