MedPath

Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement

Not Applicable
Completed
Conditions
Subacromial Impingement Syndrome
Registration Number
NCT01753271
Lead Sponsor
High Point University
Brief Summary

Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement.

Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • To be eligible, participants must meet the clinical prediction rule for unilateral subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement sign, b) positive painful arc sign, and c) weakness in external rotation with the arm at the side
Exclusion Criteria
  • Individuals with contraindications to treatment with mobilization and manipulation (Appendix A) will be excluded

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Shoulder Pain and Disability Index Change over time2 weeks, 4 weeks, discharge

Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks

Secondary Outcome Measures
NameTimeMethod
Numeric Pain Rating Scale change over time2 weeks, 4 weeks, discharge

Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks

Fear Avoidance Beliefs Questionnaire change over time2 weeks, 4 weeks, discharge

Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks

Trial Locations

Locations (3)

University of Illinois at Chicago

🇺🇸

Chicago, Illinois, United States

Physical Therapy Services

🇺🇸

Elizabethton, Tennessee, United States

East Tennessee State University

🇺🇸

Johnson City, Tennessee, United States

University of Illinois at Chicago
🇺🇸Chicago, Illinois, United States
© Copyright 2025. All Rights Reserved by MedPath