Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome
• Interventions: Other: thoracic mobilization & shoulder mobilization & exercise; Other: shoulder mobilization & exercise

• 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

Study Timeline

• Study Start: 2012-09
• Study First Submitted: 2012-12-11
• Study First Submitted QC: 2012-12-19
• Study First Posted: 2012-12-20
• Primary Completion: 2015-06
• Status Verified: 2015-08
• Last Update Submitted: 2015-08-19
• Last Update Posted: 2015-08-20

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

Arm && Interventions

Group	Intervention	Description
Thoracic Mobilization	thoracic mobilization & shoulder mobilization & exercise	thoracic mobilization in addition to shoulder mobilization plus exercise
Thoracic Mobilization	shoulder mobilization & exercise	thoracic mobilization in addition to shoulder mobilization plus exercise
exercise only	shoulder mobilization & exercise	shoulder mobilization plus exercise alone

Primary Outcome Measures

Name	Time	Method
Shoulder Pain and Disability Index Change over time	2 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

Name	Time	Method
Numeric Pain Rating Scale change over time	2 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 time	2 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)

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