Effects of Scapulothoracic Joint Mobilization With or Without Acromioclavicular Joint Mobilization in Patients With Sub-acromial Pain Syndrome
Overview
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating scale
Overview
Brief Summary
the study was conducted to find out the effects of scapulothoracic joint mobilization with or without acromioclavicular joint mobilization in patients with sub-acromial pain syndrome.
Detailed Description
the study was conducted to determine the effects on the pain, range of motion of shoulder joint and the SPADI score in patients with sub-acromial pain syndrome post intervention including scapulothoracic upward rotation, posterior tilting and outward rotation glide with or without combination of acromioclavicular inferior glide.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 25 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 25 - 40 years
- •Genders both male and female
- •Patients having unilateral non-traumatic shoulder pain
- •Patients having pain for ≥ 3 months
- •According to Dutch Orthopedic Association Clinical Practice Guidelines 2 out of following 3 tests should be positive i.e. Hawkin's kennedy test, Painful arc test, and Infraspinatus resistance test
- •Positive scapular assistance test
- •Positive AC joint scarf test
Exclusion Criteria
- •Patients having bilateral shoulder pain
- •Younger than 25 and older than 40 years
- •With positive drop arm test for supraspinatus tears
- •Degenerative joint disease of shoulder
- •Patients diagnosed with frozen shoulder
- •Having history of shoulder fracture and dislocation
- •Patients diagnosed with cervical radiculopathy (19)
- •Having history of shoulder or neck surgery (19)
- •Patients who had steroid injections in shoulder joint in the past 6 months
- •Patients having other neurological, orthopedic and systemic problems affecting the shoulder, neck and back
Arms & Interventions
Scapulothoracic joint mobilization with acromioclavicular joint mobilization
Intervention: Scapulothoracic joint mobilization (Other)
Scapulothoracic joint mobilization with acromioclavicular joint mobilization
Intervention: Acromioclavicular joint mobilization (Other)
Scapulothoracic joint mobilization with acromioclavicular joint mobilization
Intervention: Standard physiotherapy treatment (Other)
Scapulothoracic joint mobilization
Intervention: Scapulothoracic joint mobilization (Other)
Scapulothoracic joint mobilization
Intervention: Standard physiotherapy treatment (Other)
Outcomes
Primary Outcomes
Numeric Pain Rating scale
Time Frame: from enrolment to the end of 4 weeks of treatment
this scale is used to evaluate pain. it consists of 11 points from 0 to 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 moderate pain and 7-10 represents severe pain.
Shoulder Pain and Disability Index SPADI
Time Frame: from enrolment to the end of 4 weeks treatment
this questionnaire consisting of 13 items is used to assess the severity of pain and difficulty while performing daily life activities. two subscales for pain and disability. uses a visual Analog scale or Numeric rating scale for each item, resulting in scores from 0-100 for each sub-scale, with higher scores indicating more pain or disability.
Secondary Outcomes
- goniometer for shoulder flexion ROM(from enrolment to the end of 4 weeks treatment)
- Goniometer for shoulder extension ROM(from enrolment to the end of 4 weeks of treatment)
- Goniometer for shoulder abduction ROM(from enrolment to the end of 4 weeks treatment sessions)
- Goniometer for shoulder adduction ROM(from enrolment to the end of 4 weeks of treatment)
- Goniometer for shoulder external rotation ROM(from enrolment to the end of 4 weeks of treatment)
- goniometer for shoulder internal rotation ROM(from enrolment to the end of 4 weeks treatment)