Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Not Applicable

Recruiting

• Conditions: Shoulder Impingement Syndrome; Shoulder Pain
• Interventions: Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises; Behavioral: Conventional physical therapy

• Registration Number: NCT05892250
• Lead Sponsor: Universidad de Antofagasta

Brief Summary

Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-03-06
• Study First Submitted: 2023-05-18
• Study First Submitted QC: 2023-05-27
• Study First Posted: 2023-06-07
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-12
• Last Update Posted: 2024-01-16
• Primary Completion: 2025-07-24
• Study Completion: 2025-12-18

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Older than 18 years old and less than 60 years old.
• Pain in the lateral and upper arm region for more than two weeks of evolution.
• At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch.

Exclusion Criteria

• Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia.
• Cervical or thoracic pain.
• Fracture or surgery in the shoulder region or in the last 6 months.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group	Conventional physical therapy + Dynamic Humeral Centering exercises	Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises
Control group	Conventional physical therapy	Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise

Primary Outcome Measures

Name	Time	Method
Subacromial space dimensions	baseline	Ultrasonography measure of coracohumeral and acromiohumeral distances

Secondary Outcome Measures

Name	Time	Method
Pain intensity	baseline	Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest
Range of motion	baseline	Active and passive range of motion in coronal, sagital and transverse planes
Shoulder Pain and Disability Index	baseline	Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)
Muscular endurance	baseline	Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane

Trial Locations

Locations (1)

Universidad de Antofagasta; 🇨🇱 Antofagasta, Chile