Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome
- Conditions
- Subacromial Impingement Syndrome
- Interventions
- Procedure: Exercise Training (ET)Procedure: Neuromuscular Electrical Stimulation (NMES)
- Registration Number
- NCT04667273
- Lead Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Brief Summary
Subacromial Impingement Syndrome (SIS) is one of the musculoskeletal system problems. SIS, which is the most common cause of shoulder pain, constitutes 44-65% of complaints of shoulder pain. Studies have shown that exercise is effective in treating patients with SIS, but the effectiveness and superiority of Neuromuscular Electrical Stimulation (NMES) to each other is uncertain. NMES is widely applied in physiotherapy. In the SIS, the lower trapezius and serratus anterior muscle are affected. Therefore, our aim is to determine the effects of exercises and NMES used in patients with SIS on pain, range of motion (ROM), muscle strength and functional status, neck pain and sleep quality.
- Detailed Description
The aim of this study investigate exercise training (ET) and ET combined with Neuromuscular Electrical Stimulation (NMES) on pain, range of motion (ROM), functional capacity, neck pain, sleep quality. The study will be included 48 volunteers with Subacromial Impingement Syndrome (SIS). The study's inclusion criteria are as follows: Having a diagnosis of subacute / chronic extrinsic SIS, 18 to 65 years of age and being volunteer. The exclusion criteria are as follows: Fracture or surgical history in the shoulder region, another diagnosis that can affect shoulder function, having received local corticosteroid injection / treatment in the shoulder joint within the last 3 months, neuromuscular disease, pregnancy, cancer, unstabil angina, communication problems, systemic inflammatory joint disease, situations where electrical stimulation and exercise are contraindicated, orthopedic, rheumatologic or congenital disease of the affected upper extremity. The sociodemographic data of the patients will be questioned. ET will be applied daily and NMES will be applied 2 days a week for 8 weeks. In addition, both groups will apply these exercises as a home program 3 times a day, 10 repetitions of each exercise. Pain intensity with Visual Analog Scale (VAS), range of motion (ROM) with goniometer, muscle strength with Hand-held Dynamometer, upper extremity function evaluation with Quick Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire, disability of neck level with Neck Disability Index, sleep quality with Pittsburgh Sleep Quality Index will be evaluated before and after treatment. All parameters will be compared between ET and ET+NMES group.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 48
- Having a diagnosis of subacute / chronic extrinsic SIS
- 18 to 65 years of age
- Being volunteer
- Fracture or surgical history in the shoulder region
- Another diagnosis that can affect shoulder function
- Having received local corticosteroid injection / treatment in the shoulder joint within the last 3 months
- Neuromuscular disease
- Pregnancy
- Cancer
- Unstabil angina
- Communication problems
- Systemic inflammatory joint disease
- Situations where electrical stimulation and exercise are contraindicated
- Orthopedic, rheumatologic or congenital disease of the affected upper extremity
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Exercise Training (ET) group Exercise Training (ET) volunteer patients with Subacromial Impingement Syndrome Exercise Training (ET) + Neuromuscular Electrical Stimulation (NMES) group Neuromuscular Electrical Stimulation (NMES) volunteer patients with Subacromial Impingement Syndrome Exercise Training (ET) + Neuromuscular Electrical Stimulation (NMES) group Exercise Training (ET) volunteer patients with Subacromial Impingement Syndrome
- Primary Outcome Measures
Name Time Method Disability Arm Shoulder Hand Questionnaire (DASH) 8 weeks The DASH questionnaire is a region-specific, self-report scale to evaluate health status of upper extremity disabilities.
- Secondary Outcome Measures
Name Time Method Pittsburgh Sleep Quality Scale 8 weeks The Pittsburgh Sleep Quality Scale will be applied to evaluate the sleep quality of the patients. With this scale, both the sleep quality of the patient is evaluated and whether there is a problem with daytime sleepiness is reviewed. In this evaluation; Subjective sleep quality, time to fall asleep, sleep duration, sleep quality, conditions that affect sleep, sleep substance use and daytime sleepiness are evaluated. Each area of the scale is calculated with scores ranging from 0 to 3, high scores indicate poor sleep quality. The total value in this test is a score between 0-21. Its Turkish validity and reliability were made in 1996 by Ağargün et al.
Goniometer 8 weeks Shoulder flexion, abduction, internal rotation, and external rotation, ROM will be measured by a universal goniometer.
Neck Disability Index 8 weeks Pain related disability will be evaluated using the Turkish version of the Neck Disability Index. This questionnaire consists of 10 questions, each scored between 0 and 5. The final score of the questionnaire is obtained by adding the scores from each question. Disability levels of the patients are as follows: "no disability" (0-4), "mild disability" (5 14), "moderate disability" (15-24), "severe disability" (25 -34) and "complete disability".
Visual Analog Scale (VAS) 8 weeks The VAS is used for which a patient is asked to indicate his/her perceived pain during the rest, activity and night times. Respondents will mark the location on the 10-centimeter (cm) line corresponding to the amount of pain they experienced.
Digital hand-held dynamometer 8 weeks Shoulder flexion, extension, abduction, adduction, internal and external muscle strength measurements will be evaluated with a digital hand-held dynamometer called "Lafayette-Manual Muscle Tester". Before taking measurements, a few trials will be made by informing. Then the individual will be positioned according to the muscle to be tested, the device will be placed in the appropriate area of the muscle whose strength is to be measured, and the individual will be asked to maintain the specified position for each muscle. The evaluation is repeated twice and the value when the position starts to deteriorate will be recorded in newton as the result measurement.
Trial Locations
- Locations (1)
Istanbul University
🇹🇷Istanbul, Turkey