Effects of Abdominal Drawing-In Maneuver With Cross-Pattern Limb Exercises on Pain, Disability, and Range of Motion in Shoulder Impingement Syndrome.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- NPRS
研究概览
简要总结
SUMMARY :
Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint).
Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome.
Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with age group 30-50
- •Both male and females
- •Positive Neer's sign, positive Hawkins Kennedy sign, ,
- •Pain with positive painful arc. Pain with resisted isometric abduction
排除标准
- •History of shoulder dislocation
- •Patients underwent any shoulder joint surgery.
- •Fracture of upper limb.
- •Patient who has current symptoms related to the cervical spine,
- •Patient who has a history of acromioclavicular pain
- •Patient having history low back pain 7Corticosteroid injection into the shoulder joint in the previous 12 months
研究组 & 干预措施
Experimental group with abdominal Drawing in maneuvour with cross pattern limb exercises
Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session. The intervention plan will be given as follows:
- Abdominal drawing-in with alternating upper extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate upper extremity upwards.
- Abdominal drawing-in with alternating lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate lower extremity upward and downwards
- Abdominal drawing-in with alternating upper and lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and move alternate upper and lower extremity upward and downwards.
- Opposite arm leg raises in prone position
- Bridge exercise
- Wall climbing,
- Wand exercises,
- Shoulder ROMS,
- Prone arm elevation,
- Cross-Chest Stretch
- Pendulum Exercises
干预措施: Abdominal Drawing Inn maneuver with cross pattern limb exercises (Other)
Conventional Study group
Half of the particpants will be treated with only shoulder conventional exercises. Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session.
Following exercises will be performed in control group:
- Wall climbing,
- Wand exercises,
- Shoulder ROMS,
- Prone arm elevation,
- Cross-Chest Stretch Pendulum Exercises
干预措施: Shoulder Exercises (Other)
结局指标
主要结局
NPRS
时间窗: The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks
It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain.
Shoulder Pain and Disability Index
时间窗: The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks
SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points.
Goniometry
时间窗: Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks.
Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer.
次要结局
未报告次要终点
研究者
Ishrat Fatima
Dr. Ishrat Fatima PT
Superior University