EFFECT OF NEUROMUSCULAR TRAINING ON SHOULDER FUNCTION

Not Applicable

• Conditions: NMT
• Interventions: Other: traditional training exerises; Other: NEUROMUSCULAR TRAINING EXERCISE

• Registration Number: NCT05039138
• Lead Sponsor: Cairo University

Brief Summary

This study will be conducted to compare the effect of neuromuscular training versus traditional strength training in terms of shoulder joint function, proprioception accuracy and isometric external and internal rotator muscles strength in patients with SIS, it will be conducted at the out-patient clinic of physical therapy in Pharos University in Alexandria, Egypt

Detailed Description

Double-blinded randomized controlled trial (patient and research assistant (the examiner of all patients) will be blinded).

Participants:

Thirty-four patients of both genders will be selected through non-probability sampling diagnosed as Neer's stage II SIS and their age range from 25-45 years will be randomly assigned to 1 of 2 groups. Each patient will sign an informed consent before starting the study (Appendix III).

Eligible patients will be recruited by physical therapist via referral from the treating orthopedic surgeon who will diagnose SIS based on clinical and radiological examination.

Group I (control): it includes 17 patients who will receive traditional strength training program.

Group II (experimental): it includes 17 patients who will receive upper extremity neuromuscular training exercises

Study Timeline

• Study First Submitted: 2021-09-01
• Study First Submitted QC: 2021-09-01
• Study First Posted: 2021-09-09
• Status Verified: 2021-12
• Last Update Submitted: 2021-12-15
• Last Update Posted: 2021-12-16
• Study Start: 2021-12-20
• Primary Completion: 2022-10-01
• Study Completion: 2022-12-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Patient age from 25-40 with a clinical diagnosis of Neer's stage II SIS (Consigliere et al., 2018).

Shoulder pain for at least three months (Heron et al., 2017) Painful arc of movement during flexion or abduction (Heron et al., 2017). Positive Neer's or Kennedy- Hawkins Test (Heron et al., 2017). Pain on resisted external rotation, abduction or Empty Can Test (Ager et al., 2019).

Exclusion Criteria

Symptoms of cervical radiculopathy. Diagnosed inflammatory disorder. Neurological disorder. Widespread pain condition. Evidence of complete RC tear (positive drop arm test). Previous surgery to the affected shoulder.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I (control)	traditional training exerises	: it includes 17 patients who will receive traditional strength training program.
Group II (experimental):	NEUROMUSCULAR TRAINING EXERCISE	it includes 17 patients who will receive upper extremity neuromuscular training exercises

Primary Outcome Measures

Name	Time	Method
SPADI (The Shoulder Pain and Disability Index)	6 weeks	It is a self-report questionnaire for shoulder function
Inclinometer	6 weeks	joint position sense
Hand held dynamometer	6 weeks	isometric muscle strength