Physiotherapy treatment of shoulder pain in sports persons

Active, not recruiting

• Conditions: shoulder impingement syndrome(athletes)

• Registration Number: CTRI/2018/05/013892
• Lead Sponsor: centre for physiotherapy and rehabilitation sciences

Brief Summary

This study is a randomised , single blinded , parallel group,to ascertain the effects of physiotherapeutic management on the shoulder impingement syndrome in overhead athletes.the overhead athletes are being recruited from university teams of jamia millia islamia , new delhi .the study is being conducted at centre for physiotherapy and rehabiitation sciences , jamia millia islamia .the primary outcome measures will be EMG recordings of %MVIC,Latency timimg and isometric muscle strength .the secondary outcomes will be SPADI Scale/Qol  and AHD(acromiohumeral distance) measurement by ultrasound.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-08-04
• Last Update Posted: 2018-09-05

Recruitment & Eligibility

• Status: Closed to Recruitment of Participants
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

• Participants who satisfy the following criteria will be recruited to participate 1) Age between 17-35 years 2) Overhead athletes playing competitive sports like volleyball , tennis ,baseball , cricket , swimming , badminton , basketball for at least 6 hours a week .
• 3. The following diagnostic criteria was used as used in previous studies 8 Patients were included in the impingement group if they had at least two of the following five criteria, a) Positive Neer sign, reproduction of pain when the examiner passively flexed the humerus to end range with overpressure; b) Positive Hawkins sign, reproduction of pain when the shoulder was passively placed in 90° of forward flexion and internally rotated to end range.
• c) Positive Jobe’s sign, reproduction of pain and lack of force production with isometric elevation in the scapular plane in internal rotation (empty can); d) Pain with apprehension, reproduction of pain when an anteriorly directed force was applied to the proximal humerus in the position of 90° of abduction and 90° of external rotation e) Positive relocation, reduction of pain after a positive apprehension test when a posteriorly directed force was applied to the proximal humerus in the position of 90° of abduction and 90° of external rotation No subjects will be included in the study based on last 2 criteria alone.
• 4. Duration of shoulder impingement for at least 1 month.
• 5. Pain rating on VAS of less than or equal to 7/10.
• 6. Willing to commit to a 8 week supervised physiotherapy program.

Exclusion Criteria

• 1)Subjects who had dislocation in the same or opposite shoulder priorly.
• 2)Subjects who have isolated AC Joint pathology which is reproduced with AC joint palpation.
• 3)Symptoms from cervical spine ie radiculopathy.
• 4)Subjects currently on medication like NSAIDs or received steroid injection in past 12 months etc.
• 5)Subjects with prior shoulder surgery on symptomatic side.
• 6)Full thickness rotator cuff tear evidenced by drop test.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.EMG RECORDING-%MVIC	basline | 4th week | 8th week
2.EMG RECORDING- Muscle latency timing	basline | 4th week | 8th week
3.Isometric muscle strength by hand held dynamaometer	basline | 4th week | 8th week

Secondary Outcome Measures

Name	Time	Method
1.SPADI scale /QoL questionnaire	2.AHD(acromiohumeral distance) measurement by ultrasound .

Trial Locations

Locations (1)

Jamia millia islamia; 🇮🇳 South, DELHI, India

Jamia millia islamia

🇮🇳South, DELHI, India

Prof Ejaz Hussain

Principal investigator

9899339816

ehusain@jmi.ac.in