跳至主要内容
临床试验/CTRI/2018/05/013892
CTRI/2018/05/013892进行中(未招募)不适用

Physiotherapy management of shoulder impingement syndrome in overhead athletes :An EMG – evaluative study

centre for physiotherapy and rehabilitation sciences1 个研究点 分布在 1 个国家目标入组 76 人开始时间: 2014年8月4日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
76
试验地点
1
主要终点
1.EMG RECORDING-%MVIC

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Coin toss, Lottery, toss of dice, shuffling cards etc
盲法
Participant Blinded

入排标准

年龄范围
17.00 Year(s) 至 35.00 Year(s)(—)
性别
All

入选标准

  • 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 .
  • 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.
  • Duration of shoulder impingement for at least 1 month.
  • Pain rating on VAS of less than or equal to 7/
  • Willing to commit to a 8 week supervised physiotherapy program.

排除标准

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

结局指标

主要结局

1.EMG RECORDING-%MVIC

时间窗: basline | 4th week | 8th week

2.EMG RECORDING- Muscle latency timing

时间窗: basline | 4th week | 8th week

3.Isometric muscle strength by hand held dynamaometer

时间窗: basline | 4th week | 8th week

次要结局

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

研究者

发起方
centre for physiotherapy and rehabilitation sciences
申办方类型
Other [central university]

研究点 (1)

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