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