Short-term Effects of Thoracic Manipulation in Shoulder Impingement
- Conditions
- Shoulder Impingement Syndrome
- Interventions
- Procedure: Shoulder impingement_TSMProcedure: Asymptomatic_shamProcedure: Shoulder impingement_shamProcedure: Asymptomatic_TSM
- Registration Number
- NCT02083796
- Lead Sponsor
- Universidade Federal de Sao Carlos
- Brief Summary
The hypothesis of this study is that thoracic spine manipulation would reduce pain in subjects with SIS and cause changes in scapular kinematics and muscle activity in subjects with impingement symptoms and in asymptomatic subjects. With this study, the investigators want to answer if possible changes in scapular motion and muscle activity following a TSM depend on the symptoms or if it is generic to individuals without shoulder dysfunction and not specific to subjects with shoulder impingement.
- Detailed Description
Subjects with shoulder impingement signs will be evaluated and will be compared with subjects asymptomatic for shoulder symptoms. Both subjects will be randomly assigned to one of two intervention groups: thoracic spinal manipulation (TSM) or sham intervention. We want to know if possible changes in scapular motion and muscle activity following a TSM depend on the symptoms or if it is generic to everyone. Also, we want to know if TSM reduces shoulder pain immediately and in a short-therm period.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 110
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Shoulder impingement_TSM Shoulder impingement_TSM For the manipulation intervention, the subjects were in a seated position and a thrust technique was performed. If no cavitation was detected with the manipulation, the thrust was repeated up to 3 times. Asymptomatic_sham Asymptomatic_sham For the sham intervention, the subjects were positioned in the same seated position with the therapist holding the patient in the same position as for the thrust manipulation. In this position, the therapist applied all the same forces as done for a thrust-manipulation and held that position for a few seconds, but a thrust was not used. Shoulder impingement_sham Shoulder impingement_sham For the sham intervention, the subjects were positioned in the same seated position with the therapist holding the patient in the same position as for the thrust manipulation. In this position, the therapist applied all the same forces as done for a thrust-manipulation and held that position for a few seconds, but a thrust was not used. Asymptomatic_TSM Asymptomatic_TSM For the manipulation intervention, the subjects were in a seated position and a thrust technique was performed. If no cavitation was detected with the manipulation, the thrust was repeated up to 3 times
- Primary Outcome Measures
Name Time Method Change in scapular orientation from first to third day Day 1; day 2; day 3 3D scapular kinematic (upward/downward rotation; internal/external rotation; anterior/posterior tilt) was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once.
- Secondary Outcome Measures
Name Time Method Change in shoulder function from first to third day Day 1; Day 2; Day 3 Shoulder function was assessed at the beginning of each data collection day (days 1 to 3) using Disabilities of the Arm, Shoulder and Hand (DASH) and Western Ontario Rotator Cuff Index (WORC) questionnaires.
Change in scapular muscle activity from first to third day Day 1; Day 2; Day 3 3D scapular kinematic was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once.
Change in shoulder pain from first to third day Day 1; Day 2; Day 3 Shoulder pain was assessed pre- and-post thoracic spinal manipulation and sham interventions at first and second days. At the third day of evaluation the measure was assessed only once.
Trial Locations
- Locations (1)
Universidade Federal de São Carlos
🇧🇷São Carlos, São Paulo, Brazil