Effects of Exercise Trainings on Pain, Function and AHD in Patients With SPS

Not Applicable

Completed

• Conditions: Subacromial Impingement Syndrome
• Interventions: Other: Scapula Retraction Exercise Group; Other: Scapula Retraction +Glenohumeral Rotational Exercise Group

• Registration Number: NCT03494192
• Lead Sponsor: Hacettepe University

Brief Summary

Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the aetiology of subacromial pain syndrome. Maintenance of the AHD is crucial for prevention and rehabilitation of rotator cuff related disorders.

The development of a rehabilitation treatment plan is based in part on the assessment of scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be based on the identified impairments.

The aim of this study is to investigate the effect of utilizing scapula retraction exercises with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a scapular stabilization program on functionality, pain and AHD in patients with SPS and compare with health population.

Detailed Description

Coordinated motion between the humerus and scapula is required for pain-free arm movement. Rotator cuff and scapulothoracic muscles dynamically control the subacromial space or acromiohumeral distance (AHD).Scapulothoracic muscles need to provide stability and control in a synchronized fashion to facilitate normal scapulohumeral movement. Scapular upward rotation and posterior tilt is essential to maintain the AHD.Therefore, the force couple function of the rotator cuff muscles play an critical role in opposing the superior migration force that is generated by deltoid muscle and, to maintenance the subacromial space.

Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the aetiology of subacromial impingement syndrome. Maintenance of the AHD is crucial for prevention and rehabilitation of rotator cuff related disorders.

The development of a rehabilitation treatment plan is based in part on the assessment of scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be based on the identified impairments.

he aim of this study is to investigate the effect of utilizing scapula retraction exercises with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a scapular stabilization program on functionality, pain and AHD in patients with SPS and compare with health population.

Study Timeline

• Study First Submitted: 2018-03-27
• Study First Submitted QC: 2018-04-09
• Study First Posted: 2018-04-11
• Study Start: 2018-08-01
• Primary Completion: 2020-08-15
• Study Completion: 2021-02-15
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-20
• Last Update Posted: 2022-02-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• painful arc of movement during flexion or abduction;
• positive Neer or Kennedy-Hawkins impingement signs
• pain on resisted lateral rotation, abduction or empty can test.

Exclusion Criteria

• previous shoulder surgery;
• shoulder pain reproduced by neck movement;
• clinical signs of full-thickness RC tears; or
• shoulder capsulitis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
scapula retraction exercise group	Scapula Retraction Exercise Group	* Manual Therapy * Stretching Exercises * Exercise training focus on scapulothoracic muscles will be applied two times per week total 12 week After 12 week follow-up, patients will proceed to reduced exercise program until the 6-month follow-up.
Scapula Retraction +Glenohumeral Rotational Exercise Group	Scapula Retraction +Glenohumeral Rotational Exercise Group	* Manual Therapy * Stretching Exercises * Exercise training focus on scapulothoracic muscles * Exercise training focus on rotator cuff muscles will be applied two times per week total 12 week After 12 week follow-up, patients will proceed to reduced exercise program until the 6-month follow-up.

Primary Outcome Measures

Name	Time	Method
Functional Level	ffrom baseline to twelve week after treatment sessions	Functional level will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline, at the end of the 12-week treatment sessions and 6-month follow-up.

Trial Locations

Locations (1)

Hacettepe University, Faculty of Health Sciences, Dept. of Physiotherapy and Rehabilitation; 🇹🇷 Ankara, Turkey