Effects of Lower Limb Kinetic Chain Exercise to Shoulder Rehabilitation Program in Patients With Shoulder Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Electromyography to evaluate the activation patterns, timing and ratio of scapular muscles during movement
研究概览
简要总结
The goal of this clinical trial study is to investigate the effect of performing lower limb kinetic chain exercise on muscle activation of scapular muscle strength ratio in patients with shoulder impingement. the main question it aims to answer is:
Does the addition of lower limb kinetic chain exercise to a shoulder exercise program improve scapular muscles strength ratio in patients with shoulder impingement? participants will be devided into two groups to be compared: The first group will be given a rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula) The second group will be given the same exercises in addition to lower limb kinetic chain exercise
详细描述
The term "kinetic chain" (KC) describes the sequential activation of body segments during functional movement patterns (Wilk et al., 2016). An effective KC will produce, summate, and enable effective mechanical energy transmission along the entire chain, which will support function. Any link in the KC that is inefficient has the potential to adversely affect force transfer to nearby segments (Ben kibler et al., 2000 & Martic et al., 2014). Consequently, therapists usually recommend incorporating trunk and lower extremity movements into shoulder rehabilitation programs in order to maximize efficient energy transfer throughout the entire KC (Sciascia et al., 2012 & Magarey et al., 2003). Thus, the investigators hypothesize that adding a lower limb (LL) kinetic chain exercise to a shoulder exercise program will improve scapular muscles strength ratio.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranges between 20 and 45 years old
- •Unilateral shoulder pain lasting more than 6 weeks
- •At least one positive finding in each of these categories:
- •Painful arc of movement during flexion or abduction
- •Positive Neer or Hawkins-Kennedy impingement signs
- •Pain on resisted lateral rotation, abduction or Jobe test
排除标准
- •History of surgery
- •History of fracture or dislocation
- •Type III acromion
- •Rotator cuff tear
- •Long head of biceps tendon tear
- •Cervical radiculopathy
结局指标
主要结局
Electromyography to evaluate the activation patterns, timing and ratio of scapular muscles during movement
时间窗: baseline
EMG activity of the three trapezius parts (upper, middle and lower) and Serratus anterior will be evaluated. 1. Electrodes for registration of upper trapezius activity are placed halfway between the spinous process of C7 and the posterior acromion. 2. Electrodes for registration of middle trapezius activity are placed halfway on the horizontal line between the thoracic spine and the root of the scapular spine. 3. Electrodes for registration of Lower trapezius activity are placed obliquely upward and laterally along a line between the intersection of the scapular spine with the vertebral border of the scapula and the seventh thoracic spinous process. 4. Electrodes for registration of Serratus Anterior activity are applied anterior to the latissimus dorsi and posterior to the pectoralis major
次要结局
- Shoulder pain and disability Index(baseline)
研究者
Ahmed ElMelhat
the effect of lower limb kinetic chain exercise in shoulder impingement
Cairo University