Effectiveness of Pilates Exercise in Patients With Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Shoulder Pian
研究概览
简要总结
Subacromial Impingement Syndrome(SIS) is considered as one of the most common causes of shoulder pain, can be the source of considerable pain, disability and leads to limitations in activities of daily living.
This study aimed to investigate the effectiveness of the Pilates versus conventional treatment on shoulder pain, function, ROM and muscle strength in patients with SIS.
详细描述
Shoulder pain is the third most common chronic pain among musculoskeletal disorders, following low back pain and knee pain; it is usually characterized as non-traumatic complaints that arise from arm, neck and shoulder regions.
Approximately 50% of those experiencing shoulder pain have symptoms that indicate subacromial impingement syndrome (SIS) diagnosis; the prognosis varies widely; from pain to limited range of motion affecting their daily life activities: with about 40% of individuals suffer from pain one year later after their initial consulting with their primary care clinician.
The SIS is a painful condition that characterized by narrowing of the subacromial space that causes inflammation and degeneration of rotator cuff structures, resulting in pain during arm elevating.
Previous research identified many causes for the impingement such as poor posture, overuse or repetitive trauma, age-related changes, fatigue of the scapular and glenohumeral muscles, biomechanical alterations, neuromuscular adaptations, rotator cuff and deltoid muscle imbalances.
It leads to pain, disability, limited range of motion (ROM), loss of muscle strength, poor quality of life and sleep disturbances. There are many treatment approaches adopted for SIS such as conservative, pharmaceutical and surgical approach in severe cases.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 35 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female patients aged between 35-65 years old
- •Presence of shoulder pain for at least three months
- •Painful arc of movement during flexion or abduction or both
- •The patient will be diagnosed with SIS if the tests of the Neer, Empty Can, and Hawkins will be positive during the physical examination.
排除标准
- •History of any surgical procedure to the affected upper extremity (Heron et al., 2017 and).
- •History of trauma, fracture, instability and shoulder dislocation to the shoulder in less than 12 weeks previously (EDA et al., 2016).
- •History of presence of cervical symptoms (neck pain, numbness or tingling in the upper extremity) (Heron et al., 2017).
- •History of corticosteroid injection in the shoulder region in the last 6 months (Turgut et al., 2017).
- •None- cooperative participants or cognitive impairment (a communication problem) (EDA et al., 2016).
- •History of any systemic illness, reflex sympathetic dystrophy and related syndromes e.g. rheumatoid arthritis, ankylosing spondylitis, diagnosed by physician (Heron et al., 2017 and Turgut et al., 2017).
- •Passive limitation of range of movement, stiff shoulder and less than 90 active elevation (Heron et al., 2017 and EDA et al., 2016).
- •Evidence of complete rotator cuff tear (positive drop arm test) (Heron et al., 2017).
结局指标
主要结局
Shoulder Pian
时间窗: at baseline and after 6 weeks
measured using Numerical Pain scale It is a self-reported scale where the patient rates their pain on a numerical range, usually from 0 to 10; where the zero indicate less pain and 10 worst pain
shoulder function
时间窗: measured at baseline then after 6 weeks
measured by the Arabic version of the SPADI (Shoulder Pain and Disability Index) is a self-report questionnaire designed to assess shoulder pain and disability in outpatients. It consists of 13 items: a 5-item pain subscale and an 8 item disability subscale; it is widely used and available in multiple languages such as the Arabic version ;with higher values indicating greater severity.
shoulder function
时间窗: measured at baseline then after 6 weeks
measured by the Arabic version of the SPADI (Shoulder Pain and Disability Index) is a self-report questionnaire designed to assess shoulder pain and disability in outpatients. It consists of 13 items: a 5-item pain subscale and an 8 item disability subscale; it is widely used and available in multiple languages such as the Arabic version ;with higher values indicating greater severity.
Shoulder Pian
时间窗: at baseline and after 6 weeks
measured using Numerical Pain scale It is a self-reported scale where the patient rates their pain on a numerical range, usually from 0 to 10; where the zero indicate less pain and 10 worst pain
次要结局
- shoulder ROM(abduction and internal rotation)(measured at baseline and after 6 weeks)
- shoulder muscle strength(UT,MT,LT,SA,ER,IR)(measured at baseline and after 6 weeks)
研究者
Ahmed Muhamed Kamal Omar
principal investigator (Physical Therapist)
Cairo University