The Effectiveness of Graded Motor Imagery Training in Patients With Shoulder Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Pain intensity
研究概览
简要总结
The aim of this study is to investigate the effects of Graded Motor Imagery (GMI) training on pain, functionality, disability and daily living activities in patients diagnosed with Shoulder Impingement Syndrome.
详细描述
In this study 42 voluntary patients with Shoulder Impingement Syndrome, aged between 25-65 years will be randomly divided into two groups; group1: "GMI + Conventional Physiotherapy", group 2: "Conventional Physiotherapy".
All participants will receive treatment with a physiotherapist three times a week for six-weeks (18 sessions). At the end of the 6th week, it will be followed regularly with a six-week home exercise program. It will be evaluated by a physiotherapist three times in total (before treatment, at the end of six-weeks of treatment and after six-weeks of follow-up). In addition, all patients will undergo an interim evaluation in terms of primary outcome measures (VAS and DASH score) at week three. The shoulder pain on activity, at rest and at night will be assessed with Visual Analog Scale (VAS), Joint Range of Motion (ROM) will be measured with digital goniometer, strength of shoulder flexor, abductor, external and internal rotator muscles will be assessed with digital dynamometer, functional status will be evaluated with Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, functional status of the hand will be evaluated with Jebsen-Taylor Hand Function Test (JTHFT), lateralization evaluation will be assessed with the Recognise™ application (Shoulder and Hand), and motor imagery will be evaluated with the Kinesthetic and Visual Imagery Questionnair (KVIQ). Patient satisfaction will be evaluated by the Global Rating of Change scale.
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
- Single (Participant)
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged between 25-65 years old,
- •Having been diagnosed with Shoulder Impingement Syndrome by physical examination and MRI as a result of shoulder pain lasting at least 3 months,
- •Presence of a painful arc between 60° and 120° in shoulder flexion / abduction (elevation) movements,
- •The Standardized Mini Mental Test result must be at least 24 points,
- •Not having seen imagery practice before,
排除标准
- •Having severe mental and communication problems,
- •Having undergone surgical treatment on the same upper extremity,
- •Presence of acute trauma, peripheral nervous system lesion, fracture or complete tendon rupture in the affected shoulder,
- •Presence of other pathologies such as adhesive capsulitis of the shoulder joint complex and glenohumeral instability,
- •Presence of radiotherapy history on the same side as the affected shoulder,
- •Presence of congenital deformity,
- •Symptomatic cervical spine pathology,
- •Presence of other neurological or rheumatological disorders affecting upper motor function,
- •Having any chronic disease that would prevent participation in the treatment program,
- •Having attended a physiotherapy program within the last month.
结局指标
主要结局
Pain intensity
时间窗: Baseline, Interim evaluation (At the end of the 3rd week), After the six-week intervention, After six-weeks of follow-up
Pain intensity will be assessed with Visual Analog Scale (VAS). The VAS is usually a horizontal line, 10 cm in length, anchored by word descriptors at each end with "No Pain" (score of zero) on the left side up to "pain as bad as it could be" or the "worst imaginable pain" (Score of 100 \[100-mm scale\]) on the right side.The patient will be asked to mark the line point that represented his or her current pain.
Functional Status
时间窗: Baseline, Interim evaluation (At the end of the 3rd week), After the six-week intervention, After six-weeks of follow-up
The disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used in shoulder functional status evaluation. The DASH consists mainly of a 30-item disability/symptom scale, scored 0 (no disability) to 100. 21 of the questions of the survey question the ability to perform functional activities, 5 question the pain, and 4 question the psychosocial effects of the disease. Each question is scored using a 5-point Likert scale ranging from 1 to 5 (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: not at all). Higher scores indicate better functional status.
次要结局
- Isometric Muscle Strength(Baseline, After the six-week intervention, After six-weeks of follow-up)
- Functional Status Of the Hand(Baseline, After the six-week intervention, After six-weeks of follow-up)
- Active Range Of Motion (AROM)(Baseline, After the six-week intervention, After six-weeks of follow-up)
- Left/right discrimination (Lateralization)(Baseline, After the six-week intervention, After six-weeks of follow-up)
- Global Rating of Change scale (Patient Satisfaction)(After the six-week intervention)
- Kinesthetic and Visual Imagery Questionnaire (KVIQ)(Baseline, After the six-week intervention, After six-weeks of follow-up)