The effect of progressive muscle relaxation training on pain, sleep quality and disability in individuals with subacromial pain syndrome

Not Applicable

Recruiting

Conditions: Subacromial pain syndrome.
Impingement syndrome of shoulder
M75.4

Registration Number: IRCT20240506061674N1

Lead Sponsor: Iran University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 38

Inclusion Criteria

Age between 25 and 60 years
Shoulder pain for more than 1 month with or without limitation of shoulder movements
People with the diagnosis of subacromial shoulder pain syndrome who are positive for at least 2 of the following: painful arch (with or without limitation) in flexion or abduction (between 60 and 120 degrees), positive Neer or Hawkins test, pain during resistance contraction of external rotation, abduction
Average intensity of night pain and discomfort in the last week at least 2 according to the NRPS scale

Exclusion Criteria

Movement limitation of shoulder movements more than 50% of the normal range
History of surgery or fracture or dislocation in the neck and upper limbs
Traumatic shoulder pain
Complete rupture of rotator cuff or biceps tendon
Joint degenerative changes or labrum damage
History report of rheumatology and systemic diseases
Skeletal neuromuscular disorders such as cervical radiculopathy or referred pain from the neck, which is confirmed by the spurling test (52). The sensitivity of this test is 30% and its specificity is reported as 93%
pregnant women
history of steroid injection in the last 3 months
Joint capsule adhesion
History of receiving treatment or physiotherapy for shoulder problem during the last 6 months
Cognitive dysfunction (according to MMSE questionnaire)
The presence of neurological disorders such as stroke, epilepsy, and Parkinson's
severe spinal deformity
thoracic outlet syndrome

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain intensity during activity based on NRPS scale. Timepoint: At the beginning of the sessions and after the end of 8 treatment sessions. Method of measurement: Numeric pain rating scale.

Secondary Outcome Measures

Name	Time	Method
Sleep quality. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Persian version of Petersburg Sleep Quality Questionnaire (PSQI).;Night pain. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Numeric pain rating scale.;Disability. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Persian version of Arm, Shoulder and Hand Disability Questionnaire (DASH) and Pain, Shoulder and Disability Questionnaire (SPADI).