Flexibility, Range of Motion and Strength Among Patients With Differing Response to the Scapular and Humeral Assistance Tests

• Conditions: Shoulder Pain

• Registration Number: NCT01956968
• Lead Sponsor: Meir Medical Center

Brief Summary

Shoulder pain may result from abnormal arm or shoulder blade (scapular) movement. These abnormal movements may result from a variety of flexibilty, motion or strength impairments. Therefore identifying any abnormal arm or scapular movement, as well as any impairments that are associated with them can help clinicians plan a proper management strategy for patients presenting with shoulder disorders. Our hypothesis is that specific impairments will be associated with abnormal arm movement, while other impairments will be associated with abnormal scapular movement among patients with shoulder pain.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2013-09-15
• Study First Submitted QC: 2013-09-30
• Study Start: 2013-10
• Study First Posted: 2013-10-08
• Status Verified: 2014-04
• Last Update Submitted: 2014-04-24
• Last Update Posted: 2014-04-25
• Primary Completion: 2015-12
• Study Completion: 2015-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• Age 18 years or older, main complaint of shoulder pain, ability to elevate arm in the scapular plane to at least 135 degrees, pain during scapular plane elevation, can read Hebrew.

Exclusion Criteria

• Signs or symptoms suggesting cervical spine origin, previous fracture around shoulder complex, traumatic onset of shoulder pain, Fibromyalgia, Rheumatiod arthritis, previous shoulder surgery, loss of 50% or more of passive range of motion in 2 or more planes of motion, positive lag signs, positive apprehension test, pregnancy.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Shoulder internal rotation range of motion	Baseline	Measurement of supine glenohumeral internal rotation range of motion.
Posterior capsule flexibility	Baseline	Measurement of sidelying glenohumeral horizontal adduction
Pectoralis minor resting length	Baseline	Distance from coracoid process to 4th rib attachment onto sternum
Scapular dyskinesis	Baseline	Visual assessment and classification of scapular movement pattern
Scapular upward rotation range of motion	Baseline	Measured by the use of an inclinometer placed on top of scapular spine during various degrees of glenohumeral elevation angles.
Shoulder elevation torque	Baseline	Measured with a hand-held dynamometer
Shoulder external rotator torque	Baseline	Measured with a hand-held dynamometer

Trial Locations

Locations (1)

Bat-Yamon Physical Therapy Clinic - Clalit Health Services; 🇮🇱 Bat-Yam, Israel