Virtual Reality Based Exercise Training Versus Mulligan Mobilization on Shoulder Posture and Function in Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Pain intensity during shoulder elevation
研究概览
简要总结
The study will compare the effect of virtual reality based exercise training versus Mulligan mobilization in addition to exercise therapy added to both groups on shoulder posture and function in subacromial impingement syndrome.
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
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will be referred from the orthopedic surgeon with a diagnosis of stage II SIS with the following criteria:
- •Participants ranged in age from 30-50 years old.
- •Participants are from non-athletes from the general population.
- •Unilateral shoulder pain that is localized either anteriorly or laterally to the acromion. Pain that occurs or worsens when the affected shoulder is in flexion and/or abduction.
- •Four of the following should be present in the included patients: Neer impingement test, Hawkins' test, Pain was replicated in the supraspinatus empty-can test, a painful arc of movement from 70° to 120°, and painful greater tuberosity of the humerus.
- •BMI range 18.5- 29.9 Kg/m².
排除标准
- •1) Patients who, during the previous three months, underwent shoulder physical treatment and/or an acute pain flare.
- •2) Patients who have undergone surgeries for tendon repair. 3) Malignancy, epilepsy, pregnant women, and/or systemic conditions like chronic renal or liver failure.
- •4) Mini-Mental State Examination test (MMSE) (< 24/30) to exclude cognitive impairment and/or significant vision impairment (if they couldn't read the introduction while wearing the Head Mounted Device (HMD).
- •5) Corticosteroid injection during the last three months or used steroids chronically.
- •6) Adhesive capsulitis, glenohumeral joint instability, Numbness or tingling of the upper limb, and/or full-thickness tear of the rotator cuff.
研究组 & 干预措施
Virtual reality group
干预措施: Virtual Reality (Other)
Mulligan mobilization group
干预措施: Mulligan mobilization (Other)
结局指标
主要结局
Pain intensity during shoulder elevation
时间窗: pain intensity at the start of session 1 to the end of 1 month of treatment
It will be measured using the Numerical Pain Rating Scale (NPRS)
Shoulder function
时间窗: shoulder function at the start of session 1 to the end of 1 month of treatment
The Shoulder Pain and Disability Index (SPADI) will be used to measure the shoulder function.
Shoulder flexion range of motion
时间窗: shoulder flexion at the start of session 1 to the end of 1 month of treatment
The Clinometer Application will be used to measure it.
Shoulder abduction range of motion
时间窗: shoulder abduction at the start of session 1 to the end of 1 month of treatment
The Clinometer Application will be used to measure it.
shoulder posture
时间窗: shoulder posture at the start of session 1 to the end of 1 month of treatment
Sagittal Shoulder Angle will be used to measure the shoulder posture
次要结局
- Patients' enjoyment(It will be evaluated at the end of the last session (after 1 month))
- patients' adherence to treatment sessions(patients' adherence at the start of session 1 to the end of 1 month of treatment)
研究者
Sara Mohsen Sayed Meselhy
Demonstrator at the Faculty of Physical Therapy, Cairo University
Cairo University