Effects of Mobilization-with-Movement on Pain and Range of Motion in Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 42
- Locations
- 2
- Primary Endpoint
- Changes in the intensity of shoulder pain before and after the treatment
Study Overview
Brief Summary
Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •history of shoulder pain of > 3months duration
- •pain localized at the proximal anterolateral shoulder region
- •medical diagnosis of shoulder impingement syndrome
- •at least 2 positive impingement tests including Neer, Hawking, or Jobe test
Exclusion Criteria
- •diagnosis of fibromyalgia
- •pregnancy
- •a history of traumatic onset of shoulder pain
- •other histories of shoulder injury
- •ligamentous laxity based on a positive Sulcus test and apprehension test
- •numbness or tingling in the upper extremity
- •previous shoulder or cervical spine surgery
- •corticosteroid injection on the shoulder within 1 year of the study
- •physical therapy 6 months prior to the study
Outcomes
Primary Outcomes
Changes in the intensity of shoulder pain before and after the treatment
Time Frame: Baseline and one week after intervention
Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion.
Secondary Outcomes
- Changes in shoulder range of motion before and after the treatment(Baseline and one week after the intervention)
Investigators
César Fernández-de-las-Peñas
Proffesor
Universidad Rey Juan Carlos