Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Pain intensity using Numeric pain rating scale (NPRS)
Study Overview
Brief Summary
A randomized control trial will be done on diagnosed Shoulder impingemnet patients with physical therapy screening in Fauji Foundation Hospital Rawalpindi.
There is a growing demand on finding treatments which can be more beneficial and can be started early on in the treatment phase, nowadays.
The purpose of the study is to determine the "effects of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome" using the resistance band and multipulley system.
The traditional physical therapy will include hot pack placed on shoulder and neck region for ten minutes, Transcutaneous electrical nerve stimular will be used and the electrodes will be placed on the desired area (shoulder complex) the intensity will be increased manually according to the capacity of the patient and the treatment time will be of 15 minutes, stretching exercises such as doorway stretch and foam roll supine stretch will be done in the hospital for first 3 weeks and the next 3 weeks will be for home exercises moving from 5 repetitions to 20 repetitions for a set of 3. stretch will be hold for 30 seconds
Detailed Description
OBJECTIVES:
The objectives of this study are:
- To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of strength.
- To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of pain.
- To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of range of motion.
1.HYPOTHESIS:
Alternate Hypothesis:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Both genders.(Male and Female)
- •Young early adulthood with age 20-40 years.
- •Diagnosed cases of Shoulder impingement syndrome.
Exclusion Criteria
- •Active joint disease (rheumatoid, or any other rheumatological diseases
- •Any history of Cardiovascular events
- •Any history of upper limb surgery
- •Hematological disease.
- •Osteoporosis.
- •osteomyelitis
- •Active fractures/ non or mal-union fractures
- •Rotator cuff tears
- •Adhesive capsulitis.
Arms & Interventions
Group A- Control group
Group (A)/ control group Involves participants receiving
- TENS+ hot pack (10mins)
- Pendulum exercises and stretching exercises This group will not receive resistance training from 5 repetitions to 20 repetitions of door way stretch (maintained for 30seconds), pendulum exercises and foam roll strtech will be provided over the 6 weeks protocol
Intervention: Traditional physical therapy (Procedure)
Group B- Study Group
Group (B)/ Experimental group involves participants receiving Traditional l physical therapy for shoulder impingement syndrome for 6 weeks.
- TENS+ hot pack (10mins)
- Pendulum exercises and stretching exercises 3-6RM Load will be determined after which multipulley system will be used for treatment and treatment will be divided in to two series of 8 repetition: 25%, 30%,35%,40%, 50% of 6RM over the period of 6 weeks Speed of movement will be 2 seconds for both the eccentric and concentric phases.
To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation It is a combined treatment so study group will receive both study group and control group intervention
Intervention: Progressive resistance training (Procedure)
Group B- Study Group
Group (B)/ Experimental group involves participants receiving Traditional l physical therapy for shoulder impingement syndrome for 6 weeks.
- TENS+ hot pack (10mins)
- Pendulum exercises and stretching exercises 3-6RM Load will be determined after which multipulley system will be used for treatment and treatment will be divided in to two series of 8 repetition: 25%, 30%,35%,40%, 50% of 6RM over the period of 6 weeks Speed of movement will be 2 seconds for both the eccentric and concentric phases.
To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation It is a combined treatment so study group will receive both study group and control group intervention
Intervention: Traditional physical therapy (Procedure)
Outcomes
Primary Outcomes
Pain intensity using Numeric pain rating scale (NPRS)
Time Frame: 6 weeks
change in the values of pain using Numeric pain rating scale from the base line then week 3 and then to the end of 6 weeks
Shoulder range of motion using Goniometer
Time Frame: 6 weeks
Shoulder range of motion will be assessed using goniometer in flexion, extension, abduction, external and internal rotation of shoulder for both the study and control group
Secondary Outcomes
No secondary outcomes reported