Comparison Between Closed-chain Shoulder Girdle Scapular Depression Exercise and Shoulder Girdle Depression Against Manual Resistance on Patients With Shoulder Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Pain will be measured by visual analogue scale
研究概览
简要总结
forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule & pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule & pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .
The exercise program will consist of 3 sessions / week for 5 weeks
详细描述
BACKGROUND:
Patients with shoulder impingment syndrome report disability, especially during overhead movements, which may hinder activities of daily living .
Muscular strengthening training influences the resting position and scapular movement pattern of subjects with shoulder impingement syndrome and improve function of the affected shoulder.
Therefore, the focus of treatment for the syndrome is on performing exercises, including stretching, strengthening, and neuromuscular control exercises.
Although multiple types of exercise, such as scapular stability exercises, strengthening of the rotator cuff through range, and flexibility exercises for the anterior and posterior shoulder exercise is effective in the management of patients with shoulder impingement syndrome, there is not enough evidence to say whether one mode of exercise is superior to another.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged from 25 to 45 years old.
- •Patients with shoulder impingement stage I &II as judged by criteria of neer classification.
- •Patients diagnosed by orthopedic surgeon with shoulder impingement, the diagnosis will be confirmed by positive Neer and Hawkins tests.
排除标准
- •History of cardiac diseases or dyspnea on exertion
- •Patients with cervical radiculopathy.
- •Patients with shoulder instability.
- •Patients with frozen shoulder.
- •Acute shoulder trauma.
研究组 & 干预措施
Study grou[p
Closed-chain shoulder girdle scapular depression exercise
干预措施: Exercise (Other)
control group
Shoulder girdle depression against manual resistance exercise
干预措施: Exercise (Other)
结局指标
主要结局
Pain will be measured by visual analogue scale
时间窗: 10 minutes
10cm visual analogue scale (0= no pain, and 10= maximum pain) will be used to determine overall shoulder pain
次要结局
- Range of motion (flexion and abduction) will be measured by Electronic goniometer(20 minutes)
- Function(30 minutes)
研究者
Nasr Awad Abdelkader Othman
Assistant Professor,Department of Physical Therapy for Musculoskeletal Disorders
Cairo University