Effect Of Instrumented Assisted Soft Tissue Mobilization On Pain, Function And Proprioception In Patients With Shoulder Impingement Syndrome

Not Applicable

Not yet recruiting

• Conditions: Shoulder Impingement
• Interventions: Other: instrumented assisted soft tissue mobilization; Other: traditional therapy

• Registration Number: NCT05546177
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to investigate instrumented Assisted Soft Tissue Mobilization On Pain, Function And Proprioception In Patients With Shoulder Impingement Syndrome

Detailed Description

Shoulder impingement is a clinical syndrome in which soft tissues become painfully entrapped in the area of the shoulder joint. Patients present with pain on elevating the arm or when lying on the affected side. Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice, and impingement syndrome is one of the more common underlying diagnoses. On the pathophysiological level, it can have various functional, degenerative, and mechanical causes. The impingement hypothesis assumes a pathophysiological mechanism in which different structures of the shoulder joint come into mechanical conflict. The decision to treat conservatively or surgically is generally made on the basis of the duration and severity of pain, the degree of functional disturbance, and the extent of structural damage. The goal of treatment is to restore pain-free and powerful movement of the shoulder joint.Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment for myofascial restriction which is applied using specially designed instruments to provide a mobilizing effect to soft tissue (e.g., scar tissue and myofascial adhesion) to decrease pain and improve range of motion (ROM) and function. eighty patients will be allocated randomly into two equal groups; the experimental one will receive IASTM and the control will receive traditional therapy for eight weeks.

Study Timeline

• Status Verified: 2022-09
• Study First Submitted: 2022-09-15
• Study First Submitted QC: 2022-09-15
• Last Update Submitted: 2022-09-15
• Study First Posted: 2022-09-19
• Last Update Posted: 2022-09-19
• Study Start: 2022-09-25
• Primary Completion: 2023-04-30
• Study Completion: 2023-04-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Patients with impingement syndrome from both genders.
• Age range from 25-40 years
• Body mass index 18.5-24.9 kg/m2
• Subjects are non-smokers.
• Shoulder impingement symptoms lasting at least 6 weeks

Exclusion Criteria

1. Hand truma, present pain or other kinds of complaints in the hand area.
2. History of deformities, fractures, or surgery of the tested upper extremity joints affecting hand grip strength within the last 6 months.
3. Presence of cardiopulmonary, hormonal disorder, central or peripheral neurological deficits or any condition that can influence the results.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
instrumented assisted soft tissue mobilization	instrumented assisted soft tissue mobilization	the patients will receive instrumented assisted soft tissue mobilization three times a week for eight weeks
instrumented assisted soft tissue mobilization	traditional therapy	the patients will receive instrumented assisted soft tissue mobilization three times a week for eight weeks
traditional therapy	traditional therapy	the patients will receive traditional therapy three times a week for eight weeks

Primary Outcome Measures

Name	Time	Method
pain intensity	up to eight weeks	pain will be measured by visual analogue scale. It is a vertical or horizontal 100 mm line graduated by different levels of pain, starting from 0 (no pain) till 100 (worst pain)
shoulder disability	up to eight weeks	The Arabic version of Disabilities of arm, shoulder, and hand (DASH) will be used for assessing shoulder function. DASH questionnaire includes 30 items with score from 0 to 100. A score of 0 represents no disability, while a score of 100 represents the most sever.

Secondary Outcome Measures

Name	Time	Method
rounded shoulder	up to eight weeks	tape measure will be used to assess the rounded shoulder
shoulder proprioception	up to eight weeks	inclinometer will be used to assess shoulder proprioception
shoulder range of motion	up to eight weeks	inclinometer will be used to assess shoulder range of motion.