Handgrip Strengthening Exercise in Treatment of the Patients With Primary Sub-Acromial Impingement Syndrome

Not Applicable

• Conditions: Impingement Syndrome, Shoulder
• Interventions: Behavioral: Hand grip strengthening; Behavioral: Conventional treatment

• Registration Number: NCT03468088
• Lead Sponsor: King Saud University

Brief Summary

This study aims to investigate the relative effect of handgrip strengthening exercise in improving function, pain, strength, and active range of motion (AROM) of the shoulder among patients with primary sub-acromial impingement syndrome (SAIS).

Detailed Description

The current study is a Single-Blind Randomized Clinical Trial to investigate the effectiveness of handgrip strengthening exercise in the treatment of patients with primary subacromial impingement syndrome. The randomization process will be based on concealed envelop picked up by participants.The patient will be conveniently recruited from the ministry of health hospitals in Jeddah.The patient who will meet the inclusion criteria; they will sign the consent form. The baseline data will be collected. The assessment will be carried out at the baseline, 4 weeks and 8 weeks; end of the treatment program; by the same blinded examiner for each patient and consist of the following instrument: Disabilities of Arm, Shoulder \& Hand (DASH questionnaire), Visual analog scale (VAS), Hand-held dynamometer (HHD), and smartphone clinometer.

Study Timeline

• Study Start: 2018-02-01
• Study First Submitted: 2018-02-27
• Status Verified: 2018-03
• Study First Submitted QC: 2018-03-11
• Last Update Submitted: 2018-03-11
• Study First Posted: 2018-03-16
• Last Update Posted: 2018-03-16
• Primary Completion: 2018-08-15
• Study Completion: 2018-12-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Willing to comply with all study procedures and be available for the duration of the study
• Aged 18 to 45
• Diagnosed by their referring physician with subacromial impingement syndrome and has a positive impingement & rotator cuff test
• Pain intensity between 3 to 8 in VAS

Exclusion Criteria

• History of shoulder fracture or dislocation, osteophytes, and labral tear.
• History of cardiac, neurological or musculoskeletal disease that precludes the ability to perform the exercise in the upper extremity.
• Treatment with another intervention.
• Hand or forearm dysfunction
• Rheumatoid disease
• Diabetic
• History of shoulder, cervical, and thoracic surgery
• Pregnancy
• Malignancy
• Symptoms for more than 1 year
• Bilateral SAIS

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hand grip strengthening	Hand grip strengthening	This group will receive handgrip strengthening exercises.
Conventional treatment	Conventional treatment	This group will receive conventional exercises.

Primary Outcome Measures

Name	Time	Method
Function	Change from baseline functional score at 8 weeks	It will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which is a 30-item questionnaire that assess the ability of a patient to perform various upper extremity activities. it uses a 5-point Likert scale. A higher scores signify a greater level of disability, whereas, lower scores signify a lower level of disability.

Secondary Outcome Measures

Name	Time	Method
Strength	Change from baseline muscle strength at 8 weeks	It will be assessed using HHD
Range of motion	Change from baseline range of motion at 8 weeks	It will be assessed using smartphone clinometer
Pain	Change from baseline pain intensity at 8 weeks	Pain intensity will be assessed using visual analog scale (VAS) (0 - 10 cm with 0 indicates no pain and 10 indicates the worst pain).

Trial Locations

Locations (1)

Ministry of Health Hospital; 🇸🇦 Jeddah, Saudi Arabia