The Effect of Isolytic and Static Stretching Training in Individuals Having Subacromial Impingement Syndrome With Glenohumeral Internal Rotation Deficit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Shoulder internal rotation range of motion
研究概览
简要总结
The purpose of this study is to investigate and compare the effect of isolytic and static stretching training in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit. Isolytic group will receive isolytic stretching in modified cross body stretching position and standard physiotherapy program. Static group will receive static stretching in modified cross body stretching position and standard physiotherapy program. Control group will receive only standard physiotherapy program.
详细描述
The effectiveness of static stretching on various parameters such as range of motion or pain is studied and proved in literature. Static stretching in cross body position was also found helpful for improving shoulder range of motion with some disadvantages. In modified cross body position, the patient is positioned in a more advantageous way for him/her. Usually this stretching is done as active-assistive static stretching with the physiotherapist. Proof is still needed for the effectiveness of active-assistive static stretching in modified cross body position. Furthermore, there is no research about the effect of isolytic stretching which is relatively new technique compare to static stretches in subacromial impingement syndrome. In isolytic stretching, when the patient contracts the agonist muscle group with 20% muscle force active-assistive streching in agonist muscle group by the physiotherapist at the same time is done for 2-4 seconds. A fast isolytic stretching is applied in order to break the fibrous tissue. Our purpose is to investigate and compare the effect of isolytic and static stretching training in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit . Stretching groups will receive either isolytic or static stretching in modified cross body stretching position and standard physiotherapy program. There is a control group. Control group will receive only standard physiotherapy program. Standard physiotherapy program includes TENS, hotpack, posture and strengthening training program. Treatment program will last four times a week (4-4-4-3) for four weeks, 15 sessions in total.
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
- Single (Participant)
盲法说明
All of participants must have subacromial impingement syndrome with glenohumeral internal rotation deficit.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of subacromial impingement syndrome
- •Glenohumeral internal rotation range of motion of the affected shoulder should be less than other shoulder and bilateral shoulder internal rotation range of motion difference should be ≥15 º
- •Pain with resisted arm elevation or external rotation as well as a minimum of 3 of 5 positive subacromial impingement syndrome tests, painful arc, pain or weakness with resisted external rotation, Neer, Hawkins and Jobe tests.
- •Ability to complete the entire study procedure
排除标准
- •A 50% limitation of passive shoulder range of motion in >2 planes of motion
- •Pain >7/10
- •A history of fracture to the shoulder girdle
- •Systemic musculoskeletal disease
- •History of shoulder and cervical surgery
- •Glenohumeral instability (positive apprehension, relocation, or positive sulcus test) or positive findings for a full-thickness rotator cuff tear (positive lag sign, positive drop arm test, or marked weakness with shoulder external rotation)
- •Neck and shoulder pain with active/passive cervical spine movement
- •A diagnosis of chest deformity or scoliosis
- •Regularly performing posterior shoulder stretching exercises
结局指标
主要结局
Shoulder internal rotation range of motion
时间窗: Baseline and 4 weeks
Change of shoulder internal rotation range of motion (with bubble inclinometer)
次要结局
- Shoulder total rotational range of motion(Baseline and 4 weeks)
- Subacromial space(Baseline and 4 weeks)
- Glenohumeral internal rotation deficit(Baseline and 4 weeks)
- Posterior shoulder tightness(Baseline and 4 weeks)
- Shoulder external rotation range of motion(Baseline and 4 weeks)
- Supraspinatus tendon thickness(Baseline and 4 weeks)
- Concentric strength(Baseline and 4 weeks)
- Eccentric strength(Baseline and 4 weeks)
- Resting and activitiy pain in shoulder(Baseline and 4 weeks)
- Shoulder Function(Baseline and 4 weeks)
- Upper extremity function(Baseline and 4 weeks)
研究者
Halime Ezgi TÜRKSAN
Research Assistant
Dokuz Eylul University