The Effect of Mulligan Thoracic Sustained Natural Apophyseal Glides on Sub-acromial Impingement Syndrome.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Shoulder pain and disability index
研究概览
简要总结
This study was conducted to investigate the effect of mulligan thoracic sustained natural apophyseal glide on patients diagnosed as sub acromial impingement syndrome and its effect on shoulder range of motion, pain, function and disability of affected shoulder joint and size of sub acromial space, Half of the patients will treated with traditional treatment and mulligan thoracic SNAGS technique, while the other half will treated with traditional treatment only.
详细描述
Forty patients with sub-acromial impingement syndrome will participate in this study. Intervention for the both group consisted of 12 session (3 times per week ) for one month. Subjects will be divided randomly and allocated into two groups , study group will received supervised exercise and mulligan thoracic SNAGS technique and the control group will received supervised exercise (stretching and strengthening exercises). both group will assessed by x ray to measure sub-acromial space , visual analogue scale for pain , The Shoulder Pain and Disability Index for shoulder function and goniometer for shoulder flexion, abduction ,external and internal rotation range of motion before and after treatment.
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
Patients will randomly assigned into two groups without being informed whether they are in the control or the study(experimental) group.
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients referred as sub-acromial impingement syndrome (stage 2) according to neer's classification.
- •Have +ve Neer's sign, +ve Hawkins and Kennedy test and +ve Empty and full can tests.
- •selected from both genders.
- •Aged from 25 to 40 years old.
- •Have restricted thoracic extension motion ( +ve occiput to wall test).
排除标准
- •History of shoulder adhesive capsulitis
- •Rotator cuff tendon tear/rupture (stage 3).
- •Shoulder dislocation, subluxation and fractures.
- •History of cervical, shoulder, upper back surgery.
- •Any spinal deformities such as scoliosis, kyphosis and rounded shoulder.
- •Diabetes mellitus.
- •Radiculopathy.
- •History of breast cancer.
- •Previous stroke or Shoulder hand syndrome.
- •Ligamentous Laxity.
结局指标
主要结局
Shoulder pain and disability index
时间窗: changes from baseline to before treatment and changes before treatment to immediately after treatment
the patients will asked to answer the questions on index . And then creating a percentage of pain and disability with higher scores indicating more severe limitation. The means of the two subscales are averaged to produce a total score ranging from 0 (best) to 100 (worst). Minimum Detectable Change (90% confidence) = 13 points
Pain by Visual analogue scale
时间窗: changes from baseline to before treatment and changes before treatment to immediately after treatment
the patient asked to choose from scale from zero (no pain) to 10 (worst pain) to detect his/her intensity of pain.
Range of motion of shoulder joint by universal goniometer.
时间窗: changes from baseline to before treatment and changes before treatment to immediately after treatment
for flexion stationary Arm of the goniometer was aligned with the lateral border of the scapula (mid axillary arm), and the moving arm was aligned with the humerus. for abduction the fulcrum was placed at the mid point of the posterior aspect of the glenohumeral joint, stationary arm was parallel to the trunk, and the moving arm was parallel to the longitudinal axis of the humerus. for internal and external rotation patient was in supine with the hips and knees flexed approximately 45°.The tested arm was supported on the table in 90° of abduction, elbow flexed 90°, and the wrist in neutral position. the fulcrum was placed on the olecranon, stationary arm Placed perpendicular to the floor, and the moving arm parallel with the forearm.
The sub-acromial space by radiograph X ray
时间窗: changes from baseline to before treatment and changes before treatment to immediately after treatment
measure the size of sub-acromial space
次要结局
未报告次要终点
研究者
Fatma Al-Zahraa Ahmad Alaa Aldin Mansour Abo-oof
physical therapist
Cairo University