Effects of Thrower's Ten and Routine Physical Therapy in Patients With Shoulder Impingement Syndrome

Not Applicable

Recruiting

Interventions: Other: Thrower's Ten Exercise Program
Other: Routine physical therapy.

Brief Summary: To compare the effects of thrower's ten and routine physical therapy on pain, range of motion and functional disability in patients with shoulder impingement syndrome

Detailed Description: Shoulder impingement is a common cause of shoulder pain. It's also known as impingement syndrome or swimmer's shoulder, since it's common in swimmers. It occurs when there is impingement of tendons or bursa in the shoulder from bones of the shoulder. A randomized clinical trial will be conducted at Ibne Sina Hospital,Multan . Non probability convenience sampling technique will be applied on 46 patients who will be allocated through computerized randomization into group A \& group B to collect data. Group A will be given Throwers ten Program and group B will be given routine physical therapy along with baselines. The study will be completed within the time duration of nine months. Primary Outcome measures of the research will be pain, range of motion,function and disability . Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Recruitment & Eligibility

Inclusion Criteria

Age group 18-35 years
Male and female
Shoulder or neck pain within the prior 6month
3 positive tests out of 5: Positive Neer's test, positive Hawkins test, positive Jobe's test, painful arc, and pain on resisted external rotation of the arm.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Thrower's Ten Exercise Program	Thrower's Ten Exercise Program	1. D2 PNF flexion 2. D2 PNF extension 3. Internal rotation 4. External rotation 5. Push ups 6. Press ups
Routine physical therapy	Routine physical therapy.	1. Unilateral bench press 2. Bi lateral shoulder retraction 3. Extension in prone position 4. Neck retraction. Then isometrics will be performed which includes 1. Isometric shoulder internal and external rotation 2. Side lying shoulder external rotation 3. Scapular scaption exercise

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale	6 weeks	The Numeric Pain Rating Scale (NPRS) is used to assess pain. On an 11-point Numeric scale, 0 represents the least amount of pain (no pain) and 10 Represents the most amount of pain (worst pain)
Shoulder pain and disability index (SPADI)	6 weeks	The SPADI (Shoulder Pain and impairment Index) was created to assess current shoulder pain and impairment in an outpatient environment. The SPADI consists of 13 items that assess two domains: a 5-item subscale for pain and an 8-item subscale for disability. The SPADI has since been used in both primary care on mixed diagnosis and surgical patient populations including rotator cuff disease, osteoarthritis, and rheumatoid arthritis, adhesive capsulitis ,joint replacement surgery , and in a large population-based study of shoulder symptoms
Range of Motion	6 weeks	It is frequently employed as a benchmark technique for the assessment of Range of Motion (ROM) as the main component of all joint motions. The range of mobility of a joint is measured using a device known as a goniometer. Goniometry is the art and science of measuring the joint ranges in every plane of the joint. Short arm and long arm versions of the universal goniometer are available. Goniometric measurements are highly reliable provided measurements are conducted by the same therapist. Shoulder Abduction, Flexion and External rotation range will be taken by a Universal Goniometer.

Secondary Outcome Measures

Name	Time	Method

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