Effect of High Intensity Exercises in Treatment of Patients With Shoulder Impingement Syndrome

Not Applicable

Completed

• Conditions: Shoulder Impingement Syndrome
• Interventions: Other: High intensity shoulder exercise; Other: Conventional physical therapy

• Registration Number: NCT05950880
• Lead Sponsor: Cairo University

Brief Summary

Purposes of the study

To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome

Detailed Description

Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Study Timeline

• Study Start: 2023-01-01
• Study First Submitted: 2023-07-05
• Study First Submitted QC: 2023-07-15
• Study First Posted: 2023-07-18
• Primary Completion: 2023-12-25
• Study Completion: 2023-12-25
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-28
• Last Update Posted: 2024-04-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

1. Athletic patients
2. Age of the patients between 18 - 35 years
3. Unilateral shoulder pain more than 3 months.
4. Positive Hawkins test.
5. Positive empty or full cane test.
6. Pain at night or incapable of lying on the shoulder.
7. Pain with active shoulder elevation in the scapular plane.
8. History of pain in the C5-C6 dermatome.
9. Pain with palpation of the rotator cuff tendons.
10. The patient had pain with resisted isometric abduction

Exclusion Criteria

1. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation).
2. Clinical sign of cervical radiculopathy.
3. History of acromio -clavicular pain.
4. Rheumatoid Arthritis.
5. Adhesive capsulitis.
6. Tumors
7. Labrum lesions
8. Capsular or ligamentous tears or avulsions
9. Cartilage lesions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
High intensity exercise + Conventional physical therapy	High intensity shoulder exercise	Patients in this group will receive High-intensity exercise + Conventional physical therapy
High intensity exercise + Conventional physical therapy	Conventional physical therapy	Patients in this group will receive High-intensity exercise + Conventional physical therapy
Conventional physical therapy	Conventional physical therapy	Patients in this group will receive Conventional physical therapy

Primary Outcome Measures

Name	Time	Method
Supraspinatus muscle thickness	Change from Baseline Supraspinatus muscle thickness at 6 weaks	Diagnostic Ultrasound
pain and function	Change from Baseline pain and function at 6 weaks	Shoulder pain and disability index (SPADI)

Secondary Outcome Measures

Name	Time	Method
Sub acromial space (Acromiohumeral distance).	Change from Baseline Sub acromial space at 6 weaks	Diagnostic Ultrasound
shoulder performance	Change from Baseline shoulder performance at 6 weaks	Timed push up test
External and internal rotators muscle strength.	Change from Baseline External and internal rotators muscle strength at 6 weaks	Hand-held dynamometer
supuraspinatus muscle strength	Change from Baseline supuraspinatus muscle strength at 6 weaks	Hand-held dynamometer

Trial Locations

Locations (1)

facult of physical therapy,MTI; 🇪🇬 Cairo, Egypt