Cervical Unilateral Antero-posterior Mobilization and Thoracic Central Postro-anterior Mobilization in Treatment of Shoulder Impingement Syndrome

Not Applicable

Not yet recruiting

• Conditions: Shoulder Impingement
• Interventions: Other: mobilization exercise; Other: therapeutic exercises

• Registration Number: NCT06349746
• Lead Sponsor: Egyptian Chinese University

Brief Summary

Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. The conservative option that has shown effectiveness is manual therapy of the cervical and thoracic spine

Detailed Description

This study will be conducted to answer the following question:

What is the effect of adding cervical and thoracic mobilization to selected therapeutic exercise Program on pain intensity, Pain-free shoulder flexion and scaption active ROM, muscle strength of external rotator and abductors, shoulder functional status in patients with Shoulder Impingement Syndrome

Study Timeline

• Status Verified: 2024-04
• Study First Submitted: 2024-04-01
• Study First Submitted QC: 2024-04-04
• Last Update Submitted: 2024-04-04
• Study First Posted: 2024-04-05
• Last Update Posted: 2024-04-05
• Study Start: 2024-04-15
• Primary Completion: 2024-05
• Study Completion: 2024-06

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• • patients who had received at least two positive signs on their Neer sign, Hawkins sign, supraspinatus test, apprehension test, and relocation test

  • Patients report pain on elevating the arm between 70 ° and 120 ° (the "painful arc"), on forced movement above the head, and when lying on the affected side

Exclusion Criteria

• • cervical radiculopathy

  • a history of shoulder surgery
  • corticosteroid injection within the past month
  • Subjects who had received physical therapy treatment for their shoulder within the past three months.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
cervical and thoracic mobilization	mobilization exercise	cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization added to therapeutic exercises
Therapeutic exercises	therapeutic exercises	a specific therapeutic exercise program consisted of stretching exercises for posterior capsule and progressive resistance exercises for rotator cuff and scapula stabilizer and home exercise

Primary Outcome Measures

Name	Time	Method
pain intensity	pre intervention and after 6 weeks of intervention	pain intensity will be measured by visual analogue scale
muscle strength	pre intervention and after 6 weeks of intervention	shoulder flexors and external rotators muscle strength will be measured by dynamometer
shoulder flexion and abduction range of motion	pre intervention and after 6 weeks of intervention	measurement of shoulder flexion and abduction range of motion applied by using digital goniometer