The Addition of Cervical Unilateral Antero-posterior Mobilization and Thoracic Central Postro-anterior Mobilization to Selected Therapeutic Exercise Program in Treatment of Shoulder Impingement Syndrome: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- pain intensity
研究概览
简要总结
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
详细描述
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
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
- Double (Participant, Outcomes Assessor)
盲法说明
patients and outcomes assessor will be masked about the grouping of the study
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •required at least three positive findings from five diagnostic tests for SIS (Hawkins-Kennedy test, Neer's test, painful arc, Resisted External Rotation test, Jobe's test) and persistent shoulder pain (anterolateral shoulder region) for 3 to 6 months, along with limitations in functional movements as Individuals who experienced painful restrictions in their ability to raise their shoulder (flexion, abduction, scaption) and had pain or limitations when performing functional movements such as reaching behind their back or behind their head. As well as subjects who willingly participated in the study and gave their consent for the research purposes.
排除标准
- •included adhesive capsulitis, radiologically confirmed grade III rotator cuff tears, calcific tendinitis, neurological or systemic disorders, cervical radiculopathy, prior shoulder surgery, recent corticosteroid injections, or recent physiotherapy within the previous three months. Patients complain from shoulder pain without pain on palpation, mobility limitations or pain during provocative tests, but complaining of abdominal tenderness on palpation were also excluded from this study.
研究组 & 干预措施
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
干预措施: therapeutic exercises (Other)
cervical and thoracic mobilization
cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization added to therapeutic exercises
干预措施: mobilization exercise (Other)
结局指标
主要结局
pain intensity
时间窗: pre intervention and after 6 weeks of intervention
pain intensity will be measured by visual analogue scale
muscle strength
时间窗: 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
时间窗: pre intervention and after 6 weeks of intervention
measurement of shoulder flexion and abduction range of motion applied by using digital goniometer
次要结局
未报告次要终点
研究者
Noha Elserty
Assistant professor
Benha University