Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being over 18 years of age
- •Diagnosed with Subacromial Impingement
- •Not having received any treatment for shoulder problems in the last 6 months
- •The pain has been continuing for 3 months
- •Initial pain must be 4 or higher on the Visual Analog Scale (VAS)
排除标准
- •History of surgery in the shoulder, cervical and thoracic region
- •Having a shoulder problem such as a frozen shoulder or instability
- •Full-thickness rotator cuff tear
- •Having systemic musculoskeletal disease
- •Having systemic rheumatic disease
- •History of upper extremity fracture
- •Diagnosed with scoliosis
- •Have neurological problems
研究组 & 干预措施
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
干预措施: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
干预措施: shoulder mobilization (Other)
Conventional treatment + shoulder mobilization + neck mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization
干预措施: neck mobilization (Other)
Conventional treatment group
Hot packs, TENS, ultrasound, and exercise
干预措施: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder mobilization
干预措施: Conventional Treatment (Other)
Conventional treatment + shoulder mobilization group
Hot packs, TENS, ultrasound, exercise, and shoulder mobilization
干预措施: shoulder mobilization (Other)
结局指标
主要结局
Pain intensity
时间窗: through study completion, an average of 1 year
Pain intensity will be evaluated with VAS. VAS is a valid and reliable self-report scale consisting of a 10 cm long horizontal line, with scores ranging from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to report the maximum pain they experienced in the last 24 hours. A change of 1.5 points is considered a minimal clinically important difference (MCID) for the VAS.
次要结局
- The Arm, Shoulder and Hand Problems (DASH) Questionnaire(through study completion, an average of 1 year)
- Painful arch assessment(through study completion, an average of 1 year)
- Painless range of motion assessment(through study completion, an average of 1 year)
- Pressure-pain Threshold Assessment(through study completion, an average of 1 year)
- Evaluation of Tactile Sensory Acuity(through study completion, an average of 1 year)