Scapular Muscle Strengthening Versus Scapular Proprioceptive Neuromuscular Facilitation In Shoulder Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 暂停
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- muscle strength for scapular muscles by Lafayette hand held dynamometer
研究概览
简要总结
HYPOTHESES:
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of upper trapezius in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of middle trapezius in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of lower trapezius in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of serratus anterior in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/lower trapezius muscles in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/middle trapezius muscles in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/serratus anterior muscles in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on scapular symmetry at 0⁰ abduction in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and motor control exercise on scapular symmetry at 45⁰ abduction in patients with shoulder impingement syndrome.
- There will be no significant difference between Scapular muscle strengthening and motor control exercise on scapular symmetry at 90⁰ abduction in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving pain in patients with shoulder impingement syndrome.
- There will be no significant difference between scapular muscle strengthening and PNF exercise on improving function in patients with shoulder impingement syndrome.
详细描述
Sub-acromial Impingement Syndrome (SIS) has been identified with a prevalence of almost 40% among shoulder pathologies. SIS has significant economic consequences owing to its treatment costs and losses incurred through workplace absenteeism.
Alterations in scapular muscle performance have been found in subjects with scapular dyskinesis. Hyperactivity of the upper trapezius (UT) with reduced middle (MT) and lower trapezius (LT) muscle activation in addition to insufficient serratus anterior (SA) muscle function have been related to decreased amounts of scapular upward rotation, external rotation, and posterior tilt in patients .
Research into scapular stability exercises for the management of SIS is increasing, yet there is little evidence on their efficacy .
The addition of scapular stabilization exercises to stretching and strengthening exercises can be significantly beneficial in increasing the strength, developing joint position sense and decreasing dyskinesia.
Proprioceptive neuromuscular facilitation (PNF) is a rehabilitation concept which is widely used by physical therapists , promoting motor learning, motor control, strength and mobility . This comprehensive rehabilitation approach includes task-oriented training with manual facilitation aimed at motor learning and motor control .
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 (Participant)
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• age of 20-50 years.
- •body mass index (BMI)<20 kg/m2
- •subjects complaining Shoulder impingement.
- •subjects with altered scapular resting positions and dyskinesis (
- •Subjects will be included if they met at least 2 of the following 5 criteria: Neer's Impingement Test, Hawkins-Kennedy Impingement Test, Supraspinatus ("Empty Can" or Jobe) Test, Apprehension and relocation Tests
排除标准
- •Undergone shoulder surgery.
- •exhibited symptoms related to the cervical spine.
- •taking nonsteroidal anti-inflammatory medications.
- •received a steroid injection in the past 12 months.
- •were already enrolled in a physical therapy program.
结局指标
主要结局
muscle strength for scapular muscles by Lafayette hand held dynamometer
时间窗: baseline
muscle strength of upper trapezius,middle trapezius ,lower trapezius and serratus anterior in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
muscle ratio by dividing muscle strength of each muscle on the other
时间窗: baseline
muscle ratio of upper trapezius/lower trapezius,upper trapezius/middle trapezius and upper trapezius/serratus anterior muscles in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
muscle angle by lateral scapular slide test
时间窗: baseline
scapular symmetry at 0⁰ abduction ,45⁰ abduction and 90⁰ abduction in patients with shoulder impingement syndrome pre and post application of between scapular muscle strengthening and PNF exercise
次要结局
- pain improvement by shoulder pain and disability index.(baseline)
- function improvment by shoulder pain and disability index.(baseline)
研究者
amr mohamed ahmed khalil
Principal Investigator
Cairo University