Effects of Mobilization-with-Movement on Pain and Range of Motion in Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Changes in the intensity of shoulder pain before and after the treatment
研究概览
简要总结
Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of 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)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •history of shoulder pain of > 3months duration
- •pain localized at the proximal anterolateral shoulder region
- •medical diagnosis of shoulder impingement syndrome
- •at least 2 positive impingement tests including Neer, Hawking, or Jobe test
排除标准
- •diagnosis of fibromyalgia
- •pregnancy
- •a history of traumatic onset of shoulder pain
- •other histories of shoulder injury
- •ligamentous laxity based on a positive Sulcus test and apprehension test
- •numbness or tingling in the upper extremity
- •previous shoulder or cervical spine surgery
- •corticosteroid injection on the shoulder within 1 year of the study
- •physical therapy 6 months prior to the study
研究组 & 干预措施
Real mobilization-with-movement (MWM)
For the MWM group, an accessory posterior-lateral gliding movement in the humeral head combined with a movement of active shoulder flexion will be applied. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior aspect of the head of the humerus
干预措施: Real mobilization-with-movement (MWM) (Other)
Sham mobilization-with-movement (MWM)
The sham condition will replicate the treatment condition except for the hand positioning. The therapist locates one hand over the belly of the pectoralis major muscle and the other over scapula without applying any pressure. The patient will be asked to move the arm in a similar manner as in the MWM group
干预措施: Sham mobilization-with-movement (MWM) (Other)
结局指标
主要结局
Changes in the intensity of shoulder pain before and after the treatment
时间窗: Baseline and one week after intervention
Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion.
次要结局
- Changes in shoulder range of motion before and after the treatment(Baseline and one week after the intervention)
研究者
César Fernández-de-las-Peñas
Proffesor
Universidad Rey Juan Carlos