Spencer Technique and Movement With Mobilization in Rotator Cuff Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Pain Intensity (Visual Analogue Scale)
研究概览
简要总结
This study will be randomised clinical trial conducted at the University of Lahore Teaching Hospital, Lahore, Pakistan. A total of 60 participants will be selected and randomly allocated into two treatment groups (30 participants in each group) using the lottery method. All screened and willing participants who meet the eligibility criteria will be assigned to either Group A or Group B. Group A: Spencer Technique with Conventional Therapy
Participants allocated to Group A will receive the Spencer Technique in combination with conventional physiotherapy. The intervention will follow a structured and progressive protocol for 6 weeks.
Conventional Therapy (15 minutes per session)
Conventional treatment will be administered prior to manual therapy and will include:
Moist Hot Pack (5 minutes):
A moist hot pack will be applied to the affected shoulder at a comfortable therapeutic temperature. A towel layer will be placed between the hot pack and the skin to prevent burns.
Shoulder Stretching Exercises (10 minutes):
Passive stretching will be performed to improve flexibility, reduce muscle tightness, and enhance shoulder range of motion. Each stretch will be held for 20-30 seconds and repeated 3-5 times. Stretching will include:
Shoulder flexion and extension (supine position)
Shoulder abduction
Shoulder adduction (cross-body stretch)
Internal and external rotation at 90° abduction
Stretching will be performed five sessions per week.
Spencer Technique (20 minutes per session)
Following conventional therapy, the Spencer technique will be administered in seven sequential steps:
Shoulder extension with elbow flexion to the point of restriction
Shoulder flexion with elbow extension
Circumduction with compression at 90° abduction
Circumduction with distraction at 90° abduction
Abduction with internal rotation (hand placed behind hip)
Adduction with external rotation
Stretching with fluid pumping maneuver (5-10 repetitions)
Dosage and Progression:
Frequency: 5 sessions per week
Weeks 1-3: 2 sets of 10 repetitions per step (1-minute rest between sets)
Weeks 4-6: 3 sets of 10 repetitions per step
Total session duration: 35 minutes
5 minutes hot pack
10 minutes stretching
20 minutes Spencer technique
Group B: Mobilization with Movement (MWM) with Conventional Therapy
Participants allocated to Group B will receive Mobilization with Movement combined with conventional physiotherapy for 6 weeks.
Conventional Therapy (15 minutes per session)
The same conventional therapy protocol as Group A will be administered prior to mobilization:
5 minutes moist hot pack
10 minutes passive shoulder stretching
Mobilization with Movement (20 minutes per session)
MWM will be performed in the directions of:
External rotation
Internal rotation
Abduction
Flexion
The participant will be positioned in sitting on a high chair. The therapist will stabilize the shoulder girdle with one hand while applying a sustained glide to the humeral head using the thenar eminence of the other hand. The glide will be maintained perpendicular to the plane of movement and adjusted according to the participant's pain-free direction.
Participants will be instructed to actively move the shoulder through the available range while the glide is sustained. Movement will continue until the onset of pain or discomfort.
Dosage:
3 sets of 10 repetitions
30-second rest between sets
Frequency: 3 sessions per week
Duration: 6 weeks
Total session duration: 35 minutes
5 minutes hot pack
10 minutes stretching
20 minutes mobilization with movement
详细描述
Study Design and Procedures
This study is a single-blinded, randomized controlled trial designed to compare the effectiveness of the Spencer Technique combined with conventional therapy versus Mobilization with Movement combined with conventional therapy in individuals with shoulder dysfunction.
Screening and Recruitment
Participants who meet the predefined inclusion criteria will be recruited using a purposive sampling technique. Individuals who are readily available and willing to participate will be screened for eligibility.
Eligible participants will be informed about the study objectives, procedures, potential risks, and benefits. Written informed consent will be obtained prior to enrollment.
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)
盲法说明
This study used a single-blind approach. This means that while the researchers knew which treatment each person was getting, the patients did not know if they were in the group A or group B. They were not told which exercise protocol was the main focus of the study or which one was expected to be more effective. This helps ensure that the patients' expectations did not influence the results or their reporting of pain levels.
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Patient from the age of 30 to
- •Patient suffering from rotator cuff syndrome. Patient with a history of pain in shoulder for more than 3 month.
- •Patient with grade 1 and grade 2 of rotator cuff syndrome which doesn't require surgery.
- •Patient with 2 positive Neers and Hawkins Kennedy test.
- •Patient who haven't gone under any physical therapy treatment in the past 6 months.
排除标准
- •• Patient with any cardiac problem like myocardial infarction.
- •Patient with diagnosis of fibromyalgia.
- •Patient with ongoing pregnancy.
- •Patient with pain related to shoulder trauma.
- •Patient with history of shoulder injury or shoulder surgery.
- •Patient with associated symptoms like numbness and tingling.
- •Patient who have taken corticosteroids injections of shoulder within a year.
研究组 & 干预措施
Spencer technique + conventional physical therapy
The technique will be administered in seven sequential steps:
Shoulder extension with elbow flexion to restriction
Shoulder flexion with elbow extension
Circumduction with compression at 90° abduction
Circumduction with distraction at 90° abduction
Abduction with internal rotation
Adduction with external rotation
Stretching with fluid pumping maneuver (5-10 repetitions)
Dosage progression:
Weeks 1-3: 2 sets of 10 repetitions per step (1-minute rest between sets)
Weeks 4-6: 3 sets of 10 repetitions per step
Total session duration: 35 minutes (5 minutes hot pack, 10 minutes stretching, 20 minutes Spencer technique).
干预措施: Spencer technique (Other)
Spencer technique + conventional physical therapy
The technique will be administered in seven sequential steps:
Shoulder extension with elbow flexion to restriction
Shoulder flexion with elbow extension
Circumduction with compression at 90° abduction
Circumduction with distraction at 90° abduction
Abduction with internal rotation
Adduction with external rotation
Stretching with fluid pumping maneuver (5-10 repetitions)
Dosage progression:
Weeks 1-3: 2 sets of 10 repetitions per step (1-minute rest between sets)
Weeks 4-6: 3 sets of 10 repetitions per step
Total session duration: 35 minutes (5 minutes hot pack, 10 minutes stretching, 20 minutes Spencer technique).
干预措施: conventional physical therapy (Other)
movement with mobilization + conventional physical therapy
The technique will be administered in seven sequential steps:
Shoulder extension with elbow flexion to restriction
Shoulder flexion with elbow extension
Circumduction with compression at 90° abduction
Circumduction with distraction at 90° abduction
Abduction with internal rotation
Adduction with external rotation
Stretching with fluid pumping maneuver (5-10 repetitions)
Dosage progression:
Weeks 1-3: 2 sets of 10 repetitions per step (1-minute rest between sets)
Weeks 4-6: 3 sets of 10 repetitions per step
Total session duration: 35 minutes (5 minutes hot pack, 10 minutes stretching, 20 minutes Spencer technique).
干预措施: Movement with mobilization (Other)
movement with mobilization + conventional physical therapy
The technique will be administered in seven sequential steps:
Shoulder extension with elbow flexion to restriction
Shoulder flexion with elbow extension
Circumduction with compression at 90° abduction
Circumduction with distraction at 90° abduction
Abduction with internal rotation
Adduction with external rotation
Stretching with fluid pumping maneuver (5-10 repetitions)
Dosage progression:
Weeks 1-3: 2 sets of 10 repetitions per step (1-minute rest between sets)
Weeks 4-6: 3 sets of 10 repetitions per step
Total session duration: 35 minutes (5 minutes hot pack, 10 minutes stretching, 20 minutes Spencer technique).
干预措施: conventional physical therapy (Other)
结局指标
主要结局
Pain Intensity (Visual Analogue Scale)
时间窗: baseline, 3rd week , 6th week
Visual Analogue Scale The Visual Analogue Scale (VAS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). According to researches VAS shows excellent reliability (0.97 and 0.99, respectively) for the measurement of musculoskeletal pain.
次要结局
- range of motion(baseline, 3rd week, 6th week)
- for function (DASH)(Baseline, 3rd week, 6th week)