Electromyographic Activity of Posterior Oblique Sling Muscles in Patients with Shoulder Impingement Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- • electromyographic activity of posterior oblique sling muscles (gluteus maximus and latissimus dorsi)
研究概览
简要总结
this study aims to assess the gluteus maximus muscle electromyographic activity and the latissimus dorsi muscle electromyographic activity in patients with shoulder impingement syndrome , to improve the assessment procedure and the rehabilitation program for treating patients with shoulder impingement syndrome more effectively. .
详细描述
background: Shoulder pain is the third most common musculoskeletal complaint that can lead to disability that interfere with work, hobbies, social, and sporting activities and may also be associated with psychological distress and reduced quality of life .Shoulder impingement syndrome Symptoms is the most common cause of shoulder pain.
Normal shoulder movement is achieved through a stable lumbopelvic-hip complex and scapula. Thus, the pelvis must provide a stable platform for the scapula and the scapula provide a stable platform for the shoulder. The existing evidence supports myofascial biomechanical connection between lumbopelvic region and contralateral glenohumeral joint .So Considering the LP region and related myofascial force transmission as contributing factors for shoulder pathogenesis can explain the reasoning on why some of the patients with shoulder pain may progress to develop chronic shoulder pain.
purpose: this study aims to assess the gluteus maximus muscle electromyographic activity and the latissimus dorsi muscle electromyographic activity in patients with shoulder impingement syndrome , to improve the assessment procedure and the rehabilitation program for treating patients with shoulder impingement syndrome more effectively.
methods: This study is a cross sectional comparative study will be conducted at the out-patient physical therapy clinic, Pharos University in Alexandria, Egypt. 30 patients with unilateral shoulder impingement and 30 healthy controls without shoulder impingement , with age range between 25 and 40 years will be included in the study. All patients will be referred by an orthopedic surgeon.
results: data analysis with one-way ANOVA will be used to compare between subjects characteristics of the two groups and un-paired t-test will be used to compare measured variables between groups.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Both male and female patients with shoulder impingement syndrome.
- •patients complain from unilateral shoulder pain with chronic conditions of SIS ≥ 3 months.
- •Patient age from 25 to 40 years.
- •Patients with Positive impingement tests.
- •Patients with painful arc of movement (60°- 120°)
排除标准
- •Patients with Numbness or tingling of upper extremity.
- •Patients with Shoulder fracture or previous shoulder surgery, and Acromioclavicular or shoulder dislocation.
- •Patients with Any traumatic injury to the lower limb in the previous 6 months.
- •Any spine surgery within the last 2 years.
- •Patients with history of lower back pain in past 12 months .
- •Patients with history of lower extremity dysfunctions in the past 12 months .
- •Participants who had taken any drugs (e.g. statins and spasmed), which have effects on the skeletal muscles.
- •Open wounds, rashes, psoriasis, skin irritations, or skin conditions of any kind in the region of electrode placement
- •Participants with a Body Mass Index (BMI) ≥ 30
结局指标
主要结局
• electromyographic activity of posterior oblique sling muscles (gluteus maximus and latissimus dorsi)
时间窗: through study completion, an average of 4 months
EMG has been widely used for many decades, its use is proven and widely accepted by clinicians and the scientific community and it is considered the gold standard method for the measurement of muscle activity.
次要结局
- shoulder active range of motion(through study completion, an average of 4 months)
- shoulder function and disability level(through study completion, an average of 4 months)
- shoulder pain(through study completion, an average of 4 months)
研究者
nada mohamed ahmed emara
principle investigator
Cairo University