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Exploring the effects of posterior shoulder mobilization on scapular and shoulder muscle activities

The effect of high dosage shoulder posterior mobilisation on shoulder and scapular muscle activity during resisted shoulder elevation: A repeated-measures study on asymptomatic individuals

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000020886
Enrollment
25
Registered
2021-01-13
Start date
2022-05-04
Completion date
2022-07-03
Last updated
2023-05-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Inferior shoulder mobilisation is used for improving range of motion and reducing pain in patients with shoulder disorders. The mechanisms underlying improvements in pain and range of motion are unclear. The primary aim is to investigate the effect of posterior shoulder mobilisation on scapular and shoulder muscle activity, during resisted shoulder elevation in asymptomatic individuals. This is a repeated-measures, cross-over, randomised controlled study. Twenty-five participants will be recruited. The order of interventions will be randomised. Each participant will perform 5 repetitions of resisted shoulder elevation before and after the control and mobilisation (grade +IV posterior shoulder mobilisation, 3 sets, duration of 60-s) conditions. Surface electromyography recorded muscle activity of: upper and lower trapezius; serratus anterior; infraspinatus; middle and posterior deltoids; and latissimus dorsi muscles.

Interventions

Mobilization: The participants’ shoulder will be passively mobilized by an experienced musculoskeletal physiotherapist. The mobilizations will consist of 3 sets of 60 seconds of passive movement, at a rate of 2 Hz, with 30 seconds interval between sets. This dosage (grade +IV, 2 Hz, 3 sets of 60 seconds, with 30 seconds interval between sets) is commonly used in the clinical setting. The mobilization will be performed with the shoulder in abduction greater than 90 degrees, so that the gleno-hume

Mobilization: The participants’ shoulder will be passively mobilized by an experienced musculoskeletal physiotherapist. The mobilizations will consist of 3 sets of 60 seconds of passive movement, at a rate of 2 Hz, with 30 seconds interval between sets. This dosage (grade +IV, 2 Hz, 3 sets of 60 seconds, with 30 seconds interval between sets) is commonly used in the clinical setting. The mobilization will be performed with the shoulder in abduction greater than 90 degrees, so that the gleno-humeral capsule and ligaments are (theoretically) lengthened. This intervention (i.e. mobilization) will be delivered in one session lasting approximately 5 min. That will be followed by a wash-out period lasting for 10 min.

Sponsors

University of Otago
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

Participants will be included if they present no current neck and shoulder injuries.

Exclusion criteria

None.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026