None listed
Conditions
Interventions
Intervention1: Experimental group: The total duration of the exercise protocol was 8 weeks.Subjects in this arm did the evidence based synthesized protocol for 8 weeks framed by amalgamation of pr
Sponsors
centre for physiotherapy and rehabilitation sciences
Eligibility
Inclusion criteria
Inclusion criteria: Participants who satisfy the following criteria will be recruited to participate 1) Age between 17-35 years 2) Overhead athletes playing competitive sports like volleyball , tennis ,baseball , cricket , swimming , badminton , basketball for at least 6 hours a week . 3) The following diagnostic criteria was used as used in previous studies 8 Patients were included in the impingement group if they had at least two of the following five criteria, a) Positive Neer sign, reproduction of pain when the examiner passively flexed the humerus to end range with overpressure; b) Positive Hawkins sign, reproduction of pain when the shoulder was passively placed in 90° of forward flexion and internally rotated to end range. c) Positive Jobeâ??s sign, reproduction of pain and lack of force production with isometric elevation in the scapular plane in internal rotation (empty can); d) Pain with apprehension, reproduction of pain when an anteriorly directed force was applied to the proximal humerus in the position of 90° of abduction and 90° of external rotation e) Positive relocation, reduction of pain after a positive apprehension test when a posteriorly directed force was applied to the proximal humerus in the position of 90° of abduction and 90° of external rotation No subjects will be included in the study based on last 2 criteria alone. 4) Duration of shoulder impingement for at least 1 month. 5) Pain rating on VAS of less than or equal to 7/10. 6) Willing to commit to a 8 week supervised physiotherapy program.
Exclusion criteria
Exclusion criteria: 1) Subjects who had dislocation in the same or opposite shoulder priorly. 2) Subjects who have isolated AC Joint pathology which is reproduced with AC joint palpation. 3) Symptoms from cervical spine ie radiculopathy. 4) Subjects currently on medication like NSAIDs or received steroid injection in past 12 months etc. 5) Subjects with prior shoulder surgery on symptomatic side. 6) Full thickness rotator cuff tear evidenced by drop test.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.EMG RECORDING-%MVIC 2.EMG RECORDING- Muscle latency timing 3.Isometric muscle strength by hand held dynamaometer Timepoint: basline 4th week 8th week | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. SPADI scale /QoL questionnaire 2. AHD(acromiohumeral distance) measurement by ultrasound . Timepoint: basline 4th week 8th week | — |
Countries
India
Contacts
Public ContactSaurabh Sharma
jamia millia islamia
Outcome results
None listed