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The effect of the kinetic chain exercise on anterior shoulder instability

The effect of the kinetic chain exercise base approach on pain, disability, function, muscle strength and shoulder kinematics in patients with anterior shoulder instability: a randomized controlled trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20190315043058N4
Enrollment
42
Registered
2024-04-10
Start date
2024-05-21
Completion date
Unknown
Last updated
2024-05-27

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

Conditions

People with traumatic dislocation of the shoulder in anterior direction.

Interventions

Intervention 1: Intervention group: Specific exercises based on the rehabilitation of the shoulder kinetic chain in addition to basic treatment that includes the use of electrical stimulation currents

Sponsors

Iran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years

Inclusion criteria

Inclusion criteria: Men and women age between 18 to 45 years History of one-way dislocation in the anterior direction of the shoulder, so that it has happened one to three times The dislocation has been confirmed using MRI imaging methods and diagnosed by a orthopedic surgeon and has been closed reduction manner Patients are evaluated within 1 to 3 weeks after the current shoulder injury. This screening was done to ensure that all had completed initial immobilization of the shoulder after reduction

Exclusion criteria

Exclusion criteria: Humeral head fractures and/or bony Bankart lesions that require early surgery (assessed by an orthopedic surgeon) Previous surgery on the injured shoulder joint Doubtful of diagnoses of certain diseases (such as rheumatoid arthritis, cancer, neurological disorders, fibromyalgia, mental disorder ) Sensory and motor deficits in the neck and shoulder (damage to the roots of brachial plexus nerves and damage to peripheral nerves branching from it that leads to sensory or motor impairment in the shoulder) Giving birth in the last six months Failure to complete/absence from more than two consecutive sessions or three alternate sessions Disorders such as stroke, epilepsy and Parkinson's or cognitive impairment

Design outcomes

Primary

MeasureTime frame
Functional disability. Timepoint: Before starting the treatment, after the last treatment session and three months after the last treatment session as a follow-up. Method of measurement: Persian version of Western Ontario Shoulder Instability (WOSI).

Secondary

MeasureTime frame
Pain intensity. Timepoint: Before starting the treatment, after the last treatment session and three months after the last treatment session as a follow-up. Method of measurement: Visual Analogue Scale.;Kinesiophobia. Timepoint: Before starting the treatment, after the last treatment session and three months after the last treatment session as a follow-up. Method of measurement: Persian version of Tampa Scale Kinesiophobia.;Active and passive rang of motion. Timepoint: Before starting the treatment, after the last treatment session and three months after the last treatment session as a follow-up. Method of measurement: The active range of motion of participant using the motion capture system and the passive range of participant without pain were measured using the clinometer application installed on the smartphone.;Scapular kinematic. Timepoint: After last treatment session. Method of measurement: Using Motion Capture analysis system.;Strength. Timepoint: Before starting the treatment, after the last treatment session. Method of measurement: Manual dynamo-meter.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr. Esmaeel Ebrahimi Takamjani

Iran University of Medical Sciences

ebrahimitakamjani.e@iums.ac.ir+98 21 2239 2426

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026