Subacromial pain syndrome. Impingement syndrome of shoulder
Conditions
Interventions
Intervention 1: Intervention group: people in the intervention group perform progressive muscle relaxation in addition to the usual physiotherapy. At first, the subjects are trained in the technique u
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
25 Years to 60 Years
Inclusion criteria
Inclusion criteria: Age between 25 and 60 years Shoulder pain for more than 1 month with or without limitation of shoulder movements People with the diagnosis of subacromial shoulder pain syndrome who are positive for at least 2 of the following: painful arch (with or without limitation) in flexion or abduction (between 60 and 120 degrees), positive Neer or Hawkins test, pain during resistance contraction of external rotation, abduction Average intensity of night pain and discomfort in the last week at least 2 according to the NRPS scale
Exclusion criteria
Exclusion criteria: Movement limitation of shoulder movements more than 50% of the normal range History of surgery or fracture or dislocation in the neck and upper limbs Traumatic shoulder pain Complete rupture of rotator cuff or biceps tendon Joint degenerative changes or labrum damage History report of rheumatology and systemic diseases Skeletal neuromuscular disorders such as cervical radiculopathy or referred pain from the neck, which is confirmed by the spurling test (52). The sensitivity of this test is 30% and its specificity is reported as 93% pregnant women history of steroid injection in the last 3 months Joint capsule adhesion History of receiving treatment or physiotherapy for shoulder problem during the last 6 months Cognitive dysfunction (according to MMSE questionnaire) The presence of neurological disorders such as stroke, epilepsy, and Parkinson's severe spinal deformity thoracic outlet syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity during activity based on NRPS scale. Timepoint: At the beginning of the sessions and after the end of 8 treatment sessions. Method of measurement: Numeric pain rating scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep quality. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Persian version of Petersburg Sleep Quality Questionnaire (PSQI).;Night pain. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Numeric pain rating scale.;Disability. Timepoint: At the beginning of the sessions and after the completion of 8 treatment sessions. Method of measurement: Persian version of Arm, Shoulder and Hand Disability Questionnaire (DASH) and Pain, Shoulder and Disability Questionnaire (SPADI). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHaniye Sotoudefar
Iran University of Medical Sciences
Outcome results
None listed