Impingement syndrome of shoulder. Impingement syndrome of shoulder
Conditions
Interventions
Intervention 1: Control group: performing 12 sessions of shoulder stabilization exercises as follows: Serratus anterior punch/Scapular retraction/Scapular retraction with adduction hold/Wall slide wit
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
17 Years to 45 Years
Inclusion criteria
Inclusion criteria: Amateur male and female athletes in overhead sports (volleyball, basketball, handball, badminton, tennis) with shoulder impingement syndrome (Neer classification stage 1 and 2) The patient's chief complaint in the glenohumeral area or the proximal part of the arm for at least 4 weeks Positive at least 3 tests from Neer, Job, Hawkins, resisted external rotation and painful arch tests Shoulder pain with intensity between 3 and 7 based on VAS in one of the resistance tests of internal rotation, external rotation, flexion or abduction Absence of movement limitation of more than one third of the healthy side in raising the shoulder or at least a range of 150 degrees of elevation
Exclusion criteria
Exclusion criteria: Presence of neurological problems/pains originating from the cervical spine, systemic and rheumatological problems Receiving other treatments (such as corticosteroid injections) in at least one last month Adhesive capsulitis of the shoulder Type 3 Acromion The presence of grade 3 tears in the rotator cuff muscles Having a history of surgery, fracture, dislocation in the shoulder area in the last 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| "Pain intensity" using a visual analog scale. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Pain intensity will be evaluated using a visual analog scale at rest, in active abduction and flexion movements.;Functional disability of the upper limb by the Persian version of Disabilities of the Arm, Shoulder and Hand questionnaire. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: The score of the Persian version of the questionnaire related to the degree of disability of the shoulder (Disabilities of the Arm, Shoulder and Hand).;Evaluation of the performance related to the upper limb closed movement chain by the average number of contacts in Closed Kinetic Chain Upper Extremity Stability Test. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Counting the average number of contacts in 15 seconds in Closed Kinetic Chain Upper Extremity Stability Test.;Evaluation of the performance of the closed movement chain in the upper limb by reaching distance in Upper Quarter Y-Balance Test in medial, superior-lateral and inferior-lateral directions. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Upper Quarter Y-Balance Test.;Upward/downward rotation angles of the scapula. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Gravity reference inclinometer.;Angle of Anterior/Posterior inclination of the scapula. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Gravity reference inclinometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| The distance between the inferior angle of the scapula and the spinous process of the closest adjacent vertebra, in three positions: in neutral position, at 40-45 degrees of shoulder abduction in the frontal plane and also at 90 degrees of shoulder abduction while the arm is in full internal rotation. . Timepoint: At the beginning of the study and after the completion of 12 training sessions. Method of measurement: Using a tape measure in the Lateral Scapular Slide Test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSeyede Sayeh Moosavi Chavoshi
Tehran University of Medical Sciences
Outcome results
None listed