Subacromial Impingement Syndrome
Conditions
Brief summary
Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement. Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.
Interventions
OTHERthoracic mobilization & shoulder mobilization & exercise
OTHERshoulder mobilization & exercise
Sponsors
University of Illinois at Chicago
Walsh University
High Point University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* To be eligible, participants must meet the clinical prediction rule for unilateral subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement sign, b) positive painful arc sign, and c) weakness in external rotation with the arm at the side
Exclusion criteria
* Individuals with contraindications to treatment with mobilization and manipulation (Appendix A) will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain and Disability Index Change over time | 2 weeks, 4 weeks, discharge | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale change over time | 2 weeks, 4 weeks, discharge | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
| Fear Avoidance Beliefs Questionnaire change over time | 2 weeks, 4 weeks, discharge | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
Other
| Measure | Time frame | Description |
|---|---|---|
| Shoulder range of motion change over time | 2 weeks, 4 weeks, discharge | Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
| test of resistance change over time - number of repetitions performed | 2 weeks, 4 weeks, discharge | The test is performed by asking the patient to hold the shoulder at 90 degrees of shoulder flexion and follow a 20cm wide spiral using their affected arm. The patient is asked to complete as many spiral movements as possible until stopped secondary to pain. The maximum number of repetitions to be performed is 20. Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
Countries
United States
Outcome results
None listed