Shoulder Impingement Syndrome
Conditions
Keywords
shoulder impingement, manual therapy, pain, motion.
Brief summary
Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.
Interventions
Sponsors
University of Salamanca
César Fernández-de-las-Peñas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* history of shoulder pain of \> 3months duration * pain localized at the proximal anterolateral shoulder region * medical diagnosis of shoulder impingement syndrome * at least 2 positive impingement tests including Neer, Hawking, or Jobe test
Exclusion criteria
* diagnosis of fibromyalgia * pregnancy * a history of traumatic onset of shoulder pain * other histories of shoulder injury * ligamentous laxity based on a positive Sulcus test and apprehension test * numbness or tingling in the upper extremity * previous shoulder or cervical spine surgery * corticosteroid injection on the shoulder within 1 year of the study * physical therapy 6 months prior to the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the intensity of shoulder pain before and after the treatment | Baseline and one week after intervention | Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in shoulder range of motion before and after the treatment | Baseline and one week after the intervention | A universal goniometer was used to assess the participant's shoulder range of motion in the following motions: * Pain-free and maximum (painful) range of motion in shoulder flexion * Pain-free range of motion in shoulder extension * Pain-free range of motion in shoulder abduction * Pain-free range of motion in shoulder external rotation * Pain-free range of motion in shoulder medial (internal) rotation |
Countries
Spain
Outcome results
None listed