Exercises Therapy, Manual Theapy, Shoulder Pain
Conditions
Keywords
Shoulder Pain, Shoulder Impingement Syndrome, Exercise therapy, Randomized Controlled Trial
Brief summary
The objective of this protocol is to compare degree of improvement can be achieved in patients with shoulder pain by treatment with Manipulative Techniques for the cervicothoracic spine versus home exercises.
Detailed description
Design: Randomized Clinical Trial. Objective: to determine the effects of manipulative techniques for the ervicothoracic spine versus home exercises on pain, disability, and range of movement in patients with unilateral shoulder inmingement syndrome. Methods and Measures: ninety-two subjects will be randomly assigned to one of two groups. Intervention: For 5-weeks, the groups 1 will undergo tratment comprising manipulative protocol techniques for the cervicothoracic spine (2/week) and the group 2 will develop a home exercise (2/week). Main Outcome Measures: Intensity of pain, disability, and range of motion data will be collected at baseline, and 24hr after the last therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome measure.
Interventions
OTHERHome Exercises
Sponsors
Andaluz Health Service
Universidad de Almeria
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
1. Report of pain or dysfunction with overhead activities 2. Demonstration of pain during active shoulder movements 3. Demonstration of a positive Neer/Hawkins-Kennedy test 4. Recent onset within the last 12 months 5. Report of non-traumatic onset 6. Demonstration of a painful arc of the arm from 60° to 120° of flexion 7. Report of a baseline pain level of ≥2/10 on an 11 point numeric scale
Exclusion criteria
* The presence of any red flags * A history of frozen shoulder * Disorders of the acromioclavicular joint * Degenerative arthritis of the glenohumeral joint * Known calcifying tendonitis (if identified by radiograph) * Shoulder instability * Posttraumatic disorders * Shoulder surgery and/or elbow, hand, wrist and blatantly misdiagnosed cervical spine disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability Questionnaire Arm, Shoulder and Hand (DASHe) | At baseline and 5 weeks | This questionnaire asks about the symptoms as well as your ability to perform certain activities. This questionnaire has 30 items, and the results are clasified in: no difficulty, mild difficulty, moderate dificulty, severe dificulty and unable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Disability Questionnaire | At baseline and 5 weeks | Shoulder Disability Questionnaire is a mesure covering 16 items designed to evaluate functional status limitation in patients with shoulder disorders. |
| Hawkins-Kennedy Test | At baseline and 5 weeks | The Hawkins and Kennedy test was interpreted as indicative of impingement between the greater tuberosity of the humerus against the coraco- humeral ligament, trapping all those structures which intervene. It has been reported as less reliable than the Neer impingement test. |
| Neer Test. | At baseline and 5 weeks | Neer's Test assesses for possible rotator cuff impingement. Stabilize the scapula and with the thumb pointing down and passively flex the arm. Pain is a positive test. |
| Range of Motion | At baseline and 5 weeks | The range of motion will be evaluated in flexion, extension, rotation, adduction, and abduction. |
| Visual Analogue Scale | At baseline and 5 weeks | A 10-point numerical pain scale (0:no pain, 10: maximum pain) assesses the intensity of pain. |
Countries
Spain
Outcome results
None listed