Shoulder Impingement
Conditions
Keywords
mulligan technique, sub-acromial space
Brief summary
the aim of this study is to investigate the Effect of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome
Detailed description
Shoulder Impingement Syndrome (SIS) is defined as the mechanical entrapment of the rotator cuff (mainly the supraspinatus tendon) or the sub-acromial bursa in the sub-acromial space between the humeral head and the acromion or coracohumeral ligament .It is typically exacerbate when the arm is elevated or when overhead throwing activities are performed . Mulligan technique is a type of manual therapy with hypoalgesic effects, increases joint ROM, enhances muscle function and treats specific pathologies. Mobilization with movement (MWM) can be defined as the application of a sustained passive accessory force / glide to a joint while the patient actively performs a task that was previously identified as being problem.
Interventions
OTHERmulligan technique
The patient will be in sitting and the therapist stands on the contralateral side of pain, stabilizing the scapula posteriorly with one hand. The head of the humerus is translated posteriorly and laterally with the other hand, along the plane of the glenoid fossa. While the glide is sustained, the patient actively elevates their arm through the plane of abduction or scaption (elevation). Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session the perform mobilization on acromioclavicular and sternoclavicular joint
OTHERconventional therapy
1. Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine. 2. Strengthen the rotator cuff and scapular stabilizers. 3. Improve upper-quarter postural awareness
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
permuted block
Intervention model description
mulligan and conventional therapy
Eligibility
Sex/Gender
ALL
Age
30 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
age of patients from 30- 55 years old . Both Male and female. Shoulder pain and two out of four specified objective signs and symptoms: Positive Neer impingement test. Positive Hawkins-Kennedy impingement test. Painful or limitation of active shoulder elevation (flexion, abduction, scaption). Pain or limitation with the functional movement patterns of hand-behind-back or hand-behind-head.
Exclusion criteria
Systemic or neurological disorder. Adhesive capsulitis. Cervical radiculopathy. History of shoulder surgery. Corticosteroid injection within the past month Subjects who had received physical therapy treatment for their shoulder within the past three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sub-acromial space | up to two weeks | sub-acromial space will be measured by ultrasonography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| shoulder range of movement | up to two weeks | shoulder range of motion will be measured by digital goniometer |
Other
| Measure | Time frame | Description |
|---|---|---|
| pressure pain threshold | up to two weeks | pressure algometer will be used to measure pressure pain threshold |
| shoulder function | up to two weeks | quick DASH will be used to measure shoulder function. DASH is a shortened version of the DASH questionnaire that uses 11 items to measure the degree of difficulty in performing various physical activities due to a shoulder, arm, or hand problem (6 items); the severity of pain and tingling (2 items); and the problem's effect on social activities, work, and sleep (3 items). |
Countries
Egypt
Contacts
Primary Contactalshaymaa sh abd el-azeim, lecturer
Outcome results
None listed