Shoulder Impingement Syndrome
Conditions
Brief summary
Purposes of the study To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome
Detailed description
Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.
Interventions
OTHERHigh intensity shoulder exercise
Exercises that target the rotator cuff muscles using 90% of one repetition maximum only for 5 repetitions
OTHERConventional physical therapy
Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
1. Athletic patients 2. Age of the patients between 18 - 35 years 3. Unilateral shoulder pain more than 3 months. 4. Positive Hawkins test. 5. Positive empty or full cane test. 6. Pain at night or incapable of lying on the shoulder. 7. Pain with active shoulder elevation in the scapular plane. 8. History of pain in the C5-C6 dermatome. 9. Pain with palpation of the rotator cuff tendons. 10. The patient had pain with resisted isometric abduction
Exclusion criteria
1. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation). 2. Clinical sign of cervical radiculopathy. 3. History of acromio -clavicular pain. 4. Rheumatoid Arthritis. 5. Adhesive capsulitis. 6. Tumors 7. Labrum lesions 8. Capsular or ligamentous tears or avulsions 9. Cartilage lesions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain and function | Change from Baseline pain and function at 6 weaks | Shoulder pain and disability index (SPADI) |
| Supraspinatus muscle thickness | Change from Baseline Supraspinatus muscle thickness at 6 weaks | Diagnostic Ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sub acromial space (Acromiohumeral distance). | Change from Baseline Sub acromial space at 6 weaks | Diagnostic Ultrasound |
| External and internal rotators muscle strength. | Change from Baseline External and internal rotators muscle strength at 6 weaks | Hand-held dynamometer |
| supuraspinatus muscle strength | Change from Baseline supuraspinatus muscle strength at 6 weaks | Hand-held dynamometer |
| shoulder performance | Change from Baseline shoulder performance at 6 weaks | Timed push up test |
Countries
Egypt
Outcome results
None listed