Shoulder Impingement
Conditions
Brief summary
This study will be conducted To evaluate the effect of Visceral Manipulation versus Integrated Neuromuscular Inhibition Technique on the upper fiber of trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome
Detailed description
HYPOTHESES It will be hypothesized that: 1. There will be no statistically significant effect of Visceral Manipulation on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, or function in shoulder impingement syndrome 2. There will be no statistically significant effect of the Integrated Neuromuscular Inhibition Technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, or function in shoulder impingement syndrome. 3. There will be no statistically significant difference in the effect of visceral manipulation versus the integrated neuromuscular inhibition technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome. This study will be conducted to answer the following questions: Is there an effect of Visceral Manipulation versus Integrated Neuromuscular Inhibition Technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome?
Interventions
visceral manipulation: A palpation technique will be applied till the barrier is felt and it will be applied until release is felt. integrated neuromuscular inhibition: ischemic compression will be applied to trigger point of upper trapezius
It involves applying direct sustained digital pressure to the TrP with sufficient force over dedicated time duration, to slow down the blood supply and relieve the tension within the involved muscle. The pressure is gradually applied, maintained and the gradually released
Sponsors
Noha Elserty
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* -active myofascial trigger points in the upper trapezius muscle, and chronic Pain lasting more than 12 weeks * BMI between 25 and 30 Kg/m².
Exclusion criteria
* a previous fracture in the cervical spine or shoulder surgery * acute inflammatory condition. * Malignant tumor. * Multiple osteophytes. * Cervical posture abnormalities. * Osteoporosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | pre treatment and after 4 weeks | pain intensity will be measured by a visual analog scale, the scale is marked from 0 to 10 while 0 represents no pain and 10 represents intolerable pain |
| pain pressure threshold | pre treatment and after 4 weeks | pressure threshold measured by pressure algometer |
| shoulder range of motion | pre treatment and after 4 weeks | shoulder flexion and abduction range of motion will be measured by inclinometer |
| shoulder functional level | pre treatment and after 4 weeks | The functional level of the shoulder will be measured by shoulder pain and disability index. the index consists of subscales that measure how much shoulder pain interferes with the functional activity of daily living |
Outcome results
None listed