Shoulder Impingement
Conditions
Brief summary
Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. The conservative option that has shown effectiveness is manual therapy of the cervical and thoracic spine
Detailed description
This study will be conducted to answer the following question: What is the effect of adding cervical and thoracic mobilization to selected therapeutic exercise Program on pain intensity, Pain-free shoulder flexion and scaption active ROM, muscle strength of external rotator and abductors, shoulder functional status in patients with Shoulder Impingement Syndrome
Interventions
OTHERtherapeutic exercises
One group received an exercise program that consisted of pain control, ROM, as well as education in scapular control, strengthening of muscles around the shoulder blades, and starting sensory-motor training. The program consisted of all exercises being performed in 3 sets of 15 repetitions. also, scapular stabilizing exercise were added
OTHERmobilization exercise
cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization
Sponsors
Egyptian Chinese University
Benha University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
patients and outcomes assessor will be masked about the grouping of the study
Intervention model description
Both groups underwent a physical therapy program; study group received additional cervical and thoracic mobilization. Outcomes included pain intensity, pain-free shoulder active range of motion (ROM) in scaption, flexion, abduction, internal and external rotation, muscle strength of external and internal rotators and abductors, and overall shoulder functional status.
Eligibility
Sex/Gender
MALE
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
required at least three positive findings from five diagnostic tests for SIS (Hawkins-Kennedy test, Neer's test, painful arc, Resisted External Rotation test, Jobe's test) and persistent shoulder pain (anterolateral shoulder region) for 3 to 6 months, along with limitations in functional movements as Individuals who experienced painful restrictions in their ability to raise their shoulder (flexion, abduction, scaption) and had pain or limitations when performing functional movements such as reaching behind their back or behind their head. As well as subjects who willingly participated in the study and gave their consent for the research purposes.
Exclusion criteria
included adhesive capsulitis, radiologically confirmed grade III rotator cuff tears, calcific tendinitis, neurological or systemic disorders, cervical radiculopathy, prior shoulder surgery, recent corticosteroid injections, or recent physiotherapy within the previous three months. Patients complain from shoulder pain without pain on palpation, mobility limitations or pain during provocative tests, but complaining of abdominal tenderness on palpation were also excluded from this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | pre intervention and after 6 weeks of intervention | pain intensity will be measured by visual analogue scale |
| shoulder flexion and abduction range of motion | pre intervention and after 6 weeks of intervention | measurement of shoulder flexion and abduction range of motion applied by using digital goniometer |
| muscle strength | pre intervention and after 6 weeks of intervention | shoulder flexors and external rotators muscle strength will be measured by dynamometer |
Countries
Egypt
Contacts
PRINCIPAL_INVESTIGATORNoha Elserty
Benha University
Outcome results
None listed