Subacromial Impingement Syndrome
Conditions
Keywords
Subacromial Impingement, Kinesiotaping, scapular exercises, shoulder rehabilitation, Rotator cuff muscles
Brief summary
The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness. This randomized clinical trial will be conducted at Punjab Sports Board, Lahore.This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs. Group A will receive Kinesiotaping protocol and Group B will receive Scapular Stabilization exercises protocol.
Detailed description
The distance between the acromion bone and the head of the humerus narrows in subacromial impingement syndrome. This narrowing leads to the compression of sensitive structures and results in pain and decreased functional performance. Subacromial Impingement syndrome can be Primary and Secondary, both types could present patterns of postural deviation, painful arc, and altered biomechanics of muscles.While taping and scapular stabilizing exercises are commonly used in the treatment of subacromial impingement syndrome, no comparisons were conducted previously between their effectiveness. This randomized clinical trial will be conducted at Punjab Sports Board, Lahore. This study will include patients with age group ≥18 years; pain located on the anterolateral side of the shoulder for ≥3 months with positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc, pain on resisted external rotation, or the Empty Can test after exclusion of cervical radiculopathy, osteoarthritis in the acromioclavicular or glenohumeral joint, calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder; or corticosteroid injection into the shoulder joint in the previous 12 months.Participants will be divided into two groups. Group A will receive Kinesio-taping protocol and Group B will receive Scapular Stabilization exercises protocol.Patients will be assessed Shoulder Pain And Disability Index (SPADI). Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Pain intensity {Visual Analog Scale (VAS) Kinesiophobia {Tampa Scale of Kinesiophobia (TSK)}. The findings can contribute to the growing evidence based supporting whether the use of Kinesio taping or scapular stabilization Exercises improve ROM, 5 Pain and function in patients with Subacromial impingement syndrome. Analysis will be done by statistical package for social sciences SPSS 29.
Interventions
Therapeutic KT application administered to patients in group A. The KT treatment was completed in compliance with Kase's recommended methodology for rotator cuff tendinitis/impingement. Initially, an inhibitory approach was used to apply a supraspinatus Y-strip from its insertion to its origin. The measurement of the strip's length was taken from the acromion to the scapular spine. The base of the strip was later applied to the tuberculum major while the patient was seated; the superior tale of the Y-strip was then terminated at the superomedial angle of the scapula, passing between the middle and superior fibers of the trapezius with light tension (% 15-25); the shoulder was then extended, adducted, and internally rotated with cervical contralateral bending; the final portion of the tape (2.5-5 cm) was applied painlessly.
Participants in Group B engage in a twice-weekly, supervised SSE exercise program that is based on the clinical decision algorithm that has been recommended by an expert panel. The goal of scapular orientation training was to normalize the scapula's resting posture and enhance proprioception. Subsequently, three scapular control exercises were executed: a closed kinetic chain exercise known as the unilateral bench press, bilateral shoulder flexion up to 60°, and a scapular control exercise including bilateral shoulder retraction and extension in the prone position. There was no discomfort involved in performing the exercises, and each session may consist of no more than four exercises. The dosage and progressions were based on the objectives of each exercise; each exercise was performed 8-10 times with a 5- to 10-second hold in between, and there was a 30-to 1-minute rest period.
Sponsors
Sehat Medical Complex
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
Participants with age between 18 to 55 years. Participants with pain on the anterolateral side of the shoulder for ≥3 months. Participants diagnosed with ≥3 positive clinical signs of SIS, such as the Neer or Hawkins-Kennedy test, a painful arc by a sports physical therapist. Mild or Moderate pain on resisted external rotation, or the Empty Can test.
Exclusion criteria
Diagnosis of cervical radiculopathy. Participants with osteoarthritis in the acromioclavicular or glenohumeral joint. Calcific tendinitis, adhesive capsulitis, glenohumeral instability or a partial or full-thickness rotator cuff tear, clinical history of acute trauma, previous surgery or previous fracture in the affected shoulder. Corticosteroid injection into the shoulder joint in the previous 12 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain And Disability Index (SPADI). | 1 week | In order to assess the level of pain and impairment, established the shoulder pain and disability index, which modified. It has thirteen questions total, split into two auxiliary scales: five questions measure pain intensity, and eight questions assess upper limb disability when completing various activities of daily living. The pain subscale has five questions. A 10-point Likert scale was used to rate the thirteen things, with 0 denoting no discomfort and 10 denoting extremely severe pain. Each tool's results were transformed into a 100-point rating system. The degree of shoulder pain, injury, and disability increases with the tool's score. |
| Changes in upper limb function Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | 1 week | The Spanish version of the Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire was used to measure upper limb function. Scores range from 0 to 100 points, with higher scores indicating poorer function.The MCID is 11 points.Patients were asked to fill out DASH questionnaires, to apply marks to the point that they felt represented their perception of their current state |
| Pain intensity {Visual Analog Scale (NPRS). | 1 week | The numeric pain rating scale for pain (NPRS) is generally captured on a 10- centimeter line, with 0 representing no pain, 5 indicating moderate pain, and 10 representing worst possible pain. Michener and colleagues15 reported that the minimally clinically important difference (MCID) for the NPRS was 2.17 for subjects with shoulder pain due to both surgical and non-surgical sources |
| Kinesiophobia {Tampa Scale of Kinesiophobia (TSK) | 1 week | The original 17-item Tampa Scale of Kinesiophobia (TSK) was used to assess pain- related fear of movement. The scores range from 17 to 68 points, with higher scores indicating greater fear of movement and or (re-)injury. The MCID for people with chronic pain is 5.6 points; however, the MCID for people with SIS or rotator cuff disease has not been established. |
| Standard Goniometer | 1 week | Shoulder flexibility was measured using a standard goniometer, which has a reported accuracy within 1° and a range of 180°. Goniometry is a common clinical method used for measuring shoulder complex ROM associated with adequate reliability.A standard goniometer is used to evaluate the passive range of motion of all joints of the shoulder girdle and upper limb. Deficits of joint motion from immobility result in contracture of the joint capsule, adhesions in the joints, and shortening of both muscle and tendons above the affected joints |
Countries
Pakistan
Contacts
Primary ContactImran Ghafoor Dr., DPT, M.phill
Outcome results
None listed