Effect of Mulligan's Mobilization on Shoulder Joint Range of Motion and Subacromial Space in Paraplegic Patients

Shoulder Joint Range of Motion and Subacromial Space Changes After Mulligan's Mobilization for Paraplegic Patients with Subacromial Impingement: a Randomized Controlled Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06708962

Enrollment

Registered

2024-11-29

Start date

2024-12-01

Completion date

2025-02-10

Last updated

2025-02-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Paraplegia, Incomplete

Keywords

Range of motion, subacromial impingement

Brief summary

The aim of the study is to determine the effect of mulligan's mobilization on shoulder range of motion and subacromial joint space in paraplegic patients with subacromial impingement so, thirty patients will be randomly assigned to two groups group (A) and Group (B)

Detailed description

30 patients will be randomly assigned to two groups Group (A): will receive Mulligan's mobilization plus steroid injection for rotator cuff tendinopathy Group (B): will receive Steroid injection for rotator cuff tendinopathy only Outcome measures will be: * shoulder joint range of motion will be measured by laser goniometer * Subacromial joint space will be measured by 3D ultrasonography

Interventions

OTHERMulligan's mobilization

Mulligan mobilization isthe concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient.

OTHERcorticosteroid injection for rotator cuff tendinopathy

corticosteroid injection for rotator cuff helps resolving inflammation which occur for paraplegic patients from overuse of the crutches

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Intervention model description

Randomized controlled trial

Eligibility

Sex/Gender

ALL

Age

40 Years to 60 Years

Healthy volunteers

Inclusion criteria

* More than one year after traumatic spinal cord injury * The injury is at the second thoracic level or below. * No cognitive impairment * Relying on manual wheelchair for main movement.

Exclusion criteria

* No frozen shoulder * No subluxation

Design outcomes

Primary

Measure	Time frame	Description
Shoulder joint range of motion	Two months	Shoulder joint ROM ( flexion - abduction- external and internal rotation will be measured by The laser goniometer HALO

Secondary

Measure	Time frame	Description
Subacromial joint space	Two months	3D Ultrasonography enables the identification of common shoulder pathologies, and it will be utilized to assess the subacromial space as a kinematic indication of the shoulder.

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026