Rotator Cuff Syndrome
Conditions
Brief summary
This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain .
Detailed description
The purpose of this study is to determine the effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related shoulder pain on A. Pain B. Range of motion C. Propioception D. Kinesiophobia Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method.
Interventions
PROCEDUREUpper Quadrant Core Strengthening protocol
Upper Quadrant Core Strengthening protocol Core strengthening protocol will comprise of following four week protocol. 1. Week one Scapular postural correction and shoulder shrugging exercises 2. Week two External rotation at 0 degree 3. Week three Internal rotation at 0 degree 4. Week four Standing row at 45 and 90 degree , Anterior shoulder stretch and Thoracic exercise in sitting
PROCEDUREMobilization with movement
In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized Control Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-65 years * Both genders * Unilateral shoulder pain of traumatic origin * Scoring should be less than 8 on numeric pain rating scale * Symptoms lasting more than 6 weeks * Pain on active shoulder movement * Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test * Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain
Exclusion criteria
* History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture * Adhesive capsulitis * History of dislocation * Glenohumeral osteoarthritis * Cancer * Auto-immune inflammatory conditions and infection * Positive joint integrity tests ( Ant. and Post. Drawer tests) * Hill sachs lesions * Bankarts lesions * Cervical rib * Previous shoulder or neck surgery or fracture * Familiar pain provoked by neck movements * Presence of radicular sign * Diagnosis of fibromyalgia * Clinical depression * Rheumatoid arthritis * Poor bone quality ( osteoporosis) * Vertobrobasilar insufficiency test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 4 weeks | Pain will be measured on Numerical Pain rating scale. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable). |
| Range of motion | 4 weeks | A universal goniometer will be used to measure the shoulder ROM in external & internal rotation, abduction and flexion and their normal ranges are 90, 80, 0-180, 0-180 degree respectively. |
| Proprioception | 4 weeks | The laser pointer method for assessing Shoulder Joint Position Sense (JPS) involves the patient using a laser pointer to target a 1 meter distanced scoreboard while performing arm movements. Patient will be asked to perform flexion, abduction and external rotation to 90 degree or alternatively to maximum possible pain free range below 90 degree. After three practice rounds with eyes open, four attempt with eye closed will be performed and shoulder range will be measured. We will measure JPSE for flexion, abduction and external rotation by using mobile app inclinometer. |
| Kinesiophobia | 4 Weeks | The Tampa Scale of Kinesiophobia (TSK) is a 17-item self-report tool with a 4-point Likert scale, measuring fear of movement due to injury or pain, and somatic focus on underlying medical issues. Scores range from 17 to 68, with higher scores (≥37) indicating significant kinesiophobia and poorer health outcomes. |
Countries
Pakistan
Contacts
Primary ContactRaima Liaqat, MS-MSKPT*
Outcome results
None listed