Subacromial Pain Syndrome
Conditions
Keywords
Pain, Scapulothoracic Joint Mobilization, Acromioclavicular Joint Mobilization
Brief summary
the study was conducted to find out the effects of scapulothoracic joint mobilization with or without acromioclavicular joint mobilization in patients with sub-acromial pain syndrome.
Detailed description
the study was conducted to determine the effects on the pain, range of motion of shoulder joint and the SPADI score in patients with sub-acromial pain syndrome post intervention including scapulothoracic upward rotation, posterior tilting and outward rotation glide with or without combination of acromioclavicular inferior glide.
Interventions
OTHERScapulothoracic joint mobilization
during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks
OTHERAcromioclavicular joint mobilization
during 1st week : Maitland grade-II mobilization for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week : Maitland grade-II, III for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval, 3 sessions a week for 4 weeks.
Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age 25 - 40 years * Genders both male and female * Patients having unilateral non-traumatic shoulder pain * Patients having pain for ≥ 3 months * According to Dutch Orthopedic Association Clinical Practice Guidelines 2 out of following 3 tests should be positive i.e. Hawkin's kennedy test, Painful arc test, and Infraspinatus resistance test * Positive scapular assistance test * Positive AC joint scarf test
Exclusion criteria
* Patients having bilateral shoulder pain * Younger than 25 and older than 40 years * With positive drop arm test for supraspinatus tears * Degenerative joint disease of shoulder * Patients diagnosed with frozen shoulder * Having history of shoulder fracture and dislocation * Patients diagnosed with cervical radiculopathy (19) * Having history of shoulder or neck surgery (19) * Patients who had steroid injections in shoulder joint in the past 6 months * Patients having other neurological, orthopedic and systemic problems affecting the shoulder, neck and back
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating scale | from enrolment to the end of 4 weeks of treatment | this scale is used to evaluate pain. it consists of 11 points from 0 to 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 moderate pain and 7-10 represents severe pain. |
| Shoulder Pain and Disability Index SPADI | from enrolment to the end of 4 weeks treatment | this questionnaire consisting of 13 items is used to assess the severity of pain and difficulty while performing daily life activities. two subscales for pain and disability. uses a visual Analog scale or Numeric rating scale for each item, resulting in scores from 0-100 for each sub-scale, with higher scores indicating more pain or disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| goniometer for shoulder flexion ROM | from enrolment to the end of 4 weeks treatment | changes in shoulder flexion range of motion was measured at baseline and after 4 weeks of treatment sessions using goniometer |
| Goniometer for shoulder extension ROM | from enrolment to the end of 4 weeks of treatment | changes in the shoulder extension range of motion were measured at baseline and at the end of 4 weeks of treatment sessions using goniometer |
| Goniometer for shoulder abduction ROM | from enrolment to the end of 4 weeks treatment sessions | changes in the shoulder abduction range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer |
| Goniometer for shoulder adduction ROM | from enrolment to the end of 4 weeks of treatment | changes in shoulder adduction range of motion were measured at baseline and at the end of 4 weeks treatment sessions by using goniometer |
| Goniometer for shoulder external rotation ROM | from enrolment to the end of 4 weeks of treatment | changes in shoulder external rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer |
| goniometer for shoulder internal rotation ROM | from enrolment to the end of 4 weeks treatment | changes in the shoulder internal rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSaba Rafiq, MS-OMPT
Riphah International University
Outcome results
None listed