Subacromial Impingement Syndrome
Conditions
Keywords
subacromial impingement syndrome, Virtual reality, Mulligan mobilization, shoulder function, shoulder posture
Brief summary
The study will compare the effect of virtual reality based exercise training versus Mulligan mobilization in addition to exercise therapy added to both groups on shoulder posture and function in subacromial impingement syndrome.
Interventions
OTHERVirtual Reality
Fully immersive virtual reality mounted headset will be used
OTHERMulligan mobilization
posterolateral shoulder Mulligan mobilization with movement (MWM) will be used
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients will be referred from the orthopedic surgeon with a diagnosis of stage II SIS with the following criteria: 1. Participants ranged in age from 30-50 years old. 2. Participants are from non-athletes from the general population. 3. Unilateral shoulder pain that is localized either anteriorly or laterally to the acromion. Pain that occurs or worsens when the affected shoulder is in flexion and/or abduction. 4. Four of the following should be present in the included patients: Neer impingement test, Hawkins' test, Pain was replicated in the supraspinatus empty-can test, a painful arc of movement from 70° to 120°, and painful greater tuberosity of the humerus. 5. BMI range 18.5- 29.9 Kg/m².
Exclusion criteria
* 1\) Patients who, during the previous three months, underwent shoulder physical treatment and/or an acute pain flare. 2\) Patients who have undergone surgeries for tendon repair. 3) Malignancy, epilepsy, pregnant women, and/or systemic conditions like chronic renal or liver failure. 4\) Mini-Mental State Examination test (MMSE) (\< 24/30) to exclude cognitive impairment and/or significant vision impairment (if they couldn't read the introduction while wearing the Head Mounted Device (HMD). 5\) Corticosteroid injection during the last three months or used steroids chronically. 6\) Adhesive capsulitis, glenohumeral joint instability, Numbness or tingling of the upper limb, and/or full-thickness tear of the rotator cuff.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity during shoulder elevation | pain intensity at the start of session 1 to the end of 1 month of treatment | It will be measured using the Numerical Pain Rating Scale (NPRS) |
| Shoulder function | shoulder function at the start of session 1 to the end of 1 month of treatment | The Shoulder Pain and Disability Index (SPADI) will be used to measure the shoulder function. |
| Shoulder flexion range of motion | shoulder flexion at the start of session 1 to the end of 1 month of treatment | The Clinometer Application will be used to measure it. |
| Shoulder abduction range of motion | shoulder abduction at the start of session 1 to the end of 1 month of treatment | The Clinometer Application will be used to measure it. |
| shoulder posture | shoulder posture at the start of session 1 to the end of 1 month of treatment | Sagittal Shoulder Angle will be used to measure the shoulder posture |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients' enjoyment | It will be evaluated at the end of the last session (after 1 month) | A 7-point likert scale will be used to the evaluate the level of the patients' enjoyment at the end of the last session. |
| patients' adherence to treatment sessions | patients' adherence at the start of session 1 to the end of 1 month of treatment | patients' numbers of attended sessions will be calculated at the end of 1 month of treatment. |
Countries
Egypt
Contacts
CONTACTSara M Meselhy, Demonstrator
CONTACTAfaf M Tahoon, lecturer
STUDY_CHAIREnas Fawzy Youssed, Professor Doctor
Cairo University
STUDY_DIRECTORAfaf M Tahoon, lecturer
Cairo University
STUDY_DIRECTORMohamed A Kotb, Assistant professor
Cairo University
Outcome results
None listed