Shoulder Impingement Syndrome
Conditions
Keywords
Shoulder impingement syndrome, Shoulder pain, Disability, Range of motion, Abdominal drawing in maneuver
Brief summary
SUMMARY : Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint). Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome. Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
Interventions
OTHERAbdominal Drawing Inn maneuver with cross pattern limb exercises
1. Abdominal drawing-in with alternating upper extremity movement, 2. Abdominal drawing-in with alternating lower extremity movement, 3. Abdominal drawing-in with alternating upper and lower extremity movement, 4. Opposite arm leg raises in prone position, 5. Bridge exercise
OTHERShoulder Exercises
The participants in conventional group will only receive shoulder exercises that will include Wall climbing, Wand exercises, Shoulder ROMS, Prone arm elevation, Cross-Chest Stretch Pendulum Exercises
Sponsors
Superior 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
1. Patients with age group 30-50 2. Both male and females 3. Positive Neer's sign, positive Hawkins Kennedy sign, , 4. Pain with positive painful arc. Pain with resisted isometric abduction
Exclusion criteria
1. History of shoulder dislocation 2. Patients underwent any shoulder joint surgery. 3. Fracture of upper limb. 4. Patient who has current symptoms related to the cervical spine, 5. Patient who has a history of acromioclavicular pain 6. Patient having history low back pain 7Corticosteroid injection into the shoulder joint in the previous 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NPRS | The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks | It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain. |
| Shoulder Pain and Disability Index | The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks | SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points. |
| Goniometry | Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks. | Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer. |
Countries
Pakistan
Outcome results
None listed