Chronic Subacromial Impingement Syndrome
Conditions
Keywords
Spencer Technique, Positional Release Technique, Proprioception, Chronic Subacromial Impingement Syndrome
Brief summary
Chronic Subacromial Impingement Syndrome (SIS) is a common musculoskeletal condition characterized by shoulder pain, reduced range of motion, impaired proprioception, and functional disability. This randomized clinical trial aims to compare the effectiveness of the Spencer Technique and Positional Release Technique in reducing shoulder pain, improving proprioception and range of motion, and decreasing functional disability in patients with chronic subacromial impingement syndrome. A total of 32 participants will be randomly divided into two groups. Group A will receive the Spencer Technique, while Group B will receive the Positional Release Technique. The intervention will be conducted three times per week for six weeks, totaling 18 sessions. Outcomes will be assessed before and after the intervention using appropriate outcome measures for shoulder pain, proprioception, range of motion, and functional disability. Data will be analyzed using SPSS to compare the effectiveness of both interventions and determine which technique provides greater improvements in patients with chronic subacromial impingement syndrome.
Interventions
OTHERspencer technique
spencer technique. 3 sessions per week for 6 weeks
positional release technique. 3 sessions per week for 6 weeks
Sponsors
University of Management and Technology Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
Adult individuals between 35 to 55 years old regardless of gender Chronic SAIS diagnosed clinically with symptom duration greater than three months. Passive shoulder joint impingement test: Hawkins-Kennedy Test. An NPRS pain score range of 4-6. Limited glenohumeral range of motion.
Exclusion criteria
Any recent history of surgery involving the shoulder joint. Any recent History of any shoulder fracture, glenohumeral dislocation, or frozen shoulder condition. MRI or ultrasound confirmed full thickness rotator cuff tear. Individual's is suffering from cervical radiculopathy or brachial plexus involvement with upper extremity referral. Individuals with systemic inflammatory joint disease (rheumatoid arthritis, ankylosing spondylitis). Individuals with Diseases affecting upper limb proprioception (stroke, peripheral neuropathies).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale (NPRS) | Baseline and after 6 weeks | Pain severity will be assessed via the 11-point NPRS (0 = no pain; 10 = maximal pain imaginable) during resting and overhead activities. The NPRS has shown high reliability (ICC = 0.95-0.96) and validity in shoulder pathology. |
| Joint Position Sense (Proprioception) | Baseline and after 6 weeks | The shoulder joint proprioception will be tested with a Joint Position Sense (JPS) test. The test will be administered in flexed shoulder position (90°), abducted shoulder position (90°) and external rotation position (60°). The patient's arm will be passively positioned to achieve target position and hold it for several seconds for memorization; subsequently, the limb will return to the neutral starting position. Then the patient will be asked to reproduce the target position by moving the arm without vision assistance. |
| Shoulder Range of Motion - clinometer | Baseline and after 6 weeks | Glenohumeral joint active and passive range of motion, including flexion, abduction, internal rotation, and external rotation, will be assessed using a smartphone-based clinometer application. Smartphone clinometers have been reported as valid and reliable tools for measuring shoulder range of motion, demonstrating excellent intra-rater reliability when compared with the standard universal goniometer |
| Shoulder Pain and Disability Index (SPADI) | Baseline and after 6 weeks | The SPADI, a 13-question self-administered survey that includes a five-question subscale measuring pain and an eight-question subscale assessing disability, will be used to measure functional disability, rated on a scale of 0 to 10. The total score of SPADI (0-100) is obtained by taking the average of the scores of the two subscales, multiplied by 100. SPADI has been found to have excellent reliability (α = 0.86-0.96; ICC = 0.84-0.95). |
Countries
Pakistan
Outcome results
None listed