Shoulder Pain and Stiffness
Conditions
Keywords
pain, function, rotator cuff, strength, exercises
Brief summary
The goal of this control trail is to describe the effects of scapular stabilization exercises on rotator cuff strength, shoulder pain and function in physiotherapist. There is effect of scapular stabilization exercises on on rotator cuff strength, shoulder pain and function in physiotherapist. Experimental Group: Participants will ask to do the scapualar stabilization exercises with conventional treatment for 40 mins for 6 weeks for 3 days each week. Participants will recive conventional treatment for 40 mins and ask to do their routine work and rest for the 6 weeks, 3 days each week.
Interventions
A supervised scapular stabilization program delivered for six weeks, three sessions per week, along with conventional treatment lasting about 30 to 40 minutes. Each session will include: Warm-up (5 minutes) Scapular retraction and depression exercises Prone horizontal abduction and prone Y, T and W exercises Serratus anterior strengthening (wall slides, push-up plus) The program will be progressed by increasing repetitions (for example, from 2 sets of 10 to 3 sets of 15)
OTHERConventional treatment
This Group will receive conventional treatment for six weeks three sessions per week, lasting for 20 minutes. Participants will continue their usual activities and receive general advice on posture and work ergonomics. Conventional Treatment: 15 minutes of hot pack with TENS with frequency (100 HZ) and intensity 10mA.
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
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
Registered physiotherapists of either gender, aged 25 to 45 years Shoulder pain for at least four weeks with a Numeric Pain Rating Scale score of 3 or higher Positive Hawkins-Kennedy test, defined as reproduction of the participant's usual shoulder pain. Currently working 6 to 8 clinical hours per week.
Exclusion criteria
Previous history of shoulder surgery, fracture or dislocation Suspected full-thickness rotator cuff tear (positive drop arm test or lag signs), frozen shoulder or cervical radiculopathy Neurological disorders or systemic inflammatory conditions Corticosteroid injection in the shoulder within the past three months Currently receiving any other treatment for the shoulder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | Baseline and after 6 weeks | 11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform) |
| Hand Held Dynamometer | Baseline and after 6 weeks | Rotator cuff strength will be measured with a handheld dynamometer (microFET2) using the make-test method, in which the participant pushes maximally against the device while the examiner holds it stationary. External and internal rotation will be tested with the participant seated, the arm at the side with a small towel roll under the elbow and the elbow flexed to 90°, with the device placed just proximal to the wrist on the posterior and anterior surfaces of the forearm, respectively. Scaption strength will be tested with the arm elevated to approximately 90° in the scapular plane with the thumb pointing upward, and the device placed on the upper surface of the forearm just above the wrist. |
| Shoulder Pain and Disability Index | Baseline and after 6 weeks | Shoulder pain and function will be assessed with the Shoulder Pain and Disability Index (SPADI), a self-administered 13-item questionnaire. It has a five-item pain subscale and an eight-item disability subscale, each item rated from 0 (no pain or difficulty) to 10 (worst pain or so difficult that help is needed). Each subscale is converted to a percentage, and the total score is the mean of the two (0 to 100), with higher scores indicating greater pain and disability. |
Countries
Pakistan
Outcome results
None listed