Subacromial impingement syndrome
Conditions
Interventions
The selected volunteers spent by an individual physical examination to be held in the Analysis Laboratory of Posture and Human Movement (LAPOMH) of Ribeirão Preto Medical School who is to evaluate the
Other
H02.010.625
E02.779.483.875
E01.370.600.425
Sponsors
Universidade de São Paulo
Universidade de São Paulo
Eligibility
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Diagnosis of impingement syndrome; scapular dyskinesis present type I or II; aged between 18 and 40 years; history of shoulder pain lasting more than a week; active range of motion the arm 120 degrees.
Exclusion criteria
Exclusion criteria: History of trauma; shoulder surgery; deformity in the thoracic spine; instability; complete rupture of the tendons of the shoulder; pulmonary and heart diseases; neurological diseases; index greater than 28kg / m 2 body weight; reproduction of shoulder pain with radiating pain, numbness or tingling in the arm; systemic disease; perform physical therapy later
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome: Reduction in upward rotation and internal rotation and increased posterior tilt of the scapula of the treatment group compared with the control group using ANOVA mixed model, at rest and in the angles 30, 60, 90 and 120 degrees of elevation and 90, 60, 30 degrees of lowering arm the sagittal, frontal and scapular planes in the pre and post intervention measurements.The outcome will be evaluated between 1 and 3 days after the end of the intervention.;Outcome found: reduction of internal rotation between the group treated with the control, with a difference of 14.24 degrees. Sagittal plane: Reduction of internal rotation of the scapula of the treated group at 30, 60, 90 and 120 degrees elevation and 90, 60, 30 degrees lowering of the arm, with differences 17.80; 20.46; 20.69; 23.31; 20.15; 18.56 and 18.15 degrees respectively between the groups. Reduction of upward rotation of the scapula 60, 90 and 120 degrees elevation to 30 degrees and 60 lowering of the arm, with differences -6.92; -5.53; -5.91; -6.24 And -6.54 respectively. Frontal Plane: Reduction of the upward rotation the scapula of group treated at 90 degrees the arm-lowering, with -9.54 degrees difference between the groups. Reduction of internal rotation of the scapular of treated group at 30, 60 and 90 degrees of elevation of the arm, with a difference of 11.13; 11.65 and 17.59 degrees between groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome: less pain score of the treatment group as assessed by numerical visual pain scale (0-10 points) compared with the control group by Student's t test unpaired significance level p <0.05 in the pre and post measurements intervention.The outcome will be evaluated between 1 and 3 days after the end of the intervention.;Expected outcome: Best shoulder functionality of the treated group, verified by reducing the total score of the questionnaire Shoulder Pain and Disability Index (SPADI-Br) compared to the control group by Student's t test unpaired with significance level p <0.05 or evidenced by the reduction of 10 points in the pre and post intervention measurements.The outcome will be evaluated between 1 and 3 days after the end of the intervention.;Expected outcome: Strengthening scapulothoracic muscles of the treated group, verified by load cell (KgF) compared with the control group by Student's t test unpaired with significance level of p <0.05 in the pre and post intervention measurements.The outcome will be evaluated between 1 and 3 days after the end of the intervention.;Outcome found: Less score of pain in the treated group (3.68 points) compared with the control group (7.64 points) with p <0.01 in the pre and post intervention measurements.;Outcome found: Less total score SPADI-Br questionnaire treated group (13.13 points) compared to the control group (44.64 points) with p <0.01 in the pre and post intervention measurements.;Outcome found: Strengthening of trapezius muscles, lower trapezius, serratus anterior and rhomboids of the treated group (12.90; 12.61; 13.65 and 11.98 KgF respectively) compared with the control group, with p <00:05 measurements in pre and post intervention. | — |
Countries
Brazil
Contacts
Public ContactGisele;Gisele Hotta;Hotta
Faculdade de Medicina de Ribeirão Preto - USP;Faculdade de Medicina de Ribeirão Preto - USP
Outcome results
None listed