Cervical Stabilization Exercises IN Subacromial Impingement Syndrome
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorCairo University
About this trial
The goal of this clinical trial study is to determine efficacy of adding cervical stabilization exercises (CSEs) to conventional physical therapy (PT) program on pain severity, shoulder function disability, kinesiophobia, shoulder range of motion (ROM), isometric muscle strength and upper limb (UL) functional activity in closed kinetic chain in patients with SIS. The main questions it aims to answer is:
What are the effects of adding cervical stabilization exercises to a conventional physical therapy program in the management of shoulder impingement syndrome? Researchers will compare two groups: one group will receive CSEs beside the conventional PT program to the another group will receive the conventional PT program.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male and female patients with unilateral SIS.
Age is 20-40 years old.
Presence of pain on anterolateral aspect of the shoulder for at least three months.
At least 3 of the following criteria; positive Neer, Hawkins, and Empty can tests, Painful arc, and pain during resisted isometric abduction or external rotation.
Disqualifiers
Shoulder surgery, injury and arthritis.
Any anatomical anomalies as hooked acromion.
Cervical radiculopathy.
Other systemic diseases: cardiovascular diseases, respiratory diseases and neurological diseases.
Trial design
Design model
Parallel
Treatments tested in this trial
Conventional Physical Therapy
Other intervention* Rotator Cuff Strengthening Exercise: (Full Can Exercise, External Rotation Exercise, and Internal Rotation Exercise). * Scapular Stabilization Exercise: (Prone Extension Exercise, Prone Horizontal Abduction with External Rotation Exercise, Prone Elevation Exercise, and Serratus Anterior Supine Punch ). * Stretching Exercise: (Self-Sleeper Stretching for Posterior Capsule, Self-stretching for Pectoralis Minor, and Self-Stretching for Upper Trapezius:). Intervention period will last for 6 weeks, 3 sessions per week. The duration of the session will be approximately forty minutes.
Cervical Stabilization
Other intervention* Rotator Cuff Strengthening Exercise: (Full Can Exercise, External Rotation Exercise, and Internal Rotation Exercise). * Scapular Stabilization Exercise: (Prone Extension Exercise, Prone Horizontal Abduction with External Rotation Exercise, Prone Elevation Exercise, and Serratus Anterior Supine Punch ). * Stretching Exercise: (Self-Sleeper Stretching for Posterior Capsule, Self-stretching for Pectoralis Minor, and Self-Stretching for Upper Trapezius:). * Cervical Stabilization Exercises: (Cranio-Cervical Flexion Exercise and Deep Cervical Extensors Exercise). Intervention will be performed 3 times per week for 6 weeks. The duration of the session will be approximately one hour (40 min of conventional PT program and 15-20 min of CSEs with the progression).
Treatment groups
42 Participants
are divided into 2 treatment groupsGroup A: Control GroupActive comparator 1 intervention
Group B: Experimental groupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Pain severity will be assessed by Visual Analog Scale
Visual Analog Scale consists of a 10 cm horizontal line anchored by "no pain" at one end and "worst pain imaginable" at the other end. The patient will elevate the arm to the available end- range then the patient will mark on the Visual Analog Scale the point that represents the pain severity during elevation. The score will be determined by measuring millimeters from the left-hand end of the line to the point that the patient marks.
Time frame
Visual Analog Scale will be assessed before the intervention and then after the end of the intervention at 6 weeks.Secondary outcomes
1
Shoulder Disability will be assessed by shoulder pain and disability index
shoulder pain and disability index is a questionnaire that consists of two sections of 13 questions, one section for pain and the other for functional activities. The pain section forms of five questions regarding the severity of the patient's pain. Functional activities are evaluated with eight questions designed to measure the degree of difficulty the patient has with various activities of daily living, The patient will answer by placing a mark on a 10 cm visual analogue scale for each question. The score will be determined by measuring millimeters from the left-hand end of the line to the point that the patient marks. The scores from both dimensions are averaged to derive a total score. The means of the two subscales will be averaged to produce a total score ranging from 0 (best) to 100 (worst).
Time frame
Shoulder Pain and Disability Index will be assessed before the intervention and then after the end of the intervention at 6 weeks.2
Kinesiophobia will be assessed by Tampa Scale of Kinesiophobia
Tampa Scale of Kinesiophobia is a self-report questionnaire consisting of 17 statements rated on a 4-point Likert scale (1=strongly disagree, 2= disagree, 3=agree, 4=strongly agree). The patient will answer each question of the tampa scale of Kinesiophobia through the 4-point likert scale to show how much fear of pain the patient feels. A total score will be calculated after inversion of the individual scores of items (4, 8, 12 and 16) and it can range from 17 (no kinesiophobia) to 68 (sever kinesiophobia.
Time frame
Tampa Scale of Kinesiophobia will be assessed before the intervention and the after the end of the intervention at 6 weeks.3
Shoulder range of motion by inclinometer
Inclinometer is a handheld device with high accuracy sensor used to measure the angular position of the body part relative to the horizontal or vertical planes.
Time frame
Shoulder Range of Motion will be assessed before the intervention and then after the end of the intervention at 6 weeks.4
Muscles strength will be assessed by Hand Held Dynamometer.
Hand Held Dynamometer is an instrument for measuring isometric muscles strength.
Time frame
Muscles strength will be assessed before the intervention and then after the end of the intervention at 6 weeks.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: