About this trial
this study will be conducted to evaluate the correlation between shoulder impingement and cervical proprioception
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis: Patients diagnosed with shoulder impingement
Age: Patients aged between 25 and 45 years.
Pain and mobility issues: Patients must report mild to moderate pain and/or restricted range of motion (ROM) in shoulder joint .
Ability to provide informed consent: Participants must be able to understand the study protocol and provide written informed consent to participate.
Disqualifiers
any patient aged below 25 or above 45 years old
Subjects have malignancy: Patients with severe neurological, musculoskeletal, disorders that could interfere with the study interventions
Subjects have neck dysfunction
Cognitive impairment: Patients with significant cognitive impairment or mental health conditions that would hinder their ability to understand or comply with the study protocol.
Trial population
sixty eight subjects will be included in this study; thirty four with shoulder impingement syndrome and thirty four healthy subjects with no shoulder impingement
Trial design
Other
Cross-sectional
Treatments tested in this trial
shoulder impingement group
Other interventionthe Patients with shoulder impingement syndrome in this group had at least 3 out of the following 6 criteria 1) positive "Neer's sign"; 2) positive "Hawkins' sign"; 3) pain on active shoulder elevation in the scapular plane, 4) pain on the C5-C6 dermatome; 5) pain on palpation of the rotator cuff tendons and 6) pain with resisted isometric abduction.
normal subjects
Other interventionthe subjects in this group had no pain or disability in shoulder
Treatment groups
Trial outcomes
Primary outcomes
joint position error (cervical proprioception)
neck proprioception by Joint Position Error (JPE) using LASER beam Point tool and it's conducted as patient sitting 90 cm away from the target map on the wall ad a light weight headband with laser pointer is placed on the patient head, the patient is asked to focus on the center of the map while eye open then the patient asked to close his eyes and move his head in one plane and back to the starting point as accurately as possible and indicate verbally that he back to the starting position before opening his eyes, he repeated for 6 times in each plane and the distance between the starting point and the ending point is measured and then converted to degrees the patient is diagnosed to has a proprioception deficit if the mean error of any direction in more than 4.5 degrees
shoulder disablity
The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use.he pain scale is summed up to a total of 50 while the disability scale sums up to 80. The total SPADI score is expressed as a percentage. A score of 0 indicates best 100 indicates worst.
pain intensity
Pain will be assed with numerical analog scale (NPRS) in which a respondent selects a whole number (0-10 cm) that best reflects the intensity of his/her pain. 0 mean no pain and 10 mean maximum pain
Locations
Sponsors and contacts
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