About this trial
This study investigates the efficacy of combining Transfer Energy Capacitive and Resistive (TECAR) therapy with standard strengthening exercises in treating Shoulder Impingement Syndrome (SIS). A double-blinded randomized controlled trial will compare outcomes between patients receiving only strengthening exercises and those receiving both TECAR therapy and exercises. Key outcomes include improvements in pain, muscle strength, joint position sense, and shoulder function. The study aims to determine if TECAR therapy enhances treatment benefits beyond those achieved with exercises alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Both gender age from 25-40 with a clinical diagnosis of Neer's stage II SIS and body mass index (18.5-29.9)
Shoulder pain for at least three months
Painful arc of movement during flexion or abduction
Positive Neer's or kennedy- hawkins test or empty can test
Disqualifiers
Symptoms of cervical radiculopathy.
Diagnosed inflammatory disorder.
Neurological disorder.
Widespread pain condition.
Trial design
Parallel
Treatments tested in this trial
Transfer Energy Capacitive Resistive Therapy
DeviceIt's a physical treatment modality commonly used to treat musculoskeletal pain. It normally uses a longwave radiofrequency of \~0.5 MHz. The system consists of a neutral plate and two different electrodes that can transfer energy in two modalities: capacitive and resistive
strength training program
Other interventionEach session includes five exercises, each performed for three sets of 10 repetitions: Shoulder Retraction - Strengthens muscles between shoulder blades. Shoulder Scaption - Improves stability and range of motion. Shoulder External Rotation from Side Lying - Targets rotator cuff muscles. Shoulder Protraction - Enhances shoulder blade function. Shoulder Extension - Strengthens posterior shoulder muscles
Treatment groups
Trial outcomes
Primary outcomes
Visual Analog Scale
which rates pain intensity from 0 (no pain) to 10 (worst possible pain)
Secondary outcomes
Manual Muscle Test System (MMT)
will be used to obtain normative strength values for both external and internal shoulder rotators .
Joint Position Sense of the Shoulder joint
All participants will be submitted to the evaluation of the JPS at 30° and 120° of shoulder forward flexion, using a digital inclinometer
shoulder Function Using the Arabic SPADI Questionnaire
The Arabic SPADI is recommended for the evaluation of Arabic-speaking patients with shoulder dysfunction . To answer the questions, patients will be asked to place a mark on a 10 cm visual analogue scale for each question. Verbal anchors for the pain dimension are 'no pain at all' and 'worst pain imaginable', and those for the functional activities are 'no difficulty' and 'so difficult, it required help'. The scores from both dimensions are averaged to derive a total score
Locations
Sponsors and contacts
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