Health TrialsbyHealthPanel

The Effect of Lower Limb Kinetic Chain Exercise in Shoulder Impingement

ConditionShoulder Impingement Syndrome
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-45
SponsorCairo University

About this trial

The goal of this clinical trial study is to investigate the effect of performing lower limb kinetic chain exercise on muscle activation of scapular muscle strength ratio in patients with shoulder impingement. the main question it aims to answer is:

Does the addition of lower limb kinetic chain exercise to a shoulder exercise program improve scapular muscles strength ratio in patients with shoulder impingement? participants will be devided into two groups to be compared: The first group will be given a rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula) The second group will be given the same exercises in addition to lower limb kinetic chain exercise

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ranges between 20 and 45 years old

Unilateral shoulder pain lasting more than 6 weeks

Painful arc of movement during flexion or abduction

Positive Neer or Hawkins-Kennedy impingement signs

Disqualifiers

History of surgery

History of fracture or dislocation

Type III acromion

Rotator cuff tear

Trial design

Design model

Parallel

Treatments tested in this trial

  • exercise

    Other intervention

    Exercises done 3 times per weeks, 3 repetitions per exercise for 3 months

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Shoulder Impingement RehabilitationActive comparator 1 intervention
Group B: Shoulder Impingement Rehabilitation with LL KC ExerciseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Electromyography to evaluate the activation patterns, timing and ratio of scapular muscles during movement

EMG activity of the three trapezius parts (upper, middle and lower) and Serratus anterior will be evaluated. 1. Electrodes for registration of upper trapezius activity are placed halfway between the spinous process of C7 and the posterior acromion. 2. Electrodes for registration of middle trapezius activity are placed halfway on the horizontal line between the thoracic spine and the root of the scapular spine. 3. Electrodes for registration of Lower trapezius activity are placed obliquely upward and laterally along a line between the intersection of the scapular spine with the vertebral border of the scapula and the seventh thoracic spinous process. 4. Electrodes for registration of Serratus Anterior activity are applied anterior to the latissimus dorsi and posterior to the pectoralis major

Time frame
baseline

Secondary outcomes

1

Shoulder pain and disability Index

To test pain and functional disability before and after interventions. 0-20: mild shoulder pain and disability 21-40: moderate shoulder pain and disability 41-60: severe shoulder pain and disability 61-80: very severe shoulder pain and disability 81-100: extremely severe shoulder pain and disability

Time frame
baseline

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov
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