Exercises Associated or Not With Manual Therapy Shoulder Impingement

NCT02035618 | Completed

• 1 other identifier: UFSCar/CEP 270/2010
• Study Type: interventional
• Target: 46
• Locations: 0 countries
• Sites: N/A

Brief Summary

Manual therapy combined with a protocol of therapeutic exercises will increase the beneficial effects on scapular kinematics, myofascial pain and function in subjects with shoulder impingement when compared to exercises only.

Conditions

Shoulder Impingement

Outcome Measures

Primary Outcomes (1)

• Scapular kinematics

  up to 3 months from the initial interview

Study Arms (2)

Exercises and manual therapy

EXPERIMENTAL

Other: Exercises; Other: Exercises + Manual Therapy

Exercises

ACTIVE COMPARATOR

Other: Exercises

Interventions

Exercises OTHER

Strengthening and stretching

Exercises; Exercises and manual therapy

Exercises + Manual Therapy OTHER

Mobilization; massage; post-isometric relaxation; strengthening; stretching

Exercises and manual therapy

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• history of non-traumatic onset of shoulder pain;
• painful arc during active elevation of the arm;
• one or more positive shoulder impingement tests (Neer, Hawkins and Jobe), or pain during passive or resisted external rotation of the arm at 90° of abduction;
• pain with palpation of the rotator cuff tendons;
• all subjects need also to be able to reach 150° of arm elevation as evaluated by visual observation.

You may not qualify if:

• limitation of glenohumeral internal and external rotation as indicative of adhesive capsulitis;
• body mass index \> 28kg/m2 as the amount of subcutaneous tissue can compromise the quality of the signal increasing soft tissue artifact;
• numbness or tingling of the upper limb reproduced by cervical compression test;
• history of clavicle, scapula or humerus fracture;
• history of rotator cuff surgery;
• systemic illnesses;
• positive sulcus or apprehension tests as indicative of instability;
• positive drop arm test as indicative of full thickness tear;
• corticosteroid injection within 3 months prior to intervention, or physiotherapy within 6 months prior to intervention;
• depressive symptoms as evaluated by the Beck Depression Inventory score ( \> 9 points) due to its influence on myofascial pain;
• allergy to tape.

Sponsors & Collaborators

• Universidade Federal de Sao Carlos: lead

Related Publications (1)

• Camargo PR, Alburquerque-Sendin F, Avila MA, Haik MN, Vieira A, Salvini TF. Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015 Dec;45(12):984-97. doi: 10.2519/jospt.2015.5939. Epub 2015 Oct 15.

  PMID: 26471852 DERIVED

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Exercise; Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PT, PhD

Study Record Dates

• First Submitted: January 10, 2014
• First Posted: January 14, 2014
• Study Start: September 1, 2010
• Primary Completion: July 1, 2012
• Last Updated: January 15, 2014

Record last verified: 2014-01