Mobilization With Movement for Shoulder Impingement

NCT02172079 | Completed DMC

• 1 other identifier: USAL201000048540
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.

Conditions

Shoulder Impingement Syndrome

Keywords

shoulder impingement, manual therapy, pain, motion.

Outcome Measures

Primary Outcomes (1)

• Changes in the intensity of shoulder pain before and after the treatment

  Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion.

  Baseline and one week after intervention

Secondary Outcomes (1)

• Changes in shoulder range of motion before and after the treatment

  Baseline and one week after the intervention

Study Arms (2)

Real mobilization-with-movement (MWM)

EXPERIMENTAL

For the MWM group, an accessory posterior-lateral gliding movement in the humeral head combined with a movement of active shoulder flexion will be applied. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior aspect of the head of the humerus

Other: Real mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM)

SHAM COMPARATOR

The sham condition will replicate the treatment condition except for the hand positioning. The therapist locates one hand over the belly of the pectoralis major muscle and the other over scapula without applying any pressure. The patient will be asked to move the arm in a similar manner as in the MWM group

Other: Sham mobilization-with-movement (MWM)

Interventions

Real mobilization-with-movement (MWM) OTHER

Real mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM) OTHER

Sham mobilization-with-movement (MWM)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• history of shoulder pain of \> 3months duration
• pain localized at the proximal anterolateral shoulder region
• medical diagnosis of shoulder impingement syndrome
• at least 2 positive impingement tests including Neer, Hawking, or Jobe test

You may not qualify if:

• diagnosis of fibromyalgia
• pregnancy
• a history of traumatic onset of shoulder pain
• other histories of shoulder injury
• ligamentous laxity based on a positive Sulcus test and apprehension test
• numbness or tingling in the upper extremity
• previous shoulder or cervical spine surgery
• corticosteroid injection on the shoulder within 1 year of the study
• physical therapy 6 months prior to the study

Sponsors & Collaborators

• César Fernández-de-las-Peñas: lead
• University of Salamanca: collaborator

Study Sites (1)

Francisco Alburquerque Sendín

Salamanca, Salamanca, 37008, Spain

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Francisco Alburquerque Sendín, PT, PhD

  University of Salamanca

  PRINCIPAL INVESTIGATOR

• César Fernández de las Peñas, PT, PhD

  Universidad Rey Juan Carlos

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Proffesor

Study Record Dates

• First Submitted: June 22, 2014
• First Posted: June 24, 2014
• Study Start: January 1, 2013
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2014
• Last Updated: June 24, 2014

Record last verified: 2014-06

Locations

ES (1)