The Effect of Isolytic and Static Stretching Training in Individuals With Subacromial Impingement Syndrome

NCT03246698 | Completed DMC

• 1 other identifier: 3413-GOA
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate and compare the effect of isolytic and static stretching training in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit. Isolytic group will receive isolytic stretching in modified cross body stretching position and standard physiotherapy program. Static group will receive static stretching in modified cross body stretching position and standard physiotherapy program. Control group will receive only standard physiotherapy program.

Conditions

Subacromial Impingement Syndrome

Keywords

Shoulder pain; Physical therapy; Rehabilitation; Ultrasonography

Outcome Measures

Primary Outcomes (1)

• Shoulder internal rotation range of motion

  Change of shoulder internal rotation range of motion (with bubble inclinometer)

  Baseline and 4 weeks

Secondary Outcomes (11)

• Glenohumeral internal rotation deficit

  Baseline and 4 weeks

• Posterior shoulder tightness

  Baseline and 4 weeks

• Shoulder external rotation range of motion

  Baseline and 4 weeks

• Shoulder total rotational range of motion

  Baseline and 4 weeks

• Resting and activitiy pain in shoulder

  Baseline and 4 weeks

Study Arms (3)

Isolytic stretching group

EXPERIMENTAL

The participants in this group will receive isolytic stretching in modified cross body position. Additionally they will receive standard physiotherapy.

Other: Isolytic Stretching group

Static stretching group

EXPERIMENTAL

The participants in this group will receive static stretching in modified cross body position. Additionally they will receive standard physiotherapy.

Other: Static Stretching group

Control group

ACTIVE COMPARATOR

The participants in this group will receive only standard physiotherapy.

Other: Control group

Interventions

Isolytic Stretching group OTHER

In modified cross body position, isolytic stretching exercises will perform five times each for 15 seconds. After each stretching patient will rest for 5 seconds. When the patient contracts the agonist muscle group with 20% muscle force, the agonist muscle group is stretched at the same time for 2-4 seconds. Isolytic stretching exercises will perform four times a week for four weeks. It's obligatory to receive at least 15 sessions in total. They will also receive standard physiotherapy program four times a week for four week, 15 sessions in total.

Also known as: Standard physiotherapy

Isolytic stretching group

Static Stretching group OTHER

In modified cross body position, active-assistive static stretching exercises will be performed 5 times each for 15 seconds. This stretching exercise is performed 5 times with 5 seconds intervals. Static stretching exercises will perform four times a week for four weeks. It's obligatory to receive at least 15 sessions in total. They will also receive standard physiotherapy program four times a week for four week, 15 sessions in total.

Also known as: Standard physiotherapy

Static stretching group

Control group OTHER

They will receive only standard physiotherapy program, four times a week for four weeks, 15 sessions in total.

Also known as: Standard physiotherapy

Control group

Eligibility Criteria

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

You may qualify if:

• Diagnosis of subacromial impingement syndrome
• Glenohumeral internal rotation range of motion of the affected shoulder should be less than other shoulder and bilateral shoulder internal rotation range of motion difference should be ≥15 º
• Pain with resisted arm elevation or external rotation as well as a minimum of 3 of 5 positive subacromial impingement syndrome tests, painful arc, pain or weakness with resisted external rotation, Neer, Hawkins and Jobe tests.
• Ability to complete the entire study procedure

You may not qualify if:

• A 50% limitation of passive shoulder range of motion in \>2 planes of motion
• Pain \>7/10
• A history of fracture to the shoulder girdle
• Systemic musculoskeletal disease
• History of shoulder and cervical surgery
• Glenohumeral instability (positive apprehension, relocation, or positive sulcus test) or positive findings for a full-thickness rotator cuff tear (positive lag sign, positive drop arm test, or marked weakness with shoulder external rotation)
• Neck and shoulder pain with active/passive cervical spine movement
• A diagnosis of chest deformity or scoliosis
• Regularly performing posterior shoulder stretching exercises

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Dokuz Eylül University

Izmir, Balçova, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Shoulder Pain

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Sevgi Sevi YESILYAPRAK, PhD

  Dokuz Eylul University

  STUDY DIRECTOR

• Mehmet ERDURAN, MD

  Dokuz Eylul University

  STUDY DIRECTOR

• Cem OZCAN, MD

  Izmır Katip Celebi University Atatürk Training and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: All of participants must have subacromial impingement syndrome with glenohumeral internal rotation deficit.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: There are 3 groups. First group will receive isolytic stretching in modified cross body stretching position and standard physiotherapy program. Second group will receive static stretching in modified cross body stretching position and standard physiotherapy program. Control group will receive only standard physiotherapy program. In standard physiotherapy program, there are TENS, hotpack, posture and strengthening training program. Treatment program will last four weeks.

Study Record Dates

• First Submitted: August 8, 2017
• First Posted: August 11, 2017
• Study Start: August 28, 2017
• Primary Completion: June 20, 2019
• Study Completion: July 20, 2019
• Last Updated: July 18, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)