The Acute Effects of Different Stretching Methods in Individuals With Subacromial Impingement Syndrome

NCT03246867 | Completed DMC

• 1 other identifier: 3418-GOA
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate and compare the acute effects 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 position. Static group will receive static stretching in modified cross body position. Stretching groups will be evaluated before and just after stretching exercise. Control group will receive no stretching. Control group will be evaluated for the first time and then will be waited until the duration of the stretching exercise program. Afterwards, second evaluation will be performed

Conditions

Subacromial Impingement Syndrome; Glenohumeral Internal Rotation Deficit

Keywords

isolytic stretching; static stretching; Glenohumeral Internal Rotation Deficit

Outcome Measures

Primary Outcomes (1)

• Shoulder internal rotation range of motion

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

  Baseline and just after stretching exercise

Secondary Outcomes (6)

• Posterior shoulder tightness

  Baseline and just after stretching exercise

• Concentric strength

  Baseline and just after stretching exercise

• Eccentric strength

  Baseline and just after stretching exercise

• Subacromial space

  Baseline and just after stretching exercise

• Pain

  Baseline and just after stretching exercise

Study Arms (3)

Isolytic stretching group

EXPERIMENTAL

The participants in this group will receive isolytic stretching in modified cross body position.

Other: Isolytic stretching group

Static stretching group

EXPERIMENTAL

The participants in this group will receive static stretching in modified cross body position.

Other: Static stretching group

Control group

ACTIVE COMPARATOR

The participants in this group will receive no stretching. They will only be evaluated.

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. Afterwards active-assistive stretching is done. Evaluations will be done before and just after stretching exercise.

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. Evaluations will be done before and just after stretching exercise.

Static stretching group

Control group OTHER

Control group will receive no stretching. They will be handed a brochure about the stretching techniques and its role in injury prevention. Control group will be evaluated for the first time and then will be passively waited until the duration of the stretching exercise program (approximately 4-5 min). Afterwards, second evaluation will be performed.

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:

• An inability to elevate the involved arm greater than 140 degree in the scapular plane
• 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 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)

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Dokuz Eylül University

Izmir, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Sevgi Sevi YESILYAPRAK, PhD

  Dokuz Eylul University

  STUDY DIRECTOR

• Damla GULPINAR, MS

  Izmir Katip Celebi 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 position. Second group will receive static stretching in modified cross body position. The stretching exercise will be applied five times each for 15 seconds. After each stretching there will be a resting period for 5 seconds. Control group will receive no stretching. They will be handed a brochure about the stretching techniques and its role in injury prevention. Isolytic and static stretching groups will be evaluated before and just after stretching exercise. Control group will be evaluated for the first time and then will be passively waited until the duration of the stretching exercise program (approximately 4-5 min). Afterwards, second evaluation will be performed.

Study Record Dates

• First Submitted: August 8, 2017
• First Posted: August 11, 2017
• Study Start: August 28, 2017
• Primary Completion: December 15, 2019
• Study Completion: January 2, 2020
• Last Updated: February 21, 2020

Record last verified: 2020-02

Locations

TU (1)