Handgrip Strengthening Exercise in Treatment of the Patients With Primary Sub-Acromial Impingement Syndrome

NCT03468088 | Unknown

• 1 other identifier: CAMS 039-3839
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the relative effect of handgrip strengthening exercise in improving function, pain, strength, and active range of motion (AROM) of the shoulder among patients with primary sub-acromial impingement syndrome (SAIS).

Conditions

Impingement Syndrome, Shoulder

Outcome Measures

Primary Outcomes (1)

• Function

  It will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which is a 30-item questionnaire that assess the ability of a patient to perform various upper extremity activities. it uses a 5-point Likert scale. A higher scores signify a greater level of disability, whereas, lower scores signify a lower level of disability.

  Change from baseline functional score at 8 weeks

Secondary Outcomes (3)

• Strength

  Change from baseline muscle strength at 8 weeks

• Range of motion

  Change from baseline range of motion at 8 weeks

• Pain

  Change from baseline pain intensity at 8 weeks

Study Arms (2)

Hand grip strengthening

EXPERIMENTAL

This group will receive handgrip strengthening exercises.

Behavioral: Hand grip strengthening

Conventional treatment

ACTIVE COMPARATOR

This group will receive conventional exercises.

Behavioral: Conventional treatment

Interventions

Hand grip strengthening BEHAVIORAL

Handgrip strengthening exercises will be added to the experimental group. This exercise is chosen based on literature review of EMG and biomechanical studies. Adjustable heavy grip hand gripper will be used as handgrip resistance at 10 repetitions maximum (RM). The exercise will be performed in standing position the patient's back will be rested in a wall, arm at 30º abduction, 60º abduction 90º abduction \& with 90º ER. In this positions, the patient will be performed 3 sets of 10 squeezes each at a 1-minute interval.

Hand grip strengthening

Conventional treatment BEHAVIORAL

Ultrasound therapy will be used to treat both groups. Ultrasound will be applied; while the patient will be seated in an adjustable chair with back support, feet on the floor. The chair will be positioned beside a table. The patient's shoulder will be rested on the table beside the body and elbow will be flexed at 90°. A round-headed probe will be used that is put in direct contact with the patient's skin over the shoulder joint. Ultrasound gel will be used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.

Conventional treatment

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Willing to comply with all study procedures and be available for the duration of the study
• Aged 18 to 45
• Diagnosed by their referring physician with subacromial impingement syndrome and has a positive impingement \& rotator cuff test
• Pain intensity between 3 to 8 in VAS

You may not qualify if:

• History of shoulder fracture or dislocation, osteophytes, and labral tear.
• History of cardiac, neurological or musculoskeletal disease that precludes the ability to perform the exercise in the upper extremity.
• Treatment with another intervention.
• Hand or forearm dysfunction
• Rheumatoid disease
• Diabetic
• History of shoulder, cervical, and thoracic surgery
• Pregnancy
• Malignancy
• Symptoms for more than 1 year
• Bilateral SAIS

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

Ministry of Health Hospital

Jeddah, Saudi Arabia

RECRUITING

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Officials

• Amal AlAnazi

  King Saud University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sami Gabr, PhD

CONTACT

+966562060018; nadalab2009@hotmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: Post Graduate student, Principal Investigator

Study Record Dates

• First Submitted: February 27, 2018
• First Posted: March 16, 2018
• Study Start: February 1, 2018
• Primary Completion: August 15, 2018
• Study Completion: December 15, 2018
• Last Updated: March 16, 2018

Record last verified: 2018-03

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)