Effects of Exercise Trainings on Pain, Function and AHD in Patients With SPS

NCT03494192 | Completed

• 1 other identifier: KA-180018
• Study Type: interventional
• Target: 49
• Locations: 1 country
• Sites: 1

Brief Summary

Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the aetiology of subacromial pain syndrome. Maintenance of the AHD is crucial for prevention and rehabilitation of rotator cuff related disorders. The development of a rehabilitation treatment plan is based in part on the assessment of scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be based on the identified impairments. The aim of this study is to investigate the effect of utilizing scapula retraction exercises with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a scapular stabilization program on functionality, pain and AHD in patients with SPS and compare with health population.

Conditions

Subacromial Impingement Syndrome

Keywords

acromiohumeral distance; pain; functional level; Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• Functional Level

  Functional level will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline, at the end of the 12-week treatment sessions and 6-month follow-up.

  ffrom baseline to twelve week after treatment sessions

Other Outcomes (3)

• pain assessment

  from baseline to 6-month follow up

• Acromiohumeral Distance Measurement

  from baseline to 6-month follow up

• Patient Satisfaction

  at 12 week and 6-month follow ups

Study Arms (3)

scapula retraction exercise group

EXPERIMENTAL

* Manual Therapy * Stretching Exercises * Exercise training focus on scapulothoracic muscles will be applied two times per week total 12 week After 12 week follow-up, patients will proceed to reduced exercise program until the 6-month follow-up.

Other: Scapula Retraction Exercise Group

Scapula Retraction +Glenohumeral Rotational Exercise Group

EXPERIMENTAL

* Manual Therapy * Stretching Exercises * Exercise training focus on scapulothoracic muscles * Exercise training focus on rotator cuff muscles will be applied two times per week total 12 week After 12 week follow-up, patients will proceed to reduced exercise program until the 6-month follow-up.

Other: Scapula Retraction +Glenohumeral Rotational Exercise Group

Control Group

NO INTERVENTION

Age-sex and hand-dominancy matched healthy controls will be included as a control group (CG) for acromiohumeral distance (AHD) normative data

Interventions

Scapula Retraction Exercise Group OTHER

physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions. After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up.

Also known as: scapula stabilization exercises

scapula retraction exercise group

Scapula Retraction +Glenohumeral Rotational Exercise Group OTHER

physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic and also rotator cuff muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions. After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up

Also known as: Scapula stabilization +Glenohumeral Rotational Exercise Group

Scapula Retraction +Glenohumeral Rotational Exercise Group

Eligibility Criteria

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

You may qualify if:

• painful arc of movement during flexion or abduction;
• positive Neer or Kennedy-Hawkins impingement signs
• pain on resisted lateral rotation, abduction or empty can test.

You may not qualify if:

• previous shoulder surgery;
• shoulder pain reproduced by neck movement;
• clinical signs of full-thickness RC tears; or
• shoulder capsulitis.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University, Faculty of Health Sciences, Dept. of Physiotherapy and Rehabilitation

Ankara, 06100, Turkey (Türkiye)

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 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: PhD Candidate

Study Record Dates

• First Submitted: March 27, 2018
• First Posted: April 11, 2018
• Study Start: August 1, 2018
• Primary Completion: August 15, 2020
• Study Completion: February 15, 2021
• Last Updated: February 3, 2022

Record last verified: 2022-01

Locations

TU (1)