Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome

NCT04667273 | Completed

• 1 other identifier: 2020/11
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Subacromial Impingement Syndrome (SIS) is one of the musculoskeletal system problems. SIS, which is the most common cause of shoulder pain, constitutes 44-65% of complaints of shoulder pain. Studies have shown that exercise is effective in treating patients with SIS, but the effectiveness and superiority of Neuromuscular Electrical Stimulation (NMES) to each other is uncertain. NMES is widely applied in physiotherapy. In the SIS, the lower trapezius and serratus anterior muscle are affected. Therefore, our aim is to determine the effects of exercises and NMES used in patients with SIS on pain, range of motion (ROM), muscle strength and functional status, neck pain and sleep quality.

Conditions

Subacromial Impingement Syndrome

Keywords

Shoulder impingement syndrome; Visual Analog Scale; Range of motion; Muscle strength; Sleep

Outcome Measures

Primary Outcomes (1)

• Disability Arm Shoulder Hand Questionnaire (DASH)

  The DASH questionnaire is a region-specific, self-report scale to evaluate health status of upper extremity disabilities.

  8 weeks

Secondary Outcomes (5)

• Visual Analog Scale (VAS)

  8 weeks

• Goniometer

  8 weeks

• Digital hand-held dynamometer

  8 weeks

• Neck Disability Index

  8 weeks

• Pittsburgh Sleep Quality Scale

  8 weeks

Study Arms (2)

Exercise Training (ET) + Neuromuscular Electrical Stimulation (NMES) group

EXPERIMENTAL

volunteer patients with Subacromial Impingement Syndrome

Procedure: Neuromuscular Electrical Stimulation (NMES); Procedure: Exercise Training (ET)

Exercise Training (ET) group

OTHER

volunteer patients with Subacromial Impingement Syndrome

Procedure: Exercise Training (ET)

Interventions

Neuromuscular Electrical Stimulation (NMES) PROCEDURE

In Neuromuscular Electrical Stimulation (NMES) application, 4 surface electrodes will be placed in the swollen part of the lower trapezius and serratus anterior muscles of each patient. NMES will be applied for 20 minutes in rehabilitation mode with a 4-channel device. Frequency: 80 Hz Amplitude: 0-100 mA (0-0.01 V) Current time-Pulse: 200 μsec Wave form: Biphasic Cycle time: 8 seconds of tetanic muscle stimulation for all patients, with a 2 second rise and fall time and stimulation It will be set as 3 seconds between. It is important to visually observe the contraction to determine the intensity of stimulation.

Exercise Training (ET) + Neuromuscular Electrical Stimulation (NMES) group

Exercise Training (ET) PROCEDURE

Patients will do Wand exercises under the supervision of a physiotherapist. Wand exercises will include shoulder flexion, external rotation and abduction in the scaption position. In the first and second week, these exercises will be performed on the back, and from the third week on standing exercises. Exercises with the Theraband will be done in 3 sets, each set will consist of 10 repetitions. There will be a 1 minute rest period between sets. When the three sets are easily completed and there is no reported fatigue by the patient, the resistance will be increased by moving from yellow to red, from red to green, respectively, after 4 weeks. \*For shoulder external rotators and serratus anterior muscles are strengthened without weight for the first 2 weeks, then 0.5 kg of dumbbells, in the supine position. While standing, the lower trapezius, upper trapezius and shoulder external rotators will be strengthened with theraband.

Exercise Training (ET) + Neuromuscular Electrical Stimulation (NMES) group; Exercise Training (ET) group

Eligibility Criteria

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

You may qualify if:

• Having a diagnosis of subacute / chronic extrinsic SIS
• to 65 years of age
• Being volunteer

You may not qualify if:

• Fracture or surgical history in the shoulder region
• Another diagnosis that can affect shoulder function
• Having received local corticosteroid injection / treatment in the shoulder joint within the last 3 months
• Neuromuscular disease
• Pregnancy
• Cancer
• Unstabil angina
• Communication problems
• Systemic inflammatory joint disease
• Situations where electrical stimulation and exercise are contraindicated
• Orthopedic, rheumatologic or congenital disease of the affected upper extremity

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul University

Istanbul, 34555, Turkey (Türkiye)

Location

Related Publications (2)

• Bdaiwi AH, Mackenzie TA, Herrington L, Horsley I, Cools AM. Acromiohumeral Distance During Neuromuscular Electrical Stimulation of the Lower Trapezius and Serratus Anterior Muscles in Healthy Participants. J Athl Train. 2015 Jul;50(7):713-8. doi: 10.4085/1062-6050-50.4.03. Epub 2015 May 1.

  PMID: 25933249 RESULT

• Camargo PR, Alburquerque-Sendin F, Avila MA, Haik MN, Vieira A, Salvini TF. Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015 Dec;45(12):984-97. doi: 10.2519/jospt.2015.5939. Epub 2015 Oct 15.

  PMID: 26471852 RESULT

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Ebru Kaya Mutlu, Assoc. Prof.

  İstanbul Üniversitesi- Cerrahpaşa İstanbul, Türkiye

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Prof. Dr, PhD

Model Details: The sample of the study will consist of patients with subacromial impingement syndrome (SIS) who were referred to Istanbul University Cerrahpaşa Physical Therapy and Rehabilitation Department by an orthopedist. Forty eight SIS patients will be included in the study. Patients who meet the inclusion criteria will be divided into two groups. Group 1: Exercise Training+ Neuromuscular Electrical Stimulation Group 2: Exercise Training

Study Record Dates

• First Submitted: December 11, 2020
• First Posted: December 14, 2020
• Study Start: December 20, 2020
• Primary Completion: March 23, 2021
• Study Completion: June 1, 2021
• Last Updated: August 25, 2021

Record last verified: 2021-08

Locations

TU (1)