Scapular Upward Rotation Focused Treatment for Patient With Shoulder Impingement Syndrome and a Positive Scapular Assistance Test

NCT04813757 | Unknown DMC

• 1 other identifier: 03-06-11-19
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Altered scapular movement is a common impairment among patients with subacromial impingement syndrome (SAIS). Nevertheless scapular focused interventions have resulted in conflicting findings among this population. One possible reason for this is the inability to identify patients with SAIS who will respond favorably to a scapular focused intervention. The scapular assistance test (SAT) may be one possible indicator of patients most likely to benefit from a scapular focused intervention, particularly one that emphasizes scapular upward rotation. The purpose of this study is to examine targeted upward rotation intervention in patients demonstrating a positive Scapular Assistance test.

Conditions

Subacromial Pain Syndrome; Impingement Syndrome; Scapular Dyskinesis

Outcome Measures

Primary Outcomes (2)

• Disability of the Arm, Shoulder and Hand (DASH) questionnaire

  each participant will receive the Disability of the Arm shoulder and hand questioner. score is from 0 -100 a higher score is greater disability

  pre intervention

• Numeric pain Rating Scale (NPRS), 0 - 10

  each participant will receive the NPRS questioner higher score means greater pain

  pre intervention

Secondary Outcomes (3)

• Active shoulder flexion

  pre intervention

• active shoulder abduction

  pre intervention

• scapular posterior tilt

  pre intervention

Study Arms (2)

intervention group

EXPERIMENTAL

Participants in the intervention group will receive 12 treatment sessions over a 6-week period. Three sessions during the first 2 weeks, 2 sessions per week during weeks 3 and 4 , and one session during weeks 5 and 6. Each session will be 30 minutes including 10 minutes of manual therapy and 20 minutes for review and/or modification of the exercise program. The manual therapy will include trigger point manual therapy. The exercise program will include 2 scapular and rotator cuff strengthening exercises emphasizing scapular upward rotation and posterior tilt and one additional flexibility exercise. These exercise will be repeated at home on the days in between the therapy sessions.

Other: exercise; Other: manual therapy

control group

ACTIVE COMPARATOR

Participants in the control group will receive 12 treatment sessions over a 6-week period. Three sessions during the first 2 weeks, 2 sessions per week during weeks 3 and 4 , and one session during weeks 5 and 6. Each session will be 30 minutes including 10 minutes of manual therapy and 20 minutes for review and/or modification of the exercise program. The manual therapy will include trigger point manual therapy, posterior shoulder stretching, and mobilization-with-movement into shoulder elevation. The exercise program will include 2 exercises focusing on scapular and rotator cuff strengthening without a special emphasis on scapular upward rotation as well as one additional flexibility exercise. These exercises will be performed at home on the days on between the therapy sessions.

Other: exercise; Other: manual therapy

Interventions

exercise OTHER

each group will perform 2 shoulder strength exercise at the therapy session and 3 exercise at home session-2 strength exercise and one stretching exercise. they will perform the exercises 5 times per week

control group; intervention group

manual therapy OTHER

on each treatment session both group will receive 15 minutes of manual therapy which will include: massage,3-4 trigger point treatment posterior capsule stretch and mobilization with movement

control group; intervention 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:

• Unilateral shoulder pain for ≥1 month
• A diagnosis of SAIS as determined by having 3 or ore positive tests out of: Neer test, Hawkins test, Painful arc, Jobe test, external rotation resistance test.
• A positive SAT

You may not qualify if:

• Cervical spine involvement as evidenced by reproduction of symptoms with neck movement
• Massive rotator cuff tear as evidenced by pseudoparalysis
• Previous history of a fracture or surgery within the involved shoulder.
• Limited passive range of motion by ≥50% or more compared with uninvolved side in
• planes of motion (i.e. flexion, external rotation)
• A history of shoulder dislocation or subluxation
• A history of Rheumatoid arthritis, CVA, fibromyalgia
• Current pregnancy
• Population with special needs
• Pending disability claim / litigation procedure associated with shoulder complaint.

Sponsors & Collaborators

• Meuhedet. Healthcare Organization: lead
• Ariel University: collaborator

Study Sites (1)

Meuhedet

Ashdod, Israel

RECRUITING

MeSH Terms

Interventions

Exercise; Musculoskeletal Manipulations

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Central Study Contacts

Andrey Maizles

CONTACT

0547664393; maizles1@gmail.com

Alon Rabin, PHD

CONTACT

0523581550; alonrabin@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: We assume participants will not be able to differentiate between the upward rotation focused intervention and the control intervention. Furthermore, the examiner performing baseline and outcome assessment will be unaware of the group allocation while performing these assessments.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: December 20, 2020
• First Posted: March 24, 2021
• Study Start: July 1, 2020
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: September 16, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)