The Effect of Lower Limb Kinetic Chain Exercise in Shoulder Impingement

NCT06195956 | Recruiting

• 1 other identifier: kinetic chain exercise
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial study is to investigate the effect of performing lower limb kinetic chain exercise on muscle activation of scapular muscle strength ratio in patients with shoulder impingement. the main question it aims to answer is: Does the addition of lower limb kinetic chain exercise to a shoulder exercise program improve scapular muscles strength ratio in patients with shoulder impingement? participants will be devided into two groups to be compared: The first group will be given a rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula) The second group will be given the same exercises in addition to lower limb kinetic chain exercise

Conditions

Shoulder Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• Electromyography to evaluate the activation patterns, timing and ratio of scapular muscles during movement

  EMG activity of the three trapezius parts (upper, middle and lower) and Serratus anterior will be evaluated. 1. Electrodes for registration of upper trapezius activity are placed halfway between the spinous process of C7 and the posterior acromion. 2. Electrodes for registration of middle trapezius activity are placed halfway on the horizontal line between the thoracic spine and the root of the scapular spine. 3. Electrodes for registration of Lower trapezius activity are placed obliquely upward and laterally along a line between the intersection of the scapular spine with the vertebral border of the scapula and the seventh thoracic spinous process. 4. Electrodes for registration of Serratus Anterior activity are applied anterior to the latissimus dorsi and posterior to the pectoralis major

  baseline

Secondary Outcomes (1)

• Shoulder pain and disability Index

  baseline

Study Arms (2)

Shoulder Impingement Rehabilitation

ACTIVE COMPARATOR

rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula). Exercises done 3 times per weeks, 3 repetitions per exercise for 3 months

Other: exercise

Shoulder Impingement Rehabilitation with LL KC Exercise

EXPERIMENTAL

rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula) in addition to lower limb kinetic chain exercise. Exercises done 3 times per weeks, 3 repetitions per exercise for 3 months

Other: exercise

Interventions

exercise OTHER

Exercises done 3 times per weeks, 3 repetitions per exercise for 3 months

Shoulder Impingement Rehabilitation; Shoulder Impingement Rehabilitation with LL KC Exercise

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age ranges between 20 and 45 years old
• Unilateral shoulder pain lasting more than 6 weeks
• At least one positive finding in each of these categories:
• Painful arc of movement during flexion or abduction
• Positive Neer or Hawkins-Kennedy impingement signs
• Pain on resisted lateral rotation, abduction or Jobe test

You may not qualify if:

• History of surgery
• History of fracture or dislocation
• Type III acromion
• Rotator cuff tear
• Long head of biceps tendon tear
• Cervical radiculopathy

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Outpatient physical therapy, Faculty of physical therapy

Giza, 2334, Egypt

RECRUITING

Related Publications (2)

• Wilk KE, Arrigo CA, Hooks TR, Andrews JR. Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening. PM R. 2016 Mar;8(3 Suppl):S78-90. doi: 10.1016/j.pmrj.2015.12.005.

  PMID: 26972270 BACKGROUND

• Sciascia A, Thigpen C, Namdari S, Baldwin K. Kinetic chain abnormalities in the athletic shoulder. Sports Med Arthrosc Rev. 2012 Mar;20(1):16-21. doi: 10.1097/JSA.0b013e31823a021f.

  PMID: 22311288 BACKGROUND

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

• Ahmed El Melhat, Phd

  Cairo University

  STUDY DIRECTOR

Central Study Contacts

Ahmed El Melhat, Phd

CONTACT

01112595022; ahmed.elmelhat@cu.edu.lb

Lamia Khalil, BSc

CONTACT

76910480; lamia.khalil02@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: the effect of lower limb kinetic chain exercise in shoulder impingement

Study Record Dates

• First Submitted: December 25, 2023
• First Posted: January 8, 2024
• Study Start: January 20, 2024
• Primary Completion: September 1, 2024
• Study Completion: October 1, 2024
• Last Updated: August 21, 2024

Record last verified: 2024-08

Locations

EG (1)