Cervical Unilateral Antero-posterior Mobilization and Thoracic Central Postro-anterior Mobilization in Treatment of Shoulder Impingement Syndrome

NCT06349746 | Completed DMC

• 1 other identifier: collage of physical therapy
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. The conservative option that has shown effectiveness is manual therapy of the cervical and thoracic spine

Conditions

Shoulder Impingement

Outcome Measures

Primary Outcomes (3)

• pain intensity

  pain intensity will be measured by visual analogue scale

  pre intervention and after 6 weeks of intervention

• shoulder flexion and abduction range of motion

  measurement of shoulder flexion and abduction range of motion applied by using digital goniometer

  pre intervention and after 6 weeks of intervention

• muscle strength

  shoulder flexors and external rotators muscle strength will be measured by dynamometer

  pre intervention and after 6 weeks of intervention

Study Arms (2)

Therapeutic exercises

ACTIVE COMPARATOR

a specific therapeutic exercise program consisted of stretching exercises for posterior capsule and progressive resistance exercises for rotator cuff and scapula stabilizer and home exercise

Other: therapeutic exercises

cervical and thoracic mobilization

ACTIVE COMPARATOR

cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization added to therapeutic exercises

Other: mobilization exercise

Interventions

therapeutic exercises OTHER

One group received an exercise program that consisted of pain control, ROM, as well as education in scapular control, strengthening of muscles around the shoulder blades, and starting sensory-motor training. The program consisted of all exercises being performed in 3 sets of 15 repetitions. also, scapular stabilizing exercise were added

Therapeutic exercises

mobilization exercise OTHER

cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization

cervical and thoracic mobilization

Eligibility Criteria

• Age: 25 Years - 45 Years
• Gender Eligibility Details: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

Sponsors & Collaborators

• Egyptian Chinese University: lead
• Benha University: collaborator

Study Sites (1)

Faculty of physical therapy

Cairo, 11835, Egypt

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Officials

• Noha Elserty

  Benha University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: patients and outcomes assessor will be masked about the grouping of the study
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: Both groups underwent a physical therapy program; study group received additional cervical and thoracic mobilization. Outcomes included pain intensity, pain-free shoulder active range of motion (ROM) in scaption, flexion, abduction, internal and external rotation, muscle strength of external and internal rotators and abductors, and overall shoulder functional status.

Study Record Dates

• First Submitted: April 1, 2024
• First Posted: April 5, 2024
• Study Start: April 1, 2024
• Primary Completion: July 1, 2024
• Study Completion: July 26, 2024
• Last Updated: April 15, 2026

Record last verified: 2026-04

Locations

EG (1)