The Effect of Thoracic Mobilization in Individuals With Subacromial Pain Syndrome

NCT06374004 | Completed

• 1 other identifier: HU-FTR-MC-01
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate the effect of six-week thoracic mobilization on pain intensity, muscle tone, functional and muscle activation in individuals with subacromial pain syndrome.

Conditions

Subacromial Pain Syndrome

Keywords

Rehabilitation; Electromyography; Acromiohumeral Distance; Pain

Outcome Measures

Primary Outcomes (2)

• Electromyography (EMG)

  A surface EMG system with 8 channels will use to measure muscle activation levels. A synchronized video record will take at 50 frames per second to identify 3 phases of the exercises ascending phase of the abduction (from 0°-60°, 60°-120°, and 120°-180°). Measurements will make from the affected side. The same examiner will place bipolar Ag-Cl surface electrodes over the Upper Trapezius (UT), Middle Trapezius (MT), Lower Trapezius (LT), Infraspinatus (IS), Middle Deltoid (MD), and Serratus Anterior (SA) muscles of all participants. Investigators will measure maximal voluntary isometric contractions (MVICs) of the UT, MT, LT, IS, MD, and SA muscles in randomized order first. The width of the wooden blocks will adjust according to the arm distance of the patients. Shoulder abduction angles of 60° and 120° will mark with tape on the wooden blocks.

  twelve weeks

• Acromiohumeral Distance (AHD)

  Real-time ultrasonography (US) images of the subacromial space will obtain with a 4 to 13 Megahertz linear transducer. All US images will evaluate by the same researcher with 5 years of experience in US imaging of the shoulder. US images will obtain from the affected side shoulder. The AHD will measure linearly (as a millimetres) between the highest point of the humeral head and the lowest point of the acromion using the on-screen calibrations of the US system. Measurements will do at 0°, 60° and 90° abduction of the shoulder.

  twelve weeks

Secondary Outcomes (3)

• Muscle Tone

  twelve weeks

• Functional Activity Level

  twelve weeks

• Pain Intensity

  twelve weeks

Study Arms (2)

Exercise Group

ACTIVE COMPARATOR

The exercise group will perform stretching and strengthening exercises involving the muscle groups around the shoulder and scapula for 12 weeks.

Other: Exercise Group

Thoracic Mobilization Group

ACTIVE COMPARATOR

The exercise group will perform stretching and strengthening exercises involving the muscle groups around the shoulder and scapula for 12 weeks. In addition to the exercises, thoracic mobilization will be applied to the participants in this group 1 day a week for a total of 6 weeks.

Other: Exercise Group; Other: Thoracic Mobilization Group

Interventions

Exercise Group OTHER

The exercises will be given as a home program and each exercise will be performed 2 times a day for a total of 12 weeks. Participants will perform the exercises 1 day a week under the supervision of a physiotherapist. The exercise program lasts approximately 30 minutes.

Exercise Group; Thoracic Mobilization Group

Thoracic Mobilization Group OTHER

The exercises will be given as a home program and each exercise will be performed 2 times a day for a total of 12 weeks. Participants will perform the exercises 1 day a week under the supervision of a physiotherapist. The exercise program lasts approximately 30 minutes. Thoracic mobilization will be applied to segments where passive accessory movement is insufficient or painful. 30 repetitions/4 sets will be applied to each determined segment. Thoracic mobilization will be performed with the patient lying prone position.

Thoracic Mobilization Group

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Thoracic kyphosis angle \> 40°
• Full active shoulder abduction

You may not qualify if:

• Bilateral shoulder pain
• Rotator cuff tear
• Shoulder/cervical injury other than SAPS
• Surgery history

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Ankara, 06100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• MAHMUT ÇALIK, PhD Student

  Hacettepe University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will be randomly divided into two groups and participants will not know which group participants are in.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc, PhD Student, Principal Investigator

Model Details: One group received exercise therapy and the other group received manual therapy (thoracic mobilization) in addition to exercise therapy

Study Record Dates

• First Submitted: April 11, 2024
• First Posted: April 18, 2024
• Study Start: April 10, 2024
• Primary Completion: July 5, 2024
• Study Completion: July 5, 2024
• Last Updated: July 26, 2024

Record last verified: 2024-07

Locations

TU (1)