Comparison of Scapular Stabilization and Mobilizations in Sub Acromial Pain Syndrome

NCT06426888 | Completed

• 1 other identifier: MSPT/01723 Gulban Aslam
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to compare the effect Comparison of scapular stabilization exercises and scapular mobilizations on shoulder pain, scapular kinematics, disability and functional limitations in patients with sub acromial pain syndrome Randomized controlled trials done at District Head Quarters Mirpur AJK. The sample size was 36. The subjects were divided in two groups, 18 subjects in scapular mobilization exercise group and 18 in scapular mobilization exercise therapy group. Study duration was of 12 months. Sampling technique applied was non probability convenient sampling technique. Only 25-40 years old patient with unilateral shoulder pain lasting \>6 weeks were included. Tools used in the study are NPRS, SPADI, WORC LSST and SAT.

Conditions

Subacromial Impingement Syndrome

Keywords

Scapular stabilization exercises; Range of motion; scapular mobilization

Outcome Measures

Primary Outcomes (2)

• Western Ontario Rotator Cuff Index (WORC)

  It has 21 items, exploring 5 different domains: Physical symptoms, Sports and recreation, Work, Social function, Emotions. Each question uses a visual analogue scale (VAS) - which is a straight line, representing a 100-point scale, ranging from 0-100.

  baseline to 4 weeks

• Lateral Scapular Slide Test (LSST)

  this test measures the distance between inferior angle of scapula and nearest vertebral spinous process using tape or goniometer in neutral, 45 and 90 degrees of shoulder abduction with the arms fully internally rotated

  baseline to 4 weeks

Secondary Outcomes (2)

• Shoulder Pain and Disability Index (SPADI)

  baseline to 4 weeks

• Numeric pain rating scale

  baseline to 4 weeks

Study Arms (2)

Experimental interventional group 1(scapular stabilization exercise therapy)

EXPERIMENTAL

1\. Ball stabilization exercise, 2.Wall push up 3. Wall push up Patients will be treated 3 times per week for 4 consecutive weeks

Other: Experimental interventional group 1(scapular stabilization exercise therapy)

Experimental :interventional group II (scapular mobilizations)

EXPERIMENTAL

scapular mobilization in elevation, depression, protraction and retraction. Patients will be treated 3 times per week for 4 consecutive weeks

Other: Experimental :interventional group II (scapular mobilizations)

Interventions

Experimental interventional group 1(scapular stabilization exercise therapy) OTHER

Ball stabilization exercise: While standing close to the wall, the participant will be asked to position her affected hand on the ball and keep the ball from moving as disturbance will be applied in different directions. Wall push up: While facing wall patient will be asked to place both hands on wall, shoulder width apart. He will be instruct to breath in, bend his elbows, lean into wall and hold this position for one second then breath out slowly push back until arms are straight again Wall slides • Patient will be asked to lean his head, upper thorax and butts against the wall, place his hands and arms against the wall in high five position.

Experimental interventional group 1(scapular stabilization exercise therapy)

Experimental :interventional group II (scapular mobilizations) OTHER

Patient lies on unaffected side close to the edge of the treatment bench with hips and knees bent for stability. Therapist will start by supporting the patient arm on his/her forearm so that shoulder is in maximally loose pack position. Then he/she will grab on the scapula with both hands. One hand supports the scapula from cranial around the acromion and scapular spine and other hand from the caudal at the inferior angle of scapula. Then both hands move the scapula cranially over the thorax into elevation and caudally into the depression, upward/downward rotation as well as retraction and protraction.

Experimental :interventional group II (scapular mobilizations)

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• ● Unilateral shoulder pain lasting \>6 weeks
• Patients with 3/5 positive special tests (Hawkins-Kennedy test, painful arc test, Neer test, Job test, resisted external rotation test)
• Patients score falling above 3 on NPRS

You may not qualify if:

• History of surgery, fracture, or dislocation in past 6 months
• Traumatic onset of pain.
• received steroid injections and physical therapy during the previous 6 months
• BMI above 30

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

District Head Quarters

Mirpur, Azad Jammu Kashmir, 10250, Pakistan

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Officials

• aisha Razzaq, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 19, 2024
• First Posted: May 23, 2024
• Study Start: April 15, 2024
• Primary Completion: June 30, 2024
• Study Completion: July 31, 2024
• Last Updated: November 13, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)