Comparative Effects of ART and STM in Shoulder Impingement Syndrome

NCT06457542 | Active Not Recruiting DMC

• 1 other identifier: TUF\DR\SA\MSPP\2024\384
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder impingement syndrome is primary cause of discomfort and restricted range of motion while reaching above in shoulder region. It is third most common illness affecting musculoskeletal system. The aim of this study will be to analyse comparative effects of active release technique and soft tissue mobilization on pain, range of motion and disability in shoulder impingement syndrome. The study will be a randomized clinical trial. A random sample of 40 subjects with shoulder impingement from Allied hospital, Faisalabad will be evaluated. Subjects who will meet selection criteria will be allocation into two groups by computerized generated allocation method. In addition to ultrasound as baseline treatment group a will receive active release technique while in group B soft tissue mobilization will be administrated for 4 weeks. Treatment session will be 12 session (3 sessions in one week). Baseline, at 2nd week and at 4th week of treatment pain, shoulder elevation, external rotation and shoulder disability will be measure by VAS, goniometer and SPADI. For, data analysis, we will use SPSS software version 23. Data was interrupted through independent t test and repeated measurements ANOVA.

Conditions

Shoulder Impingement Syndrome

Keywords

Shoulder impingement syndrome; Active release technique; ROM; Soft tissue mobilization; Pain

Outcome Measures

Primary Outcomes (1)

• Shoulder pain

  Visual Analogue Scale Minimum Value= 0mm Maximum Value= 10mm

  7 minutes

Secondary Outcomes (2)

• Shoulder range of motion

  10 minutes

• Shoulder Function

  15 minutes

Study Arms (2)

Active Release Technique

OTHER

Active release technique is a technique used for to treat impingment syndrome.

Other: Active Release Technique

Soft Tissue Mobilization

OTHER

Soft Tissue Moboilization is techniques used for to treat shoulder pain. Soft tissue mobilization (STM) targeting the subscapularis muscle.

Other: Soft Tissue Mobilization

Interventions

Active Release Technique OTHER

Active Release Therapy, which involves instructing the patient to sit and then positioning their shoulder in 90-degree abduction. The therapist will provide assistance to the patient's arm and then examine the supraspinous fossa by applying pressure with a finger. The patient will be instructed to gradually bring the arm towards the body as the therapist manipulates the muscle plane. This procedure should be repeated for a duration of 10 minutes, 3 times per week, over a duration of four weeks.

Active Release Technique

Soft Tissue Mobilization OTHER

Soft Tissue Mobilization (STM) targeting the subscapularis muscle. The participants will be placed in a position where their upper arm bone (humerus) is raised at a 45° angle, with the elbow bent at a 90° angle. Additionally, the humerus will be rotated outward to a position that is normally around 20° to 25° of external rotation. The subscapularis muscle remained examined by touch in the armpit area to locate regions of limited mobility due to myofascial limitations, trigger points or tense bands. The identified limitations remained addressed with STM, which included applying prolonged manual pressure and slow deep stroke to the subscapularis myofascial. This treatment was performed for a period of 7 minutes, three times a week, over a period of four weeks.

Soft Tissue Mobilization

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age ranges from 40-60 years old
• Unilateral shoulder involvement
• A visual analogue scale (VAS) score of 5 or above
• Abstaining from the use of the painkillers, the anti-inflammatory medicines, and the muscle relaxants for twenty-four hours before to participate
• The Neer test and the Hawkin's test both yielded favorable results
• Every participant volunteered their signature on the informed consent form.

You may not qualify if:

• Open wounds at shoulder
• Infection at shoulder site or of shoulder joint,
• Fractures or acute injury
• Current surgeries
• Swelling and rheumatoid arthritis,
• Adhesive capsulitis
• GH joint instability
• Acromioclavicular joint-dysfunction;
• GH joint degenerative joint-disease;
• Cervical radiculopathy;
• Receiving steroid injections
• Receiving of PT intervention for the shoulder discomfort in the previous six months

Sponsors & Collaborators

• University of Faisalabad: lead
• Allied Hospital Faisalabad: collaborator

Study Sites (1)

Fatima Afzaal

Faisalābad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: Model involves two groups having disease of shoulder impigement syndrome. First group recieves treatment active release technique and Second group recieves soft tissue mobilization.

Study Record Dates

• First Submitted: May 24, 2024
• First Posted: June 13, 2024
• Study Start: February 17, 2024
• Primary Completion: March 29, 2024
• Study Completion: June 1, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)