Effect of Transfer Energy Capacitive Resistive Therapy on Shoulder Pain and Function in Shoulder Impingement Syndrome

NCT06595641 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005345
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study investigates the efficacy of combining Transfer Energy Capacitive and Resistive (TECAR) therapy with standard strengthening exercises in treating Shoulder Impingement Syndrome (SIS). A double-blinded randomized controlled trial will compare outcomes between patients receiving only strengthening exercises and those receiving both TECAR therapy and exercises. Key outcomes include improvements in pain, muscle strength, joint position sense, and shoulder function. The study aims to determine if TECAR therapy enhances treatment benefits beyond those achieved with exercises alone.

Conditions

Impingement Syndrome, Shoulder

Keywords

Strengthening Exercises; Shoulder Impingement Syndrome; Transfer energy capacitive and resistive

Outcome Measures

Primary Outcomes (1)

• Visual Analog Scale

  which rates pain intensity from 0 (no pain) to 10 (worst possible pain)

  3 weeks

Secondary Outcomes (3)

• Manual Muscle Test System (MMT)

  3 weeks

• Joint Position Sense of the Shoulder joint

  3 weeks

• shoulder Function Using the Arabic SPADI Questionnaire

  3 weeks

Study Arms (2)

strength training program group

ACTIVE COMPARATOR

In Group I, fifteen patients will undergo a 3-week exercise program, with sessions lasting 35-45 minutes, three times a week. Each session includes five exercises, each performed for three sets of 10 repetitions: Shoulder Retraction - Strengthens muscles between shoulder blades. Shoulder Scaption - Improves stability and range of motion. Shoulder External Rotation from Side Lying - Targets rotator cuff muscles. Shoulder Protraction - Enhances shoulder blade function. Shoulder Extension - Strengthens posterior shoulder muscles.

Other: strength training program

Experimental TECAR Group

EXPERIMENTAL

In the experimental group, fifteen patients will follow a three-week program that combines targeted exercises with Transfer Energy Capacitive and Resistive (TECAR) therapy. Each session of the exercise program, conducted three times a week, will include a series of five shoulder exercises: retraction, scaption, external rotation from a side-lying position, protraction, and extension. Alongside these exercises, patients will receive TECAR therapy, which involves applying high-frequency electromagnetic energy to the affected shoulder. During the therapy, a capacitive electrode will first be used for ten minutes to target the soft tissues near the biceps. Following this, the therapy will switch to the resistive mode for another ten minutes, focusing on the deeper tissues around the T1-T9 vertebrae. Each TECAR session will last for a total of twenty minutes, and patients will undergo this treatment nine times over the course of the study, with three sessions each week.

Device: Transfer Energy Capacitive Resistive Therapy; Other: strength training program

Interventions

Transfer Energy Capacitive Resistive Therapy DEVICE

It's a physical treatment modality commonly used to treat musculoskeletal pain. It normally uses a longwave radiofrequency of \~0.5 MHz. The system consists of a neutral plate and two different electrodes that can transfer energy in two modalities: capacitive and resistive

Also known as: TECAR

Experimental TECAR Group

strength training program OTHER

Each session includes five exercises, each performed for three sets of 10 repetitions: Shoulder Retraction - Strengthens muscles between shoulder blades. Shoulder Scaption - Improves stability and range of motion. Shoulder External Rotation from Side Lying - Targets rotator cuff muscles. Shoulder Protraction - Enhances shoulder blade function. Shoulder Extension - Strengthens posterior shoulder muscles

Experimental TECAR Group; strength training program group

Eligibility Criteria

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

You may qualify if:

• Both gender age from 25-40 with a clinical diagnosis of Neer's stage II SIS and body mass index (18.5-29.9)
• Shoulder pain for at least three months
• Painful arc of movement during flexion or abduction
• Positive Neer's or kennedy- hawkins test or empty can test
• Pain on resisted external rotation, abduction

You may not qualify if:

• Symptoms of cervical radiculopathy.
• Diagnosed inflammatory disorder.
• Neurological disorder.
• Widespread pain condition.
• Evidence of complete rotator cuff tear (positive drop arm test).
• Previous surgery to the affected shoulder.
• Noncompliance patient.
• Pacemaker.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (3)

• Davies H, Wells F, Czarkowski M. Standards for research ethics committees: purpose, problems and the possibilities of other approaches. J Med Ethics. 2009 Jun;35(6):382-3. doi: 10.1136/jme.2008.027722.

  PMID: 19482984 RESULT

• Yi SD, Baek SK. Interrupted coarsening in the zero-temperature kinetic Ising chain driven by a periodic external field. Phys Rev E Stat Nonlin Soft Matter Phys. 2015 Jun;91(6):062107. doi: 10.1103/PhysRevE.91.062107. Epub 2015 Jun 5.

  PMID: 26172661 RESULT

• Braun BJ, Osche D, Rollmann M, Orth M, Morsdorf P, Histing T, Pohlemann T, Herath SC. Increased therapy demand and impending loss of previous residence status after proximal femur fractures can be determined by continuous gait analysis - A clinical feasibility study. Injury. 2019 Jul;50(7):1329-1332. doi: 10.1016/j.injury.2019.05.007. Epub 2019 May 18.

  PMID: 31178148 RESULT

Related Links

• The Effectiveness of an Upper Extremity Neuromuscular Training Program on the Shoulder Function of Military Members With a Rotator Cuff Tendinopathy: A Pilot Randomized Controlled Trial
• Effectiveness of microwave diathermy on pain, functional capacity, muscle strength, quality of life, and depression in patients with subacromial impingement syndrome: a randomized placebo-controlled clinical study
• Restricted scapular mobility during arm abduction: implications for impingement syndrome

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Officials

• Enas Fawzy Youssif, Professor

  Cairo University

  STUDY CHAIR

• ahmed mohamed khalil, PhD

  Pharos University in Alexandria

  STUDY DIRECTOR

• Sherif Hamdy Zawam, PhD

  Cairo University

  STUDY DIRECTOR

Central Study Contacts

Mostafa Mohamed Abdelkhalek, B.Sc

CONTACT

929-435-8403; drmostafamohamedgalal@gmail.com

ahmed mohamed khalil, PhD

CONTACT

929-435-8403; ahmedazizkhalil90@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Model Details: Double-blinded randomized controlled trial

Study Record Dates

• First Submitted: September 10, 2024
• First Posted: September 19, 2024
• Study Start: October 1, 2024
• Primary Completion: February 1, 2025
• Study Completion: March 1, 2025
• Last Updated: September 19, 2024

Record last verified: 2024-09