Shoulder and Neck Mobilization in Patients With Subacromial Impingement Syndrome

NCT06602206 | Recruiting

• 1 other identifier: 2024/06-29
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.

Conditions

Subacromial Impingement Syndrome

Outcome Measures

Primary Outcomes (1)

• Pain intensity

  Pain intensity will be evaluated with VAS. VAS is a valid and reliable self-report scale consisting of a 10 cm long horizontal line, with scores ranging from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to report the maximum pain they experienced in the last 24 hours. A change of 1.5 points is considered a minimal clinically important difference (MCID) for the VAS.

  through study completion, an average of 1 year

Secondary Outcomes (5)

• The Arm, Shoulder and Hand Problems (DASH) Questionnaire

  through study completion, an average of 1 year

• Painful arch assessment

  through study completion, an average of 1 year

• Painless range of motion assessment

  through study completion, an average of 1 year

• Pressure-pain Threshold Assessment

  through study completion, an average of 1 year

• Evaluation of Tactile Sensory Acuity

  through study completion, an average of 1 year

Study Arms (3)

Conventional treatment group

ACTIVE COMPARATOR

Hot packs, TENS, ultrasound, and exercise

Other: Conventional Treatment

Conventional treatment + shoulder mobilization group

EXPERIMENTAL

Hot packs, TENS, ultrasound, exercise, and shoulder mobilization

Other: Conventional Treatment; Other: shoulder mobilization

Conventional treatment + shoulder mobilization + neck mobilization group

EXPERIMENTAL

Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization

Other: Conventional Treatment; Other: shoulder mobilization; Other: neck mobilization

Interventions

Conventional Treatment OTHER

Hot pack,TENS, ultrasound and exercises

Conventional treatment + shoulder mobilization + neck mobilization group; Conventional treatment + shoulder mobilization group; Conventional treatment group

shoulder mobilization OTHER

In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied.

Conventional treatment + shoulder mobilization + neck mobilization group; Conventional treatment + shoulder mobilization group

neck mobilization OTHER

Bridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization.

Conventional treatment + shoulder mobilization + neck mobilization group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being over 18 years of age
• Diagnosed with Subacromial Impingement
• Not having received any treatment for shoulder problems in the last 6 months
• The pain has been continuing for 3 months
• Initial pain must be 4 or higher on the Visual Analog Scale (VAS)

You may not qualify if:

• History of surgery in the shoulder, cervical and thoracic region
• Having a shoulder problem such as a frozen shoulder or instability
• Full-thickness rotator cuff tear
• Having systemic musculoskeletal disease
• Having systemic rheumatic disease
• History of upper extremity fracture
• Diagnosed with scoliosis
• Have neurological problems

Sponsors & Collaborators

• Kutahya Health Sciences University: lead

Study Sites (1)

Kutahya Health Sciences University

Kütahya, 43100, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Officials

• Meltem Işıntaş

  Kutahya Health Sciences University

  STUDY DIRECTOR

Central Study Contacts

Meltem Işıntaş

CONTACT

+902742652031; meltem.isintas@ksbu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 30, 2024
• First Posted: September 19, 2024
• Study Start: October 7, 2024
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: October 10, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)