ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

NCT06723730 | Recruiting

• 1 other identifier: FUI/CTR/2024/57
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain .

Conditions

Rotator Cuff Syndrome

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  Pain will be measured on Numerical Pain rating scale. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

  4 weeks

• Range of motion

  A universal goniometer will be used to measure the shoulder ROM in external \& internal rotation, abduction and flexion and their normal ranges are 90, 80, 0-180, 0-180 degree respectively.

  4 weeks

• Proprioception

  The laser pointer method for assessing Shoulder Joint Position Sense (JPS) involves the patient using a laser pointer to target a 1 meter distanced scoreboard while performing arm movements. Patient will be asked to perform flexion, abduction and external rotation to 90 degree or alternatively to maximum possible pain free range below 90 degree. After three practice rounds with eyes open, four attempt with eye closed will be performed and shoulder range will be measured. We will measure JPSE for flexion, abduction and external rotation by using mobile app inclinometer.

  4 weeks

• Kinesiophobia

  The Tampa Scale of Kinesiophobia (TSK) is a 17-item self-report tool with a 4-point Likert scale, measuring fear of movement due to injury or pain, and somatic focus on underlying medical issues. Scores range from 17 to 68, with higher scores (≥37) indicating significant kinesiophobia and poorer health outcomes.

  4 Weeks

Study Arms (2)

Upper Quadrant Strenghtening + MWM Group

EXPERIMENTAL

In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)

Procedure: Upper Quadrant Core Strengthening protocol; Procedure: Mobilization with movement

Upper Quadrant Strenghtening Group

EXPERIMENTAL

Participants will perform upper quadrant core strengthening protocol. Upper quadrant core strengthening protocol will comprise of following four week protocol. 1. Week One Scapular postural correction , Shoulder Shrugging exercises 2. Week Two External rotation at 0 degree 3. Week Three Internal rotation at 0 degree 4. Week Four Standing Row at 45 and 90 degree, Anterior shoulder stretch , Thoracic exercises in sitting

Procedure: Upper Quadrant Core Strengthening protocol

Interventions

Upper Quadrant Core Strengthening protocol PROCEDURE

Upper Quadrant Core Strengthening protocol Core strengthening protocol will comprise of following four week protocol. 1. Week one Scapular postural correction and shoulder shrugging exercises 2. Week two External rotation at 0 degree 3. Week three Internal rotation at 0 degree 4. Week four Standing row at 45 and 90 degree , Anterior shoulder stretch and Thoracic exercise in sitting

Upper Quadrant Strenghtening + MWM Group; Upper Quadrant Strenghtening Group

Mobilization with movement PROCEDURE

In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)

Upper Quadrant Strenghtening + MWM Group

Eligibility Criteria

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

You may qualify if:

• Age 18-65 years
• Both genders
• Unilateral shoulder pain of traumatic origin
• Scoring should be less than 8 on numeric pain rating scale
• Symptoms lasting more than 6 weeks
• Pain on active shoulder movement
• Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
• Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain

You may not qualify if:

• History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
• Adhesive capsulitis
• History of dislocation
• Glenohumeral osteoarthritis
• Cancer
• Auto-immune inflammatory conditions and infection
• Positive joint integrity tests ( Ant. and Post. Drawer tests)
• Hill sachs lesions
• Bankarts lesions
• Cervical rib
• Previous shoulder or neck surgery or fracture
• Familiar pain provoked by neck movements
• Presence of radicular sign
• Diagnosis of fibromyalgia
• Clinical depression

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Interventions

Movement

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Raima Liaqat, MS-MSKPT*

CONTACT

0302-9670275; raimarana@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized Control Trial

Study Record Dates

• First Submitted: December 4, 2024
• First Posted: December 9, 2024
• Study Start: July 18, 2024
• Primary Completion: June 1, 2025
• Study Completion: June 20, 2025
• Last Updated: December 9, 2024

Record last verified: 2024-12

Locations

PA (1)