EFFICACY OF ADDING TRUNK INTEGRATED KINETIC CHAIN EXERCISES TO CONVENTIONAL EXERCISE THERAPY PROGRAM IN SUBACROMIAL IMPINGEMENT SYNDROME

NCT06926465 | Completed

• 1 other identifier: treating shoulder impingement
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study will be to investigate the effect of adding trunk integrated kinetic chain exercises to conventional exercise program on shoulder pain, function, isometric muscle strength, shoulder ROM and scapular orientation in patients with subacromial impingement syndrome.

Conditions

Subacromial Impingement

Outcome Measures

Primary Outcomes (2)

• Digital Goniometer

  to measure the full shoulder ROM using digital goniometer device in degrees

  at baseline, to the end of treatment at 4 weeks

• Hand held Dynamometer

  to measure shoulder and scapular muscle strength using hand held dynamometer , in newton

  at baseline, to the end of treatment at 4 weeks

Study Arms (2)

control group A (conventional traetment)

ACTIVE COMPARATOR

conventional treatment including (hot pack, Stretching of the pectoralis minor, Resisted shoulder external rotation , Prone Extension ,Prone Horizontal Abduction with External Rotation ,Side-lying Forward Flexion ,Posterior capsule stretch (sleeper stretch)

Other: Conventional treatment

Experimental group B (Trunk integrated kinetic chain exercises )

OTHER

This group will receive conventional treatment plus four trunk integrated kinetic chain exercises: 1. Quadruped shoulder flexion 2. Shoulder flexion with trunk rotation 3. Shoulder external rotation from shoulder at 45° internal rotation and the elbow at 90° flexion with trunk rotation 4. Shoulder external rotation from shoulder at 90° abduction and the elbow at 90° flexion while with trunk rotation

Other: Trunk integrated kinetic chain exercises

Interventions

Conventional treatment OTHER

conventional treatment including (hot pack, Stretching of the pectoralis minor, Resisted shoulder external rotation , Prone Extension ,Prone Horizontal Abduction with External Rotation ,Side-lying Forward Flexion ,Posterior capsule stretch (sleeper stretch)

control group A (conventional traetment)

Trunk integrated kinetic chain exercises OTHER

This group will receive conventional treatment plus four trunk integrated kinetic chain exercises: 1. Quadruped shoulder flexion 2. Shoulder flexion with trunk rotation 3. Shoulder external rotation from shoulder at 45° internal rotation and the elbow at 90° flexion with trunk rotation 4. Shoulder external rotation from shoulder at 90° abduction and the elbow at 90° flexion while with trunk rotation

Experimental group B (Trunk integrated kinetic chain exercises )

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \) Patients complaining of subacromial impingement syndrome . 2) Age 20-¬45 years old . 3) If they had at least three of the following 6 criteria: "Neer sign" positive, "Hawkins sign" positive, " Painful active shoulder elevation in scapular plane, painful rotary cuff tendon palpation," painful resisted isometric abduction " history of pain related to C5 dermatome.
• \) A 20 percent or higher score of SPADI (Shoulder Pain and Disability Index) baseline 5) Level of pain (at least 2/10 on VAS) 6) Patient with Body mass index (BMI) with 18 to 29.5 Kg/m2

You may not qualify if:

• Prior history of cervical radiculopathy symptoms, frozen shoulder
• Neurological disorders, inflammatory disorders
• Complete RC tear and any previous surgery to the affected shoulder
• Infections or tumors

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

outpatient clinic at faculty of physical therapy - Cairo University

Giza, Egypt

Location

Related Publications (28)

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MeSH Terms

Conditions

Shoulder Impingement Syndrome

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: single blinded
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physical therapist

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: April 13, 2025
• Study Start: January 1, 2024
• Primary Completion: February 15, 2025
• Study Completion: February 15, 2025
• Last Updated: April 13, 2025

Record last verified: 2025-04

Locations

EG (1)