Effectiveness of Pilates Exercise in Patients With Subacromial Impingement Syndrome

NCT07265765 | Completed DMC

• 1 other identifier: pilates effect in shoulder SIS
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Subacromial Impingement Syndrome(SIS) is considered as one of the most common causes of shoulder pain, can be the source of considerable pain, disability and leads to limitations in activities of daily living. This study aimed to investigate the effectiveness of the Pilates versus conventional treatment on shoulder pain, function, ROM and muscle strength in patients with SIS.

Conditions

Pilates Exercise; Subacromial Impingement Syndrome; Shoulder Bursitis

Keywords

pilates exercise; subacromial impingement

Outcome Measures

Primary Outcomes (2)

• shoulder function

  measured by the Arabic version of the SPADI (Shoulder Pain and Disability Index) is a self-report questionnaire designed to assess shoulder pain and disability in outpatients. It consists of 13 items: a 5-item pain subscale and an 8 item disability subscale; it is widely used and available in multiple languages such as the Arabic version ;with higher values indicating greater severity.

  measured at baseline then after 6 weeks

• Shoulder Pian

  measured using Numerical Pain scale It is a self-reported scale where the patient rates their pain on a numerical range, usually from 0 to 10; where the zero indicate less pain and 10 worst pain

  at baseline and after 6 weeks

Secondary Outcomes (2)

• shoulder ROM(abduction and internal rotation)

  measured at baseline and after 6 weeks

• shoulder muscle strength(UT,MT,LT,SA,ER,IR)

  measured at baseline and after 6 weeks

Study Arms (2)

conventional group

ACTIVE COMPARATOR

Behavioral: Conventional

pilates exercise group

EXPERIMENTAL

Behavioral: Pilates exercise

Interventions

Conventional BEHAVIORAL

patients received conventional physical therapy exercise program that include (rotator cuff strength exercise, scapular stability exercise and posterior capsule stretch exercise) for 18 sessions for 6 weeks

conventional group

Pilates exercise BEHAVIORAL

patients who received the Pilates exercise in form of (shoulder drop, chest opener, book opening, scarecrow, dart, quadruped exercise, spine twist exercise).

pilates exercise group

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male and female patients aged between 35-65 years old
• Presence of shoulder pain for at least three months
• Painful arc of movement during flexion or abduction or both
• The patient will be diagnosed with SIS if the tests of the Neer, Empty Can, and Hawkins will be positive during the physical examination.

You may not qualify if:

• History of any surgical procedure to the affected upper extremity (Heron et al., 2017 and).
• History of trauma, fracture, instability and shoulder dislocation to the shoulder in less than 12 weeks previously (EDA et al., 2016).
• History of presence of cervical symptoms (neck pain, numbness or tingling in the upper extremity) (Heron et al., 2017).
• History of corticosteroid injection in the shoulder region in the last 6 months (Turgut et al., 2017).
• None- cooperative participants or cognitive impairment (a communication problem) (EDA et al., 2016).
• History of any systemic illness, reflex sympathetic dystrophy and related syndromes e.g. rheumatoid arthritis, ankylosing spondylitis, diagnosed by physician (Heron et al., 2017 and Turgut et al., 2017).
• Passive limitation of range of movement, stiff shoulder and less than 90 active elevation (Heron et al., 2017 and EDA et al., 2016).
• Evidence of complete rotator cuff tear (positive drop arm test) (Heron et al., 2017).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Cairo, Giza Governorate, 11432, Egypt

Location

Related Publications (9)

• Alsanawi HA, Alghadir A, Anwer S, Roach KE, Alawaji A. Cross-cultural adaptation and psychometric properties of an Arabic version of the Shoulder Pain and Disability Index. Int J Rehabil Res. 2015 Sep;38(3):270-5. doi: 10.1097/MRR.0000000000000118.

  PMID: 25954858 RESULT

• Nazari G, MacDermid JC, Bryant D, Athwal GS. The effectiveness of surgical vs conservative interventions on pain and function in patients with shoulder impingement syndrome. A systematic review and meta-analysis. PLoS One. 2019 May 29;14(5):e0216961. doi: 10.1371/journal.pone.0216961. eCollection 2019.

  PMID: 31141546 RESULT

• Melo ASC, Moreira JS, Afreixo V, Moreira-Goncalves D, Donato H, Cruz EB, Vilas-Boas JP, Sousa ASP. Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain: a systematic review with meta-analysis. JSES Rev Rep Tech. 2024 Jan 19;4(2):161-174. doi: 10.1016/j.xrrt.2023.12.006. eCollection 2024 May.

  PMID: 38706660 RESULT

• Lee SM, Lee CH, O'Sullivan D, Jung JH, Park JJ. Clinical effectiveness of a Pilates treatment for forward head posture. J Phys Ther Sci. 2016 Jul;28(7):2009-13. doi: 10.1589/jpts.28.2009. Epub 2016 Jul 29.

  PMID: 27512253 RESULT

• Desmeules F, Roy JS, Lafrance S, Charron M, Dube MO, Dupuis F, Beneciuk JM, Grimes J, Kim HM, Lamontagne M, McCreesh K, Shanley E, Vukobrat T, Michener LA. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025 Apr;55(4):235-274. doi: 10.2519/jospt.2025.13182.

  PMID: 40165544 RESULT

• Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of pilates method of exercise in healthy people. Arch Phys Med Rehabil. 2011 Dec;92(12):2071-81. doi: 10.1016/j.apmr.2011.06.018. Epub 2011 Oct 24.

  PMID: 22030232 RESULT

• Chamorro C, Arancibia M, Trigo B, Arias-Poblete L, Jerez-Mayorga D. Absolute Reliability and Concurrent Validity of Hand-Held Dynamometry in Shoulder Rotator Strength Assessment: Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Sep 3;18(17):9293. doi: 10.3390/ijerph18179293.

  PMID: 34501883 RESULT

• Byrnes K, Wu PJ, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review. J Bodyw Mov Ther. 2018 Jan;22(1):192-202. doi: 10.1016/j.jbmt.2017.04.008. Epub 2017 Apr 26.

  PMID: 29332746 RESULT

• Atilgan E, Aytar A, Caglar A, Tigli AA, Arin G, Yapali G, Kisacik P, Berberoglu U, Sener HO, Unal E. The effects of Clinical Pilates exercises on patients with shoulder pain: A randomised clinical trial. J Bodyw Mov Ther. 2017 Oct;21(4):847-851. doi: 10.1016/j.jbmt.2017.02.003. Epub 2017 Mar 4.

  PMID: 29037638 RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Shoulder Impingement Syndrome

Interventions

Congresses as Topic; Exercise Movement Techniques

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Organizations; Health Care Economics and Organizations; Physical Therapy Modalities; Therapeutics

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: principal investigator (Physical Therapist)

Study Record Dates

• First Submitted: November 25, 2025
• First Posted: December 5, 2025
• Study Start: June 16, 2025
• Primary Completion: July 27, 2025
• Study Completion: August 18, 2025
• Last Updated: December 15, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE

Locations

EG (1)