Cervical Stabilization Exercises IN Subacromial Impingement Syndrome

NCT07645781 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/006416
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial study is to determine efficacy of adding cervical stabilization exercises (CSEs) to conventional physical therapy (PT) program on pain severity, shoulder function disability, kinesiophobia, shoulder range of motion (ROM), isometric muscle strength and upper limb (UL) functional activity in closed kinetic chain in patients with SIS. The main questions it aims to answer is: What are the effects of adding cervical stabilization exercises to a conventional physical therapy program in the management of shoulder impingement syndrome? Researchers will compare two groups: one group will receive CSEs beside the conventional PT program to the another group will receive the conventional PT program.

Conditions

Subacromial Impingement Syndrome; Pain

Keywords

Subacromial impingement syndrome; Rotator cuff tendenitis; shoulder impingement syndrome; supraspinatus tendenitis

Outcome Measures

Primary Outcomes (1)

• Pain severity will be assessed by Visual Analog Scale

  Visual Analog Scale consists of a 10 cm horizontal line anchored by "no pain" at one end and "worst pain imaginable" at the other end. The patient will elevate the arm to the available end- range then the patient will mark on the Visual Analog Scale the point that represents the pain severity during elevation. The score will be determined by measuring millimeters from the left-hand end of the line to the point that the patient marks.

  Visual Analog Scale will be assessed before the intervention and then after the end of the intervention at 6 weeks.

Secondary Outcomes (5)

• Shoulder Disability will be assessed by shoulder pain and disability index

  Shoulder Pain and Disability Index will be assessed before the intervention and then after the end of the intervention at 6 weeks.

• Kinesiophobia will be assessed by Tampa Scale of Kinesiophobia

  Tampa Scale of Kinesiophobia will be assessed before the intervention and the after the end of the intervention at 6 weeks.

• Shoulder range of motion by inclinometer

  Shoulder Range of Motion will be assessed before the intervention and then after the end of the intervention at 6 weeks.

• Muscles strength will be assessed by Hand Held Dynamometer.

  Muscles strength will be assessed before the intervention and then after the end of the intervention at 6 weeks.

• Closed Kinetic Chain Upper Extremity Test

  Closed Kinetic Chain Upper Extremity Test will be assessed before the intervention and then after the end of the intervention at 6 weeks.

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Conventional Physical Therapy Program (Rotator Cuff Strengthening Exercise, Scapular Stabilization Exercise, and Stretching Exercise)

Other: Conventional Physical Therapy

Experimental group

ACTIVE COMPARATOR

Cervical Stabilization Exercises (Deep Neck Flexors and Extensors) beside the Conventional PT Program.

Other: Cervical Stabilization

Interventions

Conventional Physical Therapy OTHER

* Rotator Cuff Strengthening Exercise: (Full Can Exercise, External Rotation Exercise, and Internal Rotation Exercise). * Scapular Stabilization Exercise: (Prone Extension Exercise, Prone Horizontal Abduction with External Rotation Exercise, Prone Elevation Exercise, and Serratus Anterior Supine Punch ). * Stretching Exercise: (Self-Sleeper Stretching for Posterior Capsule, Self-stretching for Pectoralis Minor, and Self-Stretching for Upper Trapezius:). Intervention period will last for 6 weeks, 3 sessions per week. The duration of the session will be approximately forty minutes.

Control Group

Cervical Stabilization OTHER

* Rotator Cuff Strengthening Exercise: (Full Can Exercise, External Rotation Exercise, and Internal Rotation Exercise). * Scapular Stabilization Exercise: (Prone Extension Exercise, Prone Horizontal Abduction with External Rotation Exercise, Prone Elevation Exercise, and Serratus Anterior Supine Punch ). * Stretching Exercise: (Self-Sleeper Stretching for Posterior Capsule, Self-stretching for Pectoralis Minor, and Self-Stretching for Upper Trapezius:). * Cervical Stabilization Exercises: (Cranio-Cervical Flexion Exercise and Deep Cervical Extensors Exercise). Intervention will be performed 3 times per week for 6 weeks. The duration of the session will be approximately one hour (40 min of conventional PT program and 15-20 min of CSEs with the progression).

Experimental group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female patients with unilateral SIS.
• Age is 20-40 years old.
• Presence of pain on anterolateral aspect of the shoulder for at least three months.
• At least 3 of the following criteria; positive Neer, Hawkins, and Empty can tests, Painful arc, and pain during resisted isometric abduction or external rotation.

You may not qualify if:

• Shoulder surgery, injury and arthritis.
• Any anatomical anomalies as hooked acromion.
• Cervical radiculopathy.
• Other systemic diseases: cardiovascular diseases, respiratory diseases and neurological diseases.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

The Outpatient Clinic of the Faculty of Physical Therapy, Cairo University.

Giza, 11432, Egypt

Location

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Wounds and Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mona M Ibrahim, Doctoral Degree

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mona M Ibrahim, Doctoral Degree

CONTACT

+201112339609; monamonir93@yahoo.com

Karima A Hassan, Assistant professor

CONTACT

+201114032967; Karima.abdelaty@pt.cu.edu.eg

Study Design

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

Study Record Dates

• First Submitted: June 9, 2026
• First Posted: June 12, 2026
• Study Start (Estimated): July 1, 2026
• Primary Completion (Estimated): July 1, 2027
• Study Completion (Estimated): September 1, 2027
• Last Updated: June 12, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)