Mobilization With Movement for Shoulder Impingement

Shoulder Impingement Syndrome Clinical Trial

Official title:

Effects of Mobilization-with-Movement on Pain and Range of Motion in Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02172079
• Other study ID #: USAL201000048540
• Status: Completed
• Phase: N/A
• First received: June 22, 2014
• Last updated: June 23, 2014
• Start date: January 2013
• Est. completion date: January 2014

Study information

• Verified date: June 2014
• Source: Universidad Rey Juan Carlos
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Comité Ético de Investigación Clínica
• Study type: Interventional

Clinical Trial Summary

Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: January 2014
• Est. primary completion date: January 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• history of shoulder pain of > 3months duration

• pain localized at the proximal anterolateral shoulder region

• medical diagnosis of shoulder impingement syndrome

• at least 2 positive impingement tests including Neer, Hawking, or Jobe test

Exclusion Criteria:

• diagnosis of fibromyalgia

• pregnancy

• a history of traumatic onset of shoulder pain

• other histories of shoulder injury

• ligamentous laxity based on a positive Sulcus test and apprehension test

• numbness or tingling in the upper extremity

• previous shoulder or cervical spine surgery

• corticosteroid injection on the shoulder within 1 year of the study

• physical therapy 6 months prior to the study

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Shoulder Impingement Syndrome

Intervention

Other:
• Real mobilization-with-movement (MWM)

• Sham mobilization-with-movement (MWM)

Locations

Country	Name	City	State
Spain	Francisco Alburquerque Sendín	Salamanca

Sponsors (2)

Lead Sponsor	Collaborator
César Fernández-de-las-Peñas	University of Salamanca

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in the intensity of shoulder pain before and after the treatment	Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion.	Baseline and one week after intervention	Yes
Secondary	Changes in shoulder range of motion before and after the treatment	A universal goniometer was used to assess the participant's shoulder range of motion in the following motions: Pain-free and maximum (painful) range of motion in shoulder flexion; Pain-free range of motion in shoulder extension; Pain-free range of motion in shoulder abduction; Pain-free range of motion in shoulder external rotation; Pain-free range of motion in shoulder medial (internal) rotation	Baseline and one week after the intervention	Yes