Shoulder Impingement Syndrome Clinical Trial
— SISOfficial title:
Mobilization With Movement as an Additional Treatment to Conventional Physical Therapy in Individuals With Shoulder Impingement Syndrome
NCT number | NCT04599127 |
Other study ID # | MWM |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | August 12, 2019 |
Est. completion date | June 4, 2020 |
Verified date | October 2020 |
Source | Mahidol University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study conducted to see the effect of adding mobilization with movement to conventional physical therapy to the subject with shoulder impingement syndrome. The shoulder impingement syndrome is often described as anterior lateral shoulder pain that provoked during shoulder elevation. The pain occurs during shoulder elevation and causes limited range of motion. Moreover, the patients with shoulder impingement syndrome commonly had a forward head posture and slouching shoulder. There is a theory that illustrates the mechanical factors lead to the injury of the bursa or rotator cuff tendons below the subacromial space which is highly related to the posture and scapular movement. Various treatments for shoulder impingement syndrome including medical treatments such as anti-inflammatory drugs, subacromial decompression, and acromion resection surgery. Conventional physical therapy treatments for shoulder impingement syndrome included modalities, exercises and manual therapy. Exercise has been showed to give a significant effect to decrease the pain intensity, increasing the range of motion and shoulder function. There is evidence that supports the use of manual therapy on shoulder impingement, the recent technique introduced by Brian Mulligan is mobilization with movement. Mobilization with movement is a manual therapy technique that uses the active movement while the physical therapist applies an accessory force to align the positional fault of the joint. A previous study investigated the effect of mobilization with movement that uses the mobilization with movement in shoulder impingement syndrome showed different outcomes in the measurement of pain intensity and shoulder range of motion. As the posture may be related to shoulder impingement syndrome, this research will measure the cervical posture, shoulder posture, and muscle strength. Therefore, the purposes of this study will be to compare the effects of conventional physical therapy treatments and the conventional therapy treatments plus the mobilization with movement on pain intensity, shoulder range of motion, cervical and shoulder posture, shoulder muscle strength and shoulder function. The study hypothesis was that mobilization with movement is more effective in improving the investigated outcomes in individuals with shoulder impingement syndrome than the conventional physical therapy.
Status | Completed |
Enrollment | 22 |
Est. completion date | June 4, 2020 |
Est. primary completion date | May 31, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 60 Years |
Eligibility | Inclusion Criteria: - Anterior and/or lateral shoulder pain (between the acromion and glenoid) - Score 4 - 7 cm on the 0 - 10 visual analog scale - Experienced shoulder pain at least 3 months - Positive combination 2 of 3 impingement test (painful arc, empty can, and external rotation test) - Negative at least one of rotator cuff test (isometric infraspinatus and subscapularis muscle test) Exclusion Criteria: - History of shoulder, cervical, or thoracic surgery - History of neurological conditions (stroke, brachial plexus injury) - Postural deformity and musculoskeletal condition that affects the shoulder movement - History of shoulder major trauma on the affected side (fracture, dislocation, tendon rupture and/or lateral torn) - Having bilateral shoulder impingement syndrome - Recently using muscle relaxants, pain killer, or corticosteroid injection - Ligamentous laxity based on positive sulcus sign - Numbness or tingling in upper extremity - Systemic illness or widespread pain - Rheumatic disease - Having malfunction of the rotator cuff (e.g. cannot perform at all) - Having a passive limitation due to adhesive capsulitis - Positive of scapular retraction test |
Country | Name | City | State |
---|---|---|---|
Indonesia | Esa Unggul physical therapy clinic | Jakarta | Jakarta Barat |
Lead Sponsor | Collaborator |
---|---|
Mahidol University |
Indonesia,
Brudvig TJ, Kulkarni H, Shah S. The effect of therapeutic exercise and mobilization on patients with shoulder dysfunction : a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2011 Oct;41(10):734-48. doi: 10.2519/jospt.2011.3440. Epub 2011 — View Citation
Delgado-Gil JA, Prado-Robles E, Rodrigues-de-Souza DP, Cleland JA, Fernández-de-las-Peñas C, Alburquerque-Sendín F. Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized c — View Citation
DeSantis L, Hasson SM. Use of Mobilization with Movement in the Treatment of a Patient with Subacromial Impingement: A Case Report. J Man Manip Ther. 2006 Apr 18;14(2):77-87.
Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, Zhang TY, Jiang ZC, Welle K, Kabir K. Treatments for shoulder impingement syndrome: a PRISMA systematic review and network meta-analysis. Medicine (Baltimore). 2015 Mar;94(10):e510. doi: 10.1097/MD.00000 — View Citation
Ellenbecker TS, Cools A. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med. 2010 Apr;44(5):319-27. doi: 10.1136/bjsm.2009.058875. Review. — View Citation
Guimarães JF, Salvini TF, Siqueira AL Jr, Ribeiro IL, Camargo PR, Alburquerque-Sendín F. Immediate Effects of Mobilization With Movement vs Sham Technique on Range of Motion, Strength, and Function in Patients With Shoulder Impingement Syndrome: Randomize — View Citation
Ho CY, Sole G, Munn J. The effectiveness of manual therapy in the management of musculoskeletal disorders of the shoulder: a systematic review. Man Ther. 2009 Oct;14(5):463-74. doi: 10.1016/j.math.2009.03.008. Epub 2009 May 21. Review. — View Citation
Kachingwe AF, Phillips B, Sletten E, Plunkett SW. Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: a randomized controlled pilot clinical trial. J Man Manip Ther. 2008;16(4):238-47. — View Citation
Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R, Carr A. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford). 2006 Feb;45(2):215-21. Epub 2005 Nov 1. — View Citation
Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000 Mar;80(3):276-91. Review. — View Citation
Menek B, Tarakci D, Algun ZC. The effect of Mulligan mobilization on pain and life quality of patients with Rotator cuff syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil. 2019;32(1):171-178. doi: 10.3233/BMR-181230. — View Citation
Moezy A, Sepehrifar S, Solaymani Dodaran M. The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: a controlled randomized clinical trial. Med J Isla — View Citation
Satpute KH, Bhandari P, Hall T. Efficacy of Hand Behind Back Mobilization With Movement for Acute Shoulder Pain and Movement Impairment: A Randomized Controlled Trial. J Manipulative Physiol Ther. 2015 Jun;38(5):324-34. doi: 10.1016/j.jmpt.2015.04.003. Ep — View Citation
Seitz AL, Podlecki LA, Melton ER, Uhl TL. NEUROMUSCULAR ADAPTIONS FOLLOWING A DAILY STRENGTHENING EXERCISE IN INDIVIDUALS WITH ROTATOR CUFF RELATED SHOULDER PAIN: A PILOT CASE-CONTROL STUDY. Int J Sports Phys Ther. 2019 Feb;14(1):74-87. — View Citation
Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc. 2007 Jul;15(7):915 — View Citation
Singla D, Veqar Z, Hussain ME. Photogrammetric Assessment of Upper Body Posture Using Postural Angles: A Literature Review. J Chiropr Med. 2017 Jun;16(2):131-138. doi: 10.1016/j.jcm.2017.01.005. Epub 2017 Mar 18. Review. — View Citation
Surenkok O, Aytar A, Baltaci G. Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial. J Sport Rehabil. 2009 Nov;18(4):493-501. — View Citation
Teys P, Bisset L, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther. 2008 Feb;13(1):37-42. Epub 2006 Oct 27. — View Citation
* Note: There are 18 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain intensity change between time | Visual analogue scale, 0 mean no pain at all until 10 scale mean the worst pain | Baseline, at the week 1, week 2, week 3, and week 4 | |
Primary | Shoulder function change between time | Shoulder pain and disability index, this index is consist of 13 items with 0 score mean no pain and 10 score mean the worst pain imaginable, the scoring calculation is that the total score / 130 x 100 = ___% | Baseline, at the week 2, and week 4 | |
Secondary | Range of motion change between time | Inclinometer, measure the joint range of motion with 0 degree mean no motion at all and 180 degree is the maximum range for the shoulder abduction motion | Baseline, at week 1, week 2, week 3, and week 4 | |
Secondary | Muscle strength change between time | Hand held dynamometer, measure the peak isometric force with 0 score mean there is no contraction of the muscle, the maximum isometric force of each individual can be vary from 1 kgf to the limit | Baseline, at week 2 and week 4 | |
Secondary | Postural assessment change between time | Craniovertebral angle and sagittal shoulder posture, measures using the postural assessment software (PAS) to see the degree of craniovertebral angle and sagittal shoulder posture angle. The degree varying on each individual, the smallest craniovertebral angle mean that the person is more forward head and the smallest sagittal shoulder posture mean that the person is more slouchy. | Baseline, at week 2 and week 4 |
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