Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Shoulder Pain Clinical Trial

Official title:

Effects of Dynamic Humeral Centering Exercises on Functionality and Disability in Subacromial Pain Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05892250
• Other study ID #: 17798315
• Status: Recruiting
• Phase: N/A
• Start date: March 6, 2023
• Est. completion date: December 18, 2025

Study information

• Verified date: January 2024
• Source: Universidad de Antofagasta
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 84
• Est. completion date: December 18, 2025
• Est. primary completion date: July 24, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Older than 18 years old and less than 60 years old.

• Pain in the lateral and upper arm region for more than two weeks of evolution.

• At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch.

Exclusion Criteria:

• Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia.

• Cervical or thoracic pain.

• Fracture or surgery in the shoulder region or in the last 6 months.

Related Conditions & MeSH terms

• Shoulder Impingement Syndrome
• Shoulder Pain
• Syndrome

Intervention

Behavioral:
• Conventional physical therapy
Manual techniques and therapeutic exercise
• Conventional physical therapy + Dynamic Humeral Centering exercises
Manual techniques and therapeutic exercise and active dynamic humeral centering exercises

Locations

Country	Name	City	State
Chile	Universidad de Antofagasta	Antofagasta

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Antofagasta

Country where clinical trial is conducted

Chile, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Subacromial space dimensions	Ultrasonography measure of coracohumeral and acromiohumeral distances	baseline
Secondary	Pain intensity	Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest	baseline
Secondary	Range of motion	Active and passive range of motion in coronal, sagital and transverse planes	baseline
Secondary	Muscular endurance	Time (in seconds) it takes for the participant to become fatigued when performing repetitive movements with the upper extremity in the frontal plane	baseline
Secondary	Muscular endurance	Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane	baseline
Secondary	Shoulder Pain and Disability Index	Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)	baseline