Subacromial Impingement Clinical Trial
Official title:
Effectiveness of Passive Mobilization of Glenohumeral Joint in Patients With Subacromial Syndrome: a Randomized Controlled Trial
From a biomechanical point of view, subacromial syndrome causes an increment in the anterior
and superior translation of the humeral head, which increases compression in the adjacent
tissues of the subacromial space, aggravating the symptoms of the patients. Conservative
treatments are the first option for subacromial syndrome management, despite the fact that
there is limited evidence about its effectiveness, due to the lack of experimental studies.
The aim of this study is to evaluate the effectiveness of a passive joint mobilization
(caudal and dorsal gliding) grade II in the glenohumeral joint, within a multimodal approach
to reduce pain and improve the range of motion in patients with subacromial syndrome.
Subacromial syndrome, also known as subacromial impingement, is the most frequent disorder in
the shoulder joint. It has a multifactorial origin and represents a wide spectrum of
pathologies. Its main consequences are pain and loss of function in the glenohumeral joint.
From a biomechanical point of view, subacromial syndrome causes an increment in the anterior
and superior translation of the humeral head, which increases compression in the adjacent
tissues of the subacromial space, aggravating the symptoms of the patients. Conservative
treatments are the first option for subacromial syndrome management, despite the fact that
there is limited evidence about its effectiveness, due to the lack of experimental studies.
The aim of this study is to evaluate the effectiveness of a passive joint mobilization
(caudal and dorsal gliding) grade II in the glenohumeral joint, within a multimodal approach
to reduce pain and improve the range of motion in patients with subacromial syndrome. To this
end, a randomized clinical trial will be carried out in the Montpellier Clinic in Zaragoza.
Twenty-two patients will be recruited and randomly assigned to one of the two groups
(intervention and control). Both groups will receive a standardized treatment consisting of:
10 sessions of infrared rays, and a program of therapeutic exercises and indications to
improve their postural hygiene. In addition, the intervention group will receive a passive
joint mobilization in the glenohumeral joint of 5 minutes. Pain intensity, range of motion
and functionality of the glenohumeral joint will be measured in the first session before any
treatment and in the tenth session after the treatment.
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