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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03468088
Other study ID # CAMS 039-3839
Secondary ID
Status Recruiting
Phase N/A
First received February 27, 2018
Last updated March 11, 2018
Start date February 1, 2018
Est. completion date December 15, 2018

Study information

Verified date March 2018
Source King Saud University
Contact Sami Gabr, PhD
Phone +966562060018
Email nadalab2009@hotmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to investigate the relative effect of handgrip strengthening exercise in improving function, pain, strength, and active range of motion (AROM) of the shoulder among patients with primary sub-acromial impingement syndrome (SAIS).


Description:

The current study is a Single-Blind Randomized Clinical Trial to investigate the effectiveness of handgrip strengthening exercise in the treatment of patients with primary subacromial impingement syndrome. The randomization process will be based on concealed envelop picked up by participants.The patient will be conveniently recruited from the ministry of health hospitals in Jeddah.The patient who will meet the inclusion criteria; they will sign the consent form. The baseline data will be collected. The assessment will be carried out at the baseline, 4 weeks and 8 weeks; end of the treatment program; by the same blinded examiner for each patient and consist of the following instrument: Disabilities of Arm, Shoulder & Hand (DASH questionnaire), Visual analog scale (VAS), Hand-held dynamometer (HHD), and smartphone clinometer.


Recruitment information / eligibility

Status Recruiting
Enrollment 40
Est. completion date December 15, 2018
Est. primary completion date August 15, 2018
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 45 Years
Eligibility Inclusion Criteria:

- Willing to comply with all study procedures and be available for the duration of the study

- Aged 18 to 45

- Diagnosed by their referring physician with subacromial impingement syndrome and has a positive impingement & rotator cuff test

- Pain intensity between 3 to 8 in VAS

Exclusion Criteria:

- History of shoulder fracture or dislocation, osteophytes, and labral tear.

- History of cardiac, neurological or musculoskeletal disease that precludes the ability to perform the exercise in the upper extremity.

- Treatment with another intervention.

- Hand or forearm dysfunction

- Rheumatoid disease

- Diabetic

- History of shoulder, cervical, and thoracic surgery

- Pregnancy

- Malignancy

- Symptoms for more than 1 year

- Bilateral SAIS

Study Design


Intervention

Behavioral:
Hand grip strengthening
Handgrip strengthening exercises will be added to the experimental group. This exercise is chosen based on literature review of EMG and biomechanical studies. Adjustable heavy grip hand gripper will be used as handgrip resistance at 10 repetitions maximum (RM). The exercise will be performed in standing position the patient's back will be rested in a wall, arm at 30º abduction, 60º abduction 90º abduction & with 90º ER. In this positions, the patient will be performed 3 sets of 10 squeezes each at a 1-minute interval.
Conventional treatment
Ultrasound therapy will be used to treat both groups. Ultrasound will be applied; while the patient will be seated in an adjustable chair with back support, feet on the floor. The chair will be positioned beside a table. The patient's shoulder will be rested on the table beside the body and elbow will be flexed at 90°. A round-headed probe will be used that is put in direct contact with the patient's skin over the shoulder joint. Ultrasound gel will be used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.

Locations

Country Name City State
Saudi Arabia Ministry of Health Hospital Jeddah

Sponsors (1)

Lead Sponsor Collaborator
King Saud University

Country where clinical trial is conducted

Saudi Arabia, 

Outcome

Type Measure Description Time frame Safety issue
Primary Function It will be assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which is a 30-item questionnaire that assess the ability of a patient to perform various upper extremity activities. it uses a 5-point Likert scale. A higher scores signify a greater level of disability, whereas, lower scores signify a lower level of disability. Change from baseline functional score at 8 weeks
Secondary Strength It will be assessed using HHD Change from baseline muscle strength at 8 weeks
Secondary Range of motion It will be assessed using smartphone clinometer Change from baseline range of motion at 8 weeks
Secondary Pain Pain intensity will be assessed using visual analog scale (VAS) (0 - 10 cm with 0 indicates no pain and 10 indicates the worst pain). Change from baseline pain intensity at 8 weeks
See also
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Completed NCT04599127 - The Effect of Mobilization With Movement in Individuals With Shoulder Impingement Syndrome N/A
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