Scapula Retraction Exercises in Subacromial Pain Syndrome

Rotator Cuff Impingement Syndrome Clinical Trial

Official title:

Investigating the Effect of Scapula Retraction Exercises on Acromiohumeral Distance Values and Symptoms (Pain and Disability) in Patients With SPS

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04956757
• Other study ID #: GO18/55
• Status: Completed
• Phase: N/A
• Start date: July 30, 2021
• Est. completion date: June 17, 2023

Study information

• Verified date: February 2024
• Source: Hacettepe University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Scapula retraction exercises are often recommended as a part of the exercise programs. The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Description:

Subacmial pain syndrome (SPS) is a common cause of shoulder pain and dysfunction in the general population. Exercise interventions is thought as a primary choice in clinical settings. Scapula retraction exercises are commonly recommended as a part of the exercise programs. Applying scapula retraction exercises at varying shoulder abduction angles could restore balance between the scapulothoracic muscles. Since the scapulothoracic muscles dynamically control subacromial space, scapula retraction exercises could further help to maintain AHD during arm elevation.

The primary aim of this study is to investigate the initial effect of the scapula retraction exercises on acromiohumeral distance (AHD) at varying shoulder abduction angles and to compare asymptomatic subjects. The secondary aim of this study is to investigate the effect of scapula retraction exercises on AHD values and symptoms (pain and disability) in patients with SPS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 42
• Est. completion date: June 17, 2023
• Est. primary completion date: October 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

Inclusion Criteria:

• aged between 18-45

• painful arc of movement during flexion or abduction;

• positive Neer or Kennedy-Hawkins impingement signs

• pain on resisted lateral rotation, abduction or empty can test.

Exclusion Criteria:

• previous shoulder surgery;

• shoulder pain reproduced by neck movement;

• clinical signs of full-thickness RC tears; or

• adhesive capsulitis.

Related Conditions & MeSH terms

• Rotator Cuff Impingement Syndrome
• Shoulder Impingement Syndrome
• Syndrome

Intervention

Other:
• Exercise Intervention
Scapula retraction exercises at varying shoulder abduction angles will be applied

Locations

Country	Name	City	State
Turkey	Hacettepe University, Faculty of Physical Therapy and Rehabilitation	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Hacettepe University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acromiohumeral Distance (AHD) measurement	Acromiohumeral Distance will be recorded at 0°, 30°, 45°, 60° and 90° of shoulder abduction, and while they are doing scapular retraction with resistive elastic band at each shoulder position. All assessment will be recorded at baseline and at the end of the eight week rehabilitation sessions	Acromiohumeral distance values will be recorded at baseline and 8-week follow-up
Secondary	pain severity	pain severity will be assessed by using 100 millimeters Visual Analogue Scale at rest, at night and during activity.; All patients were asked to mark their pain level that corresponds to their pain intensity on the line between "0=no pain" and "100=the worst pain imaginable".	pain severity will be recorded at baseline and 8-week follow-up
Secondary	disability status	disability status will be assessed by using Shoulder Pain and Disability Index (SPADI). All assessment will be recorded at baseline and at the end of the eight week treatment sessions.; The questionnaire is scored on a 100-point scale, where 0 represents "no disabilities" and 100 represents "extreme disabilities"	PADI Score will be recorded at baseline and 8-week follow-up