Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome

Shoulder Impingement Syndrome Clinical Trial

Official title:

Comparison Between Closed-chain Shoulder Girdle Scapular Depression Exercise and Shoulder Girdle Depression Against Manual Resistance on Patients With Shoulder Impingement Syndrome

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05318209
• Other study ID #: P.T.REC/012/003377
• Status: Recruiting
• Phase: N/A
• Start date: February 1, 2024
• Est. completion date: December 1, 2024

Study information

• Verified date: February 2024
• Source: Cairo University
• Contact: Nasr A. Abdelkader, PhD
• Phone: 00201025771117
• Email: dr.nasrawad[@]cu.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule & pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule & pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .

The exercise program will consist of 3 sessions / week for 5 weeks

Description:

BACKGROUND:

Patients with shoulder impingment syndrome report disability, especially during overhead movements, which may hinder activities of daily living .

Muscular strengthening training influences the resting position and scapular movement pattern of subjects with shoulder impingement syndrome and improve function of the affected shoulder.

Therefore, the focus of treatment for the syndrome is on performing exercises, including stretching, strengthening, and neuromuscular control exercises.

Although multiple types of exercise, such as scapular stability exercises, strengthening of the rotator cuff through range, and flexibility exercises for the anterior and posterior shoulder exercise is effective in the management of patients with shoulder impingement syndrome, there is not enough evidence to say whether one mode of exercise is superior to another.

RESEARCH QUESTION:

Are there any difference between closed-chain shoulder girdle scapular depression exercise and shoulder girdle depression against manual resistance exercise on patients with shoulder impingement syndrome

METHODS:

forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule & pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule & pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .

The exercise program will consist of 3 sessions / week for 5 weeks

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 46
• Est. completion date: December 1, 2024
• Est. primary completion date: March 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 45 Years

Eligibility

Inclusion Criteria:

• Patients aged from 25 to 45 years old.

• Patients with shoulder impingement stage I &II as judged by criteria of neer classification.

• Patients diagnosed by orthopedic surgeon with shoulder impingement, the diagnosis will be confirmed by positive Neer and Hawkins tests.

Exclusion Criteria:

• History of cardiac diseases or dyspnea on exertion

• Patients with cervical radiculopathy.

• Patients with shoulder instability.

• Patients with frozen shoulder.

• Acute shoulder trauma.

Related Conditions & MeSH terms

• Depression
• Rotator Cuff Injuries
• Shoulder Impingement Syndrome
• Syndrome

Intervention

Other:
• Exercise
Closed-chain Shoulder Girdle Scapular Depression Exercise

Locations

Country	Name	City	State
Egypt	Kafr Elshiekh Hospital	Kafr Ash Shaykh

Sponsors (3)

Lead Sponsor	Collaborator
Nasr Awad Abdelkader Othman	Atef Abdulalim Nadier, Pharos University, Ehab Ai Abdalah,Lecurer, Horus University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain will be measured by visual analogue scale	10cm visual analogue scale (0= no pain, and 10= maximum pain) will be used to determine overall shoulder pain	10 minutes
Secondary	Range of motion (flexion and abduction) will be measured by Electronic goniometer	Electronic Goniometer will be used to measure shoulder range of motion (Flexion and abduction)	20 minutes
Secondary	Function	shoulder function will be measured by western Ontario Rotator Cuff Questionnaire (WORC).	30 minutes