Subacromial Impingement Syndrome Clinical Trial
Official title:
Comparison of the Effectiveness of Proprioceptive Neuromuscular Facilitation Exercises and Shoulder Mobilization Patients With Subacromial Impingement Syndrome: A Randomised Clinical Trial
NCT number | NCT03735485 |
Other study ID # | SevgiMC |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 3, 2017 |
Est. completion date | January 10, 2018 |
Verified date | November 2018 |
Source | Sevgi Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Aim of the study was to compare the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) exercises and Shoulder Mobilization (SM) on pain, range of motion (ROM), functionality, and muscle strength in patients with Subacromial Impingement Syndrome (SIS). Patients received 20 sessions (for 4 weeks) under the supervision of a physiotherapist. Patients were evaluated at baseline, at week two, at week four, and at week sixteen.
Status | Completed |
Enrollment | 44 |
Est. completion date | January 10, 2018 |
Est. primary completion date | October 2, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 25 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Aged between 25-65 years old, - Having the diagnosis of Subacromial Impingement Syndrome (SIS), - Having shoulder pain at least for four weeks Exclusion Criteria: - Having a neuromuscular disease, - Pregnancy, - History of cancer, - Unstable angina, - Having pulmonary and/or vascular problems, - History of surgery at neck, shoulder, elbow or/and hand, - Having communication problems - Having systemic anti-inflammatory joint diseases - Being contraindicated for electrical stimulation and/or exercise - Having cervical disc herniation or radiculopathy - History of physiotherapy on the same shoulder due to SIS, - A history of corticosteroid injection in the last three months, - Any orthopedic, rheumatologic, or congenital condition that effects the targeted shoulder |
Country | Name | City | State |
---|---|---|---|
Turkey | Sevgi Medical Center | Istanbul | Arnavutkoy |
Lead Sponsor | Collaborator |
---|---|
Sevgi Medical Center |
Turkey,
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* Note: There are 21 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Shoulder pain: VAS | Pain was defined with Visual Analog Scale (VAS). A 10-cm long horizontal visual analog scale (VAS) with marks 0 point (no pain) and 10 point (unbearable pain) was used for evaluating the pain severity. The patients were asked to mark the representing point of their pain levels. The values were recorded in cm. The pain severity was asked in three occasions as: at resting (VASr), during activity (VASa) and during night (VASn). | Change from baseline pain scale of shoulder at week 2, 4 and 16. | |
Primary | Disability of the shoulder | The Disabilities of the Arm, Shoulder and Hand (DASH) Score was used to evaluate the upper extremity physical function. DASH includes two modules as disability / symptom section and work section. The scores are ranged between 0-100. Higher scores indicate lower functionality. | Change from baseline Disabilities of the Arm, Shoulder and Hand (DASH) Score at week 2, 4 and 16. | |
Primary | Function of the shoulder | In addition to DASH, the Constant-Murley score was used to evaluate the functionality of the shoulder. Constant-Murley score is a 100-point scoring system and consisted of four sub-scores as pain (15 points), daily living activities (20 points), active range of motion (40 points), and muscle strength (25 points). | Change from baseline Constant-Murley score at week 2, 4 and 16. | |
Primary | Range of motion | The active range of motion was assessed by using a universal goniometer. | Change from baseline active range of motion at week 2, 4 and 16. | |
Primary | Muscle Strength | The muscle strength of shoulder flexion, shoulder abduction, shoulder adduction, shoulder external rotation, and shoulder internal rotation were determined by using Baseline Push-Pull (New York, USA) dynamometer. The dynamometer was placed in a 90 degrees angle on the location and the patient was asked to contract in maximum for two seconds and then maintain this position for five seconds. Two assessments were performed, and average values were recorded. Pain was avoided during the measurements. | Change from baseline muscle strength of shoulder flexion, shoulder abduction, shoulder adduction, shoulder external rotation, and shoulder internal rotation at week 2, 4 and 16. |
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