The Physiotherapy Approaches in Patients With Subacromial Impingement Syndrome

Subacromial Impingement Syndrome Clinical Trial

Official title:

The Effect of Electromyographic Biofeedback and Proprioception Exercises on Pain and Functionality in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06156475
• Other study ID #: Istanbul Aydin University
• Status: Completed
• Phase: N/A
• Start date: May 1, 2021
• Est. completion date: December 1, 2021

Study information

• Verified date: November 2023
• Source: Istanbul University - Cerrahpasa (IUC)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to investigate the effectiveness of Electromyographic Biofeedback with proprioception exercises on pain, range of motion, muscle strength, proprioception and functionality in patients with subacromial impingement syndrome.

Description:

This study is planned as a prospective, randomized clinical study. Patients with subacromial impingement syndrome who volunteered to participate in the study, met the inclusion criteria, and signed the consent form were randomly assigned to the proprioception exercise group and the proprioception exercise with electromyographic biofeedback group. Demographic and clinical data of the patients were recorded. Shoulder function with Disabilities of the Arm, Shoulder and Hand scale, pain with VAS, painless active shoulder flexion, abduction, and external-internal rotation with goniometer, muscle strength with Manual Muscle Tester, proprioception (55°-90°- 125° angles of flexion and abduction, and angular deviations) with the Laser-pointer assisted angle reproduction test were evaluated, and patient satisfaction was evaluated with The Global Rating of Change Scale. After the initial evaluations were completed, only proprioception exercises and proprioception exercises with EMG-BF were applied 2 days a week for 8 weeks. Additionally, both groups were given Want exercises.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 48
• Est. completion date: December 1, 2021
• Est. primary completion date: August 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Being diagnosed with subacromial impingement syndrome,
• Being between the ages of 18 and 65,
• Not having received medical treatment,
• Not having received a shoulder-related physiotherapy program in the last year,
• Not having had any shoulder-related surgery,

Exclusion Criteria:

• Neurological deficits of the upper extremity and the presence of another orthopedic disorder, rheumatic or congenital disease other than subacromial impingement syndrome,
• Presence of mental problem,
• Having received corticosteroid treatment in the last year,
• Upper extremity fracture,
• Acute cervical pathology,
• Having cardiovascular and systemic diseases that prevent working,
• Pregnancy,
• Those with communication problems.

Related Conditions & MeSH terms

• Rotator Cuff Injuries
• Shoulder Impingement Syndrome
• Subacromial Impingement Syndrome
• Syndrome

Intervention

Procedure:
• Proprioception exercises
Patients trained for proprioception exercises.
• Proprioception exercises with Electromyographic Biofeedback
Patients trained for Proprioception exercises with Electromyographic Biofeedback
• Wand Exercise
Patients were educated with wand exercises.

Locations

Country	Name	City	State
Turkey	Istanbul Aydin University	Istanbul	Florya

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University - Cerrahpasa (IUC)

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Disabilities of the Arm, Shoulder and Hand scale	The Disabilities of the Arm, Shoulder and Hand scale was used to measure shoulder function. The Disabilities of the Arm, Shoulder and Hand scale consists of 30 items. The total score that can be obtained from items scored between 1-5 varies between 0-100. An increase in the score indicates a decrease in function.	8 weeks
Secondary	Visual analogue scale	The severity of pain was measured Visual analogue scale. ccording to this scale, patients rated their pain between 0 and 10. As the score increases, the pain increases.	8 weeks
Secondary	Joint range of motion	Active shoulder flexion, abduction, and external-internal rotation range of motion was measured with goniometer.	8 weeks
Secondary	Muscle strength	Shoulder flexion, abduction, and external-internal rotator muscle strength was measured with manual muscle tester.	8 weeks
Secondary	Proprioception	To evaluate joint position sense, laser pointer-assisted angle reproduction test was applied for measurements at 55°-90°-125° flexion and abduction angles.	8 weeks
Secondary	Patient satisfaction	The amount of improvement or deterioration in patients was assessed with the "Global Rating Change Scale".This scale is scored according to a 7-point Likert type (-3: much worse, -2: worse, -1: slightly worse, 0: the same, 1: slightly better, 2: quite better, 3: much better).	8 weeks