]>
IRCT20190121042445N1 IRCT 2019-02-19 Social Security Hospital The Effects of Neuromobilization in Patients With Shoulder Impingement Syndrome on Pain,Strength,Range of Motion and Functional disability Score NONE The Effects of Neuromobilization in Patients With Shoulder Impingement Syndrome on Pain,Strength,Range of Motion and Functional disability Score. 2637-11-06 anticipated 80 Pending https://irct.ir/trial/37026 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: 80 patients, Randomization description: Single blind randomized clinical trial.The sequence of assignment was determined using a computer generated random sequence table before the study. Individual, sequentially numbered index cards with the random assignment were prepared. The index cards were folded and placed in sealed, opaque envelopes. After the baseline examination, participants were randomly assigned to receive routine physiotherapy or routine physiotherapy plus neurombilization, Blinding description: A single blind randomized clinical trial in which the investigator assessing the outcomes doesn’t know the identity of intervention. 4 patients suffering from shoulder impingement syndrome lead impairment of daily activities and reduction in work capacity. Most of patients have painful symptoms at night and during abduction which may affect the sleep and daily activities.Forty percent of the populations possibly suffer from shoulder pain at some point of their life time.. Intervention 1: Intervention group: Neuromobilization was applied using Butler’s recommendations.Procedure; Initially, the patient performed neural sliders and gradually progressed to neural tensioners. Neural sliders consisted of cervical lateral flexion movement, toward the involved side, simultaneously with elbow flexion and extension movements. While moving the head in to cervical lateral flexion the elbow was extended. When the elbow began to flex, the cervical spine was returned to neutral. Neural tensioners are the opposite of neural sliders. Neural tensioners are not a stretch and are performed to create tension in the nerve. The tension position is not held for a length of time, but is released by extending the elbow and returning the cervical spine to neutral once the patient had pushed slightly past the point of initially experiencing pain or discomfort. Neuromobilization technique was performed for 5 sec with 10 repetitions. Intervention 2: Control group: The routine physiotherapy includes pulsed Short wave diathermy, ultrasonic treatment, TENS and shoulder strengthening exercises for rotator cuff muscles and stretching exercises to regain flexibility.Joint and tissue mobilization, motor Control Training, strengthening and stretching exercises were performed for 5 sec with 10 repetitions. Yes - There is a plan to make this available What will be shared: The Effects of Neuromobilization in Patients With Shoulder Impingement Syndrome on Strength and Range of Motion. When: data will be available when my Ph.D study completed To whom: For academic institutions only Conditions: People who will request for data Where to obtain: through email address How to obtain: my email address Comments: N/A
public Hossein Karimi
Defence road
Lahore Pakistan 53720 N/A hkarimi.pt.uos08@gmail.com The University of Lahore scientific Muhammad Akhtar
Model Town
Gujranwala Pakistan 52250 N/A a.hunjra@gmail.com PESSI Pakistan Positive Impingement Sign Age Between 20-50 years Patient with Positive Special Tests (Neers Test, Hawkins Kennedy Test, Empty Can Test) 20 years 50 years Both Patients with co-morbidity such as Cervical Radiculopathy, Acromioclavicular Joint Pathology and Shoulder Dislocation/ Subluxation/ Fracture. Patients with history of Cervical, Shoulder of Upper Back Surgery Treatment - Other Treatment - Other Intervention group: Neuromobilization was applied using Butler’s recommendations.Procedure; Initially, the patient performed neural sliders and gradually progressed to neural tensioners. Neural sliders consisted of cervical lateral flexion movement, toward the involved side, simultaneously with elbow flexion and extension movements. While moving the head in to cervical lateral flexion the elbow was extended. When the elbow began to flex, the cervical spine was returned to neutral. Neural tensioners are the opposite of neural sliders. Neural tensioners are not a stretch and are performed to create tension in the nerve. The tension position is not held for a length of time, but is released by extending the elbow and returning the cervical spine to neutral once the patient had pushed slightly past the point of initially experiencing pain or discomfort. Neuromobilization technique was performed for 5 sec with 10 repetitions. Control group: The routine physiotherapy includes pulsed Short wave diathermy, ultrasonic treatment, TENS and shoulder strengthening exercises for rotator cuff muscles and stretching exercises to regain flexibility.Joint and tissue mobilization, motor Control Training, strengthening and stretching exercises were performed for 5 sec with 10 repetitions. Pain Intensity. Timepoint: before intervention, 5th week and 11th week after intervention. Method of measurement: Pain by Visual Analogue Scale. Range of motion. Timepoint: Before intervention, on 5th week and on 11th week. Method of measurement: Measured by Goniometry. Shoulder Strength. Timepoint: Before intervention, on 5th week and on 11th week. Method of measurement: Strength by Hand held dynamometer. Functional disability score. Timepoint: Before intervention, on 5th week and on 11th week. Method of measurement: UCLA Score. Social Security Hospital Approved 2637-10-24 Institutional Review Board, University of Lahore Raiwind road Lahore Punjab Pakistan