Effects of stretching and strengthening exercises with and without manual therapy on scapular range of motion, function and pain in individuals with shoulder impingement.
The purpose of this research is to to evaluate the effects of stretching and
strengthening exercises with and without manual therapy on scapular range of motion, function
and pain on individuals with shoulder impingement syndrome.
Design
Randomized, superiority,parallel group trail with blinded outcome assessment. Randomization was centralized and computerized with concealed randomization sequence carried out an externa site.
Settings and conduct
participants, healthcare providers (Physicians, nurses,
etc.) who care for participants during the trial, data
collectors, outcome assessors, and with lessor
importance Data Safety and Monitoring Board and
manuscript writers
Participants/Inclusion and exclusion criteria
INCLUSION CRITERIA
Patients of 25-50 years
Both male and female participants will be included.
Participants with history of non-traumatic onset of shoulder pain
Positive painful arc during active elevation of arm
1 or more positive SIS tests (Hawkins-Kennedy, jobe, Neer) or
Participants having pain during passive or isometric resisted external rotation of the arm at
90 degree of abduction.
Pain with palpation of rotator cuff tendons.
On visual Examination 150 degree of arm elevation as determined
Exclusion Criteria:
History of clavicle, humerus or scapular fracture and rotator cuff surgery
Numbness or tingling of the upper limb that is reproduced by cervical compression test;
A positive sulcus or apprehension test
A positive drop arm test
A systematic illness
A corticosteroid injection within 3 months prior to intervention
Physical therapy within 6 months prior to intervention
Intervention groups
Group A : Exercise with manual therapy group
Group B: Exercise group alone
stretching and strengthening exercises with and without manual therapy comparison shoulder impingement
IRCT registration information
IRCT registration number:IRCT20210205050249N1
Registration date:2021-02-07, 1399/11/19
Registration timing:registered_while_recruiting
Last update:2021-02-07, 1399/11/19
Update count:0
Registration date
2021-02-07, 1399/11/19
Registrant information
Name
Sana Tauqeer
Name of organization / entity
Kanaan Physiotherapy and Spine Clinic
Country
Pakistan
Phone
+92 42 35470418
Email address
360physioclinic1@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-01-03, 1399/10/14
Expected recruitment end date
2021-06-03, 1400/03/13
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effects of stretching and strengthening exercises with and without manual therapy on scapular range of motion, function and pain in individuals with shoulder impingement.
Public title
Effects of stretching and strengthening exercises with and without manual therapy on scapular range of motion, function and pain in individuals with shoulder impingement.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Participants with history of non-traumatic onset of shoulder pain Participants havig.Positive painful arc during active elevation of arm,1 or more positive SIS tests (Hawkins-Kennedy, jobe, Neer) or Participants having pain during passive or isometric resisted external rotation of the arm at 90 degree of abduction or Pain with palpation of rotator cuff tendons. On visual Examination 150 degree of arm elevation as determined
Exclusion criteria:
•History of clavicle, humerus or scapular fracture and rotator cuff surgery• Numbness or tingling of the upper limb that is reproduced by cervical compression test;• A positive sulcus or apprehension test• A positive drop arm test• A systematic illness
Age
From 25 years old to 50 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
32
Randomization (investigator's opinion)
Randomized
Randomization description
Patients will be randomly allocated in two groups by lottery method. Individuals will randomly assigned to 1of 2 groups. Those treated exclusively with exercises and those treated exclusively with the same exercises supplemented with manual therapy.
Blinding (investigator's opinion)
Single blinded
Blinding description
Participant Blind: Data safety will be ensured by giving specific safety numbers
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
secretary ethical review committee, Riphah College of Rehabilitation and Allied Health Sciences
Street address
28-M, Quaid-e-Azam Industrial Estate, Kot Lakhpat, Lahore
City
Lahore
Postal code
54000
Approval date
2020-03-27, 1399/01/08
Ethics committee reference number
REC/RCRS/20/1059
Health conditions studied
1
Description of health condition studied
Shoulder Impingement Syndrome
ICD-10 code
M75.4
ICD-10 code description
Impingement Syndrome of shoulder
Primary outcomes
1
Description
Pain
Timepoint
Before intervention and weeks after intervention
Method of measurement
Numeric Pain Rating Scale
2
Description
Function
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
quick Dash
3
Description
Scapular Range of Motion
Timepoint
Before Intervention and 4 weeks after intervention
Method of measurement
Goniometer
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Stretching and strengthening exercises with manual therapy
Category
Treatment - Other
2
Description
Intervention group: Stretching and Strengthening Exercises without manual therapy