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IRCT20211101052934N1 IRCT 2022-03-09 Semnan University of Medical Sciences Comparison of mobilization and mobilization with movement on acromiohumeral distance in athletes with shoulder primary impingement syndrome Comparison of therapeutic effects of mobilization and mobilization with movement on acromiohumeral distance in athletes with shoulder primary impingement syndrome: A randomized clinical trial 2021-12-22 anticipated 51 Complete https://irct.ir/trial/59737 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: .In this study, we use the randomized permutation block method for random assignment. The operation will be as follows: three and six blocks with a combination of A (mobilization), B (motion mobilization) and C (control) will be the criteria. Depending on the different combinations, each of the blocks is assigned a number as follows: Block 1: BCAACB Block 2: BAACCB Block 3: ABC Block 4: ACBCAB Block 5: CBABCA Block 6: ABBCAC Block 7: ABBACC Block 8: ACBBAC Block 9: CBA Block 10: ABCACB Using a table of random numbers, considering the numbers 1 to 9 in the unit and considering the number zero as the tenth block, select the order of the blocks and how to assign patients to one of the groups A, B or C according to the selected blocks of the face. Takes. After preparing a randomization list for each patient, they will have a number in the order of enrollment (from 1 to 51). A sealed envelope is provided with A, B, or C written inside the envelope based on the compiled list. The researcher who does not know the main list, after registering the person entered to study and check the number of the person, opens the relevant envelope and realizes the type of intervention based on the contents of the envelope.In this way, the researcher realizes the type of intervention only after the patient enters the study and determines her eligibility, by opening the envelope, and finally we will have three balanced groups, Blinding description: Participants are divided into three groups by general matching and randomly using random and double-blind blocking methods. Participants and evaluators do not know the division. All evaluations and measurements of the results are performed by an experienced person who has no knowledge of grouping individuals. The control group will receive each of the desired treatments within two weeks of their choice. N/A Primary Shoulder impingement syndrome. Intervention 1: Intervention group: Mobilization exercises (mobilization) for 6 sessions (3 times a week). In this group, mobilization techniques for the glenohumeral joint are performed by a training therapist and individuals three times a week for 3 weeks under his supervision. Are treated (21) .Then in each person four separate techniques including Inferior glide, posterior glide, anterior glide and lateral glide are used (Figure 1). The physiotherapist applies oscillating pressure for 2 to 3 oscillations per second. Grade III and IV apply. Each technique is performed 4 times (30 seconds each) (21). Intervention 2: Intervention group: In this group, the patient sits at the edge of the table. The patient's arms should rotate outward while performing the abduction. The therapist stands behind the patient on the healthy shoulder and holds the scapular with one hand. The protrusion of the other hand is located on the anterior part of the head of Homer (Figure 2) (48). Motion Animation (MVM) for 6 sessions (3 times a week): Three sets consisting of 10 repetitions and each repetition takes 4 seconds (Figure 2). For each person, the mobilization technique is used as Inferior, posterior, anterior and lateral (14,38). Intervention 3: Control group: The control group does not receive any intervention for 2 weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Zohreh Shokrian Tosi
Farhang 8 Alley, Farhang Street
Sari Iran (Islamic Republic of) 48186-15375 +98 11 3332 5586 zohreh_sh_pt@hotmail.com Semnan University of Medical Sciences scientific Zohreh Shokrian Tosi
Farhang 8 Alley, Farhang Street
Sari Iran (Islamic Republic of) 48186-15375 +98 11 3332 5586 zohreh_sh_pt@hotmail.com Semnan University of Medical Sciences Iran (Islamic Republic of) Age between 20 to 35 years Semi-professional athletes (who exercise an average of 3 to 6 hours per week) Doing overhead exercises such as volleyball primary impingement syndrome of shoulder Patient consent to participate in the study 20 years 35 years Both History of trauma, fracture, dislocation or surgery in the neck and shoulders Osteoporosis Tumor or neuromuscular disorders around the shoulder Any subcutaneous inflammation Inflammatory disorders such as rheumatoid arthritis Adhesive capsules Complete rupture of the rotator cuff tendon Corticosteroid injections in shoulders in the past year Received physical therapy for the shoulder or spine in the last 3 months M75.4 Impingement syndrome of shoulder Rehabilitation Rehabilitation Rehabilitation Intervention group: Mobilization exercises (mobilization) for 6 sessions (3 times a week). In this group, mobilization techniques for the glenohumeral joint are performed by a training therapist and individuals three times a week for 3 weeks under his supervision. Are treated (21) .Then in each person four separate techniques including Inferior glide, posterior glide, anterior glide and lateral glide are used (Figure 1). The physiotherapist applies oscillating pressure for 2 to 3 oscillations per second. Grade III and IV apply. Each technique is performed 4 times (30 seconds each) (21). Intervention group: In this group, the patient sits at the edge of the table. The patient's arms should rotate outward while performing the abduction. The therapist stands behind the patient on the healthy shoulder and holds the scapular with one hand. The protrusion of the other hand is located on the anterior part of the head of Homer (Figure 2) (48). Motion Animation (MVM) for 6 sessions (3 times a week): Three sets consisting of 10 repetitions and each repetition takes 4 seconds (Figure 2). For each person, the mobilization technique is used as Inferior, posterior, anterior and lateral (14,38). Control group: The control group does not receive any intervention for 2 weeks. Acromiohumeral distance (AHD). Timepoint: At baseline and after the end of treatment (2 week). Method of measurement: AHD measurement method using ultrasonography. Functional Status and Symptom Severity of shoulder. Timepoint: At baseline and after the end of treatment (2 week). Method of measurement: Using Shoulder Pain and Disability Index (SPADI). Pain severity. Timepoint: At baseline and after the end of treatment (2 week). Method of measurement: Visual Analogues Scale (VAS). Semnan University of Medical Sciences Approved 2021-10-26 Research Ethics Committees of Semnan University Of Medical Sciences Semnan University of Medical Sciences and Health Services, Basij Blvd. Semnan Semnan Iran (Islamic Republic of)