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IRCT20211229053567N1 IRCT 2022-01-17 Semnan University of Medical Sciences The effect of rotational and elevatory resistive exercises on acromiohumeral distance in patients with shoulder impingement syndrome Comparison of rotational and elevatory resistive exercises on acromiohumeral distance in people with shoulder impingement syndrome: A randomized clinical trial 2022-02-20 anticipated 54 Complete https://irct.ir/trial/60979 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Samples are randomly assigned using the Stratified Permuted Block Randomization method with 6 9 blocks assigned to three groups. In this method, A will represent group one (rotational resistance exercises), B will represent group two (elevatory resistance exercises) and C will represent the control group. In this way, the order of interventions A, B and C in the form of blocks from 1 to 6 is determined by the methodological consultant of the project, and is provided to the executive supervisor of the project, and the researcher obtains an assignment from the executive supervisor to assign each qualified person. Slowly The supervisor first selects the block using a random number generator (or dice) and then the eligible individuals are assigned to one of three groups A, B or C in a predetermined order. It should be noted that if a block is selected based on random numbers that have already filled all 9 sequences, another random number will be selected again for that person. N/A shoulder impingement syndrome. Intervention 1: Intervention group 1: Rotational shoulder resistance exercises are performed three times a week for 6 consecutive weeks, including 1) The patient is placed in a sitting position on a chair and the therapist stands on the affected side and the patient's elbow is placed at 90 degrees flexion. The patient moves the internal rotation of the arm from the end of the external rotation range to the end of the internal rotation range against the therapist's resistance. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow steady with one hand and applies resistance with the other hand on the end of the patient's forearm. The patient stands and elbows are placed at 90 degrees of flexion. The patient moves the external rotation of the arm from the end of the internal rotation range to the end of the external rotation range against the therapist's resistance. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow with one hand and applies resistance with the other hand on the end of the patient's forearm. 3) The patient is placed in a sitting position and the therapist is on the affected side Stand and elbow at 90 degrees flexion. The patient is asked to place the shoulder at angles of 30, 90, and 150 degrees around the scapula, and then the therapist applies force to the end of the patient's forearm to create internal rotation and external rotation of the arm, and the patient is asked to contract. Keep the shoulder isometric in the same position. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow with his hand. Intervention 2: Intervention group 2: elevatory shoulder resistance exercises are performed three sessions per week for 6 consecutive weeks, including 1) the patient is sitting on a chair and the therapist is standing on the affected side. The elbow is slightly bent at the flexion and thumb to create an external rotation in the arm facing the ceiling. The patient is then asked to move his or her process on the scapula to an angle of 150 degrees against resistance by the therapist. In order to apply the resistance force, the therapist's hand is placed on the end of the patient's forearm. 2) The patient is placed in a sitting position and the therapist stands on the affected side. The elbow is slightly bent at the flexion and thumb to create an external rotation in the arm facing the ceiling. The patient is asked to place the shoulder at 30, 90, and 150 degrees of rotation at the scapula, and then the therapist randomly applies force to the patient's forearm to raise and lower the patient's shoulder, and the patient is asked to contract. Maintain the isometric shoulder in the same position. 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 Cyrus Taghizadeh
Semnan University of Medical Sciences, Basij Blvd, Semnan city
Semnan Iran (Islamic Republic of) 35147-99442 +98 23 3344 1022 info@semums.ac.ir Semnan University of Medical Sciences scientific Syrus Taghizadeh
Semnan University of Medical Sciences.Basij Blvd, Semnan city
Semnan Iran (Islamic Republic of) 35147-99442 +98 23 3344 1022 info@semums.ac.ir Semnan University of Medical Sciences Iran (Islamic Republic of) Aged 17 to 35 years History of pain in anterior and lateral of the upper shoulder that has lasted more than a week in the last six months Having at least three of the following: Positive Neer test ;Positive Hawkins-kennedy test ;Positive Job test ;Painful arch during flexion and abduction movements ;Pain during resisted lateral rotation and / or resisted abduction 17 years 35 years Both Body mass index (BMI) above 25 kg/m2. Complete rupture of the rotator cuff Moderate to severe glenohumeral or acromioclavicular joint osteoarthritis Glenohumeral joint instability including previous dislocation or subluxation Previous shoulder fracture Neurological defect of the upper limb Systemic diseases such as rheumatoid arthritis Neck pain with somatic or radicular pain pattern Previous history of shoulder surgery Corticosteroid injection in the shoulder during the last month Loss of range of motion of the shoulder joint (for example due to adhesions) Malignancy and hemophilia Deformity in the shoulder Osteoporosis Any history of damage to the brachial plexus Any subcutaneous inflammation M75.4 Impingement syndrome of shoulder Treatment - Other Treatment - Other Intervention group 1: Rotational shoulder resistance exercises are performed three times a week for 6 consecutive weeks, including 1) The patient is placed in a sitting position on a chair and the therapist stands on the affected side and the patient's elbow is placed at 90 degrees flexion. The patient moves the internal rotation of the arm from the end of the external rotation range to the end of the internal rotation range against the therapist's resistance. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow steady with one hand and applies resistance with the other hand on the end of the patient's forearm. The patient stands and elbows are placed at 90 degrees of flexion. The patient moves the external rotation of the arm from the end of the internal rotation range to the end of the external rotation range against the therapist's resistance. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow with one hand and applies resistance with the other hand on the end of the patient's forearm. 3) The patient is placed in a sitting position and the therapist is on the affected side Stand and elbow at 90 degrees flexion. The patient is asked to place the shoulder at angles of 30, 90, and 150 degrees around the scapula, and then the therapist applies force to the end of the patient's forearm to create internal rotation and external rotation of the arm, and the patient is asked to contract. Keep the shoulder isometric in the same position. In order to prevent compensatory movements in the shoulder, the therapist holds the patient's elbow with his hand. Intervention group 2: elevatory shoulder resistance exercises are performed three sessions per week for 6 consecutive weeks, including 1) the patient is sitting on a chair and the therapist is standing on the affected side. The elbow is slightly bent at the flexion and thumb to create an external rotation in the arm facing the ceiling. The patient is then asked to move his or her process on the scapula to an angle of 150 degrees against resistance by the therapist. In order to apply the resistance force, the therapist's hand is placed on the end of the patient's forearm. 2) The patient is placed in a sitting position and the therapist stands on the affected side. The elbow is slightly bent at the flexion and thumb to create an external rotation in the arm facing the ceiling. The patient is asked to place the shoulder at 30, 90, and 150 degrees of rotation at the scapula, and then the therapist randomly applies force to the patient's forearm to raise and lower the patient's shoulder, and the patient is asked to contract. Maintain the isometric shoulder in the same position. Acromiohumeral distance. Timepoint: Before the intervention and after the intervention. Method of measurement: Ultrasonography device. Semnan University of Medical Sciences Approved 2021-12-28 Ethics Committees of Semnan University Of Medical Sciences and Health Services Semnan university of medical sciences , Basij Blvd , Semnan city Semnan Semnan Iran (Islamic Republic of)