IRCT20220712055441N1 IRCT 2022-07-15 Muhammad Institute of Medical and Allied Sciences, Multan Upper Thoracic and Postrior Shoulder sustained Stretch Glide UTSSM Effectiveness of Upper Thoracic Sustained Stretch Mobilization and Posterior Shoulder Strech Glide for Subacromial Impingement Syndrome 2022-01-08 anticipated 46 Complete https://irct.ir/trial/64744 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: thoracic kyphosis will be measured by using an inclinometer shoulder ROM will be measured by a universal goniometer, pain intensity will be measure by NPRS, shoulder disability will be measured by shoulder pain and disability index, Randomization description: The patietns diagnosed with subacromial impingement syndrome (SIS) (n=46)referred by orthopedic surgeon will be secrened for eligibility. The patients (n=40) meet the eligibility criteria will be randomly allocated in two equal groups (n=20) in each group through online computer generated random number table. Every participant will be assigned a random number after writtten informed consent, Blinding description: In this double-blinded study, outcomes will be measured at baseline and after completing 4 weeks successful followup by senior physical therapist with out knowing treatment regimn given to that particular patient. Data will be analyzed by statistician without knowing the intervention given to any particular group. 2-3 subacromial impingement syndrome. Intervention 1: Group A will recieve upper thoracic (T1-T4) centrally postrio-anterior sustained stretch mobilization. The patient was in prone and a small pillow was placed under the chest. Therapist applied central posterior-anterior (CPA) mobilization force with straight arm by using body as mobilizing force. The mobilization was given beyond transition zone for grade 3 stretching of joint capsule and soft tissue. Each stretch was sustained for 30-40 second and repeated in cyclic manner for 3 time per session. This mobilization treatment was applied parallel to routine physical therapy. All patients will be treated paralelly 3 time a week for 4 weeks. Intervention 2: Group B will posterior shoulder sustained stretch glide. The patient will be in supine laying near the edge of treatment table. The therapist will distract the joint in open pack position and apply grade 3 stretch glide to posterior shoulder capsule. Each stretch will be sustained for 30-40 second. The treatment will be cyclically repeated for 3 time per session. All patients will be treated paralelly 3 time a week for 4 weeks. Yes - There is a plan to make this available What will be shared: Title: Effectiveness of Upper thoracic sustained stretch mobilization and Posterior shoulder stretch glide for Subacromial Impingement Syndrome Purpose: to evaluate the comparative effectiveness of upper thoracic sustained stretch mobilization and posterior shoulder stretch glide for management of SIS symptoms severity such as shoulder pain, disability, range of motion and thoracic kyphosis angle. When: this is expected that this study or data will be available at the end of the year. no exact date can be expected To whom: Shahid Ishaq Conditions: For research purposes Where to obtain: https://www.researchgate.net/ https://scholar.google.com/ How to obtain: open access Comments: This randomized clinical trial will explore the new dimentions of SIS treatment.