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Exercises Associated or Not With Manual Therapy Shoulder Impingement

Primary Purpose

Shoulder Impingement

Status

Completed

Phase

Not Applicable

Locations

Study Type

Interventional

Intervention

Exercises

Exercises + Manual Therapy

About this trial

This is an interventional treatment trial for Shoulder Impingement

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

history of non-traumatic onset of shoulder pain;
painful arc during active elevation of the arm;
one or more positive shoulder impingement tests (Neer, Hawkins and Jobe), or pain during passive or resisted external rotation of the arm at 90° of abduction;
pain with palpation of the rotator cuff tendons;
all subjects need also to be able to reach 150° of arm elevation as evaluated by visual observation.

Exclusion Criteria:

limitation of glenohumeral internal and external rotation as indicative of adhesive capsulitis;
body mass index > 28kg/m2 as the amount of subcutaneous tissue can compromise the quality of the signal increasing soft tissue artifact;
numbness or tingling of the upper limb reproduced by cervical compression test;
history of clavicle, scapula or humerus fracture;
history of rotator cuff surgery;
systemic illnesses;
positive sulcus or apprehension tests as indicative of instability;
positive drop arm test as indicative of full thickness tear;
corticosteroid injection within 3 months prior to intervention, or physiotherapy within 6 months prior to intervention;
depressive symptoms as evaluated by the Beck Depression Inventory score ( > 9 points) due to its influence on myofascial pain;
allergy to tape.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Exercises and manual therapy

Exercises

Arm Description

Outcomes

Primary Outcome Measures

Scapular kinematics

Secondary Outcome Measures

Full Information

NCT ID

NCT02035618

First Posted

January 10, 2014

Last Updated

January 13, 2014

Sponsor

Universidade Federal de Sao Carlos

1. Study Identification

Unique Protocol Identification Number

NCT02035618

Brief Title

Exercises Associated or Not With Manual Therapy Shoulder Impingement

Study Type

Interventional

2. Study Status

Record Verification Date

January 2014

Overall Recruitment Status

Completed

Study Start Date

September 2010 (undefined)

Primary Completion Date

July 2012 (Actual)

Study Completion Date

undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Universidade Federal de Sao Carlos

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

Manual therapy combined with a protocol of therapeutic exercises will increase the beneficial effects on scapular kinematics, myofascial pain and function in subjects with shoulder impingement when compared to exercises only.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Shoulder Impingement

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Outcomes Assessor

Allocation

Randomized

Enrollment

46 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Exercises and manual therapy

Arm Type

Experimental

Arm Title

Exercises

Arm Type

Active Comparator

Intervention Type

Other

Intervention Name(s)

Exercises

Intervention Description

Strengthening and stretching

Intervention Type

Other

Intervention Name(s)

Exercises + Manual Therapy

Intervention Description

Mobilization; massage; post-isometric relaxation; strengthening; stretching

Primary Outcome Measure Information:

Title

Scapular kinematics

Time Frame

up to 3 months from the initial interview

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

60 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: history of non-traumatic onset of shoulder pain; painful arc during active elevation of the arm; one or more positive shoulder impingement tests (Neer, Hawkins and Jobe), or pain during passive or resisted external rotation of the arm at 90° of abduction; pain with palpation of the rotator cuff tendons; all subjects need also to be able to reach 150° of arm elevation as evaluated by visual observation. Exclusion Criteria: limitation of glenohumeral internal and external rotation as indicative of adhesive capsulitis; body mass index > 28kg/m2 as the amount of subcutaneous tissue can compromise the quality of the signal increasing soft tissue artifact; numbness or tingling of the upper limb reproduced by cervical compression test; history of clavicle, scapula or humerus fracture; history of rotator cuff surgery; systemic illnesses; positive sulcus or apprehension tests as indicative of instability; positive drop arm test as indicative of full thickness tear; corticosteroid injection within 3 months prior to intervention, or physiotherapy within 6 months prior to intervention; depressive symptoms as evaluated by the Beck Depression Inventory score ( > 9 points) due to its influence on myofascial pain; allergy to tape.

12. IPD Sharing Statement

Citations:

PubMed Identifier

26471852

Citation

Camargo PR, Alburquerque-Sendin F, Avila MA, Haik MN, Vieira A, Salvini TF. Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015 Dec;45(12):984-97. doi: 10.2519/jospt.2015.5939. Epub 2015 Oct 15.

Results Reference

derived

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Exercises Associated or Not With Manual Therapy Shoulder Impingement

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