Mobilization With Movement for Shoulder Impingement
Shoulder Impingement Syndrome
About this trial
This is an interventional treatment trial for Shoulder Impingement Syndrome focused on measuring shoulder impingement, manual therapy, pain, motion.
Eligibility Criteria
Inclusion Criteria:
- history of shoulder pain of > 3months duration
- pain localized at the proximal anterolateral shoulder region
- medical diagnosis of shoulder impingement syndrome
- at least 2 positive impingement tests including Neer, Hawking, or Jobe test
Exclusion Criteria:
- diagnosis of fibromyalgia
- pregnancy
- a history of traumatic onset of shoulder pain
- other histories of shoulder injury
- ligamentous laxity based on a positive Sulcus test and apprehension test
- numbness or tingling in the upper extremity
- previous shoulder or cervical spine surgery
- corticosteroid injection on the shoulder within 1 year of the study
- physical therapy 6 months prior to the study
Sites / Locations
- Francisco Alburquerque Sendín
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
Real mobilization-with-movement (MWM)
Sham mobilization-with-movement (MWM)
For the MWM group, an accessory posterior-lateral gliding movement in the humeral head combined with a movement of active shoulder flexion will be applied. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior aspect of the head of the humerus
The sham condition will replicate the treatment condition except for the hand positioning. The therapist locates one hand over the belly of the pectoralis major muscle and the other over scapula without applying any pressure. The patient will be asked to move the arm in a similar manner as in the MWM group