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The Acute Effects of Different Stretching Methods in Individuals With Subacromial Impingement Syndrome

Primary Purpose

Subacromial Impingement Syndrome, Glenohumeral Internal Rotation Deficit

Status

Completed

Phase

Not Applicable

Locations

Turkey

Study Type

Interventional

Intervention

Isolytic stretching group

Static stretching group

Control group

About this trial

This is an interventional treatment trial for Subacromial Impingement Syndrome focused on measuring isolytic stretching, static stretching, Glenohumeral Internal Rotation Deficit

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Diagnosis of subacromial impingement syndrome
Glenohumeral internal rotation range of motion of the affected shoulder should be less than other shoulder and bilateral shoulder internal rotation range of motion difference should be ≥15 º
Pain with resisted arm elevation or external rotation as well as a minimum of 3 of 5 positive subacromial impingement syndrome tests, painful arc, pain or weakness with resisted external rotation, Neer, Hawkins and Jobe tests .
Ability to complete the entire study procedure

Exclusion Criteria:

An inability to elevate the involved arm greater than 140 degree in the scapular plane
A 50% limitation of passive shoulder range of motion in >2 planes of motion
Pain >7/10
A history of fracture to the shoulder girdle
Systemic musculoskeletal disease
History of shoulder surgery,
Glenohumeral instability (positive apprehension, relocation or positive sulcus test) or positive findings for a full thickness rotator cuff tear (positive lag sign, positive drop arm test or marked weakness with shoulder external rotation)

Sites / Locations

Dokuz Eylül University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Arm Label

Isolytic stretching group

Static stretching group

Control group

Arm Description

The participants in this group will receive isolytic stretching in modified cross body position.

The participants in this group will receive static stretching in modified cross body position.

The participants in this group will receive no stretching. They will only be evaluated.

Outcomes

Primary Outcome Measures

Shoulder internal rotation range of motion

Change of shoulder internal rotation range of motion (with bubble inclinometer)

Secondary Outcome Measures

Posterior shoulder tightness

Change of posterior shoulder tightness (with bubble inclinometer)

Concentric strength

Change of trapezius muscles, rotattor cuff muscles concentric strength (in kg, with hand held dynamometer)

Eccentric strength

Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer)

Subacromial space

Change of subacromial space ( with Ultrasound)

Pain

Change of visual analog scale score in activity and rest

Shoulder external rotation range of motion

Change of shoulder external rotation range of motion (with bubble inclinometer)

Full Information

NCT ID

NCT03246867

First Posted

August 8, 2017

Last Updated

February 20, 2020

Sponsor

Dokuz Eylul University

1. Study Identification

Unique Protocol Identification Number

NCT03246867

Brief Title

The Acute Effects of Different Stretching Methods in Individuals With Subacromial Impingement Syndrome

Official Title

The Acute Effects of Different Stretching Methods on Posterior Shoulder Tightness, Pain, Joint Range of Motion, Subacromial Space and Strength in Individuals Having Subacromial Impingement Syndrome With Glenohumeral Internal Rotation Deficit

Study Type

Interventional

2. Study Status

Record Verification Date

February 2020

Overall Recruitment Status

Completed

Study Start Date

August 28, 2017 (Actual)

Primary Completion Date

December 15, 2019 (Actual)

Study Completion Date

January 2, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

Dokuz Eylul University

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The purpose of this study is to investigate and compare the acute effects of isolytic and static stretching training in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit. Isolytic group will receive isolytic stretching in modified cross body position. Static group will receive static stretching in modified cross body position. Stretching groups will be evaluated before and just after stretching exercise. Control group will receive no stretching. Control group will be evaluated for the first time and then will be waited until the duration of the stretching exercise program. Afterwards, second evaluation will be performed

Detailed Description

There is no information in literature about the acute effects of isolytic stretching exercise in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit. The purpose of this study is to investigate and compare the acute effects of isolytic and static stretching training in individuals having subacromial impingement syndrome with glenohumeral internal rotation deficit. In modified cross body position, static stretching group will perform active-assistive static stretching by the physiotherapist whereas isolytic stretching group will perform active-assistive isolytic stretching. Stretching exercises will be applied five times each for 15 seconds. After each stretching there will be a resting period for 5 seconds. Control group will receive no stretching. They will be handed a brochure about the stretching techniques and its role in injury prevention. Isolytic and static stretching groups will be evaluated before and just after stretching exercise. Control group will be evaluated for the first time and then will be passively waited until the duration of the stretching exercise program (approximately 4-5 min). Afterwards, second evaluation will be performed.

6. Conditions and Keywords

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

Subacromial Impingement Syndrome, Glenohumeral Internal Rotation Deficit

Keywords

isolytic stretching, static stretching, Glenohumeral Internal Rotation Deficit

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Model Description

There are 3 groups. First group will receive isolytic stretching in modified cross body position. Second group will receive static stretching in modified cross body position. The stretching exercise will be applied five times each for 15 seconds. After each stretching there will be a resting period for 5 seconds. Control group will receive no stretching. They will be handed a brochure about the stretching techniques and its role in injury prevention. Isolytic and static stretching groups will be evaluated before and just after stretching exercise. Control group will be evaluated for the first time and then will be passively waited until the duration of the stretching exercise program (approximately 4-5 min). Afterwards, second evaluation will be performed.

Masking

Participant

Masking Description

All of participants must have subacromial impingement syndrome with glenohumeral internal rotation deficit.

Allocation

Randomized

Enrollment

69 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Isolytic stretching group

Arm Type

Experimental

Arm Description

The participants in this group will receive isolytic stretching in modified cross body position.

Arm Title

Static stretching group

Arm Type

Experimental

Arm Description

The participants in this group will receive static stretching in modified cross body position.

Arm Title

Control group

Arm Type

Active Comparator

Arm Description

The participants in this group will receive no stretching. They will only be evaluated.

Intervention Type

Other

Intervention Name(s)

Isolytic stretching group

Intervention Description

In modified cross body position, isolytic stretching exercises will perform five times each for 15 seconds. After each stretching patient will rest for 5 seconds. When the patient contracts the agonist muscle group with 20% muscle force, the agonist muscle group is stretched at the same time for 2-4 seconds. Afterwards active-assistive stretching is done. Evaluations will be done before and just after stretching exercise.

Intervention Type

Other

Intervention Name(s)

Static stretching group

Intervention Description

In modified cross body position, active-assistive static stretching exercises will be performed 5 times each for 15 seconds. This stretching exercise is performed 5 times with 5 seconds intervals. Evaluations will be done before and just after stretching exercise.

Intervention Type

Other

Intervention Name(s)

Control group

Intervention Description

Control group will receive no stretching. They will be handed a brochure about the stretching techniques and its role in injury prevention. Control group will be evaluated for the first time and then will be passively waited until the duration of the stretching exercise program (approximately 4-5 min). Afterwards, second evaluation will be performed.

Primary Outcome Measure Information:

Title

Shoulder internal rotation range of motion

Description

Change of shoulder internal rotation range of motion (with bubble inclinometer)

Time Frame

Baseline and just after stretching exercise

Secondary Outcome Measure Information:

Title

Posterior shoulder tightness

Description

Change of posterior shoulder tightness (with bubble inclinometer)

Time Frame

Baseline and just after stretching exercise

Title

Concentric strength

Description

Change of trapezius muscles, rotattor cuff muscles concentric strength (in kg, with hand held dynamometer)

Time Frame

Baseline and just after stretching exercise

Title

Eccentric strength

Description

Change of shoulder abduction and external rotation eccentric strength (in kg, with hand held dynamometer)

Time Frame

Baseline and just after stretching exercise

Title

Subacromial space

Description

Change of subacromial space ( with Ultrasound)

Time Frame

Baseline and just after stretching exercise

Title

Pain

Description

Change of visual analog scale score in activity and rest

Time Frame

Baseline and just after stretching exercise

Title

Shoulder external rotation range of motion

Description

Change of shoulder external rotation range of motion (with bubble inclinometer)

Time Frame

Baseline and just after stretching exercise

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Diagnosis of subacromial impingement syndrome Glenohumeral internal rotation range of motion of the affected shoulder should be less than other shoulder and bilateral shoulder internal rotation range of motion difference should be ≥15 º Pain with resisted arm elevation or external rotation as well as a minimum of 3 of 5 positive subacromial impingement syndrome tests, painful arc, pain or weakness with resisted external rotation, Neer, Hawkins and Jobe tests . Ability to complete the entire study procedure Exclusion Criteria: An inability to elevate the involved arm greater than 140 degree in the scapular plane A 50% limitation of passive shoulder range of motion in >2 planes of motion Pain >7/10 A history of fracture to the shoulder girdle Systemic musculoskeletal disease History of shoulder surgery, Glenohumeral instability (positive apprehension, relocation or positive sulcus test) or positive findings for a full thickness rotator cuff tear (positive lag sign, positive drop arm test or marked weakness with shoulder external rotation)

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Sevgi Sevi YESILYAPRAK, PhD

Organizational Affiliation

Dokuz Eylul University

Official's Role

Study Director

First Name & Middle Initial & Last Name & Degree

Damla GULPINAR, MS

Organizational Affiliation

Izmir Katip Celebi University

Official's Role

Study Director

First Name & Middle Initial & Last Name & Degree

Mehmet ERDURAN, MD

Organizational Affiliation

Dokuz Eylul University

Official's Role

Study Director

First Name & Middle Initial & Last Name & Degree

Cem OZCAN, MD

Organizational Affiliation

Izmır Katip Celebi University Atatürk Training and Research Hospital

Official's Role

Study Director

Facility Information:

Facility Name

Dokuz Eylül University

City

İzmir

Country

Turkey

12. IPD Sharing Statement

Learn more about this trial

The Acute Effects of Different Stretching Methods in Individuals With Subacromial Impingement Syndrome

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