Scapular Upward Rotation Focused Treatment for Patient With Shoulder Impingement Syndrome and a Positive Scapular Assistance Test
Subacromial Pain Syndrome, Impingement Syndrome, Scapular Dyskinesis
About this trial
This is an interventional treatment trial for Subacromial Pain Syndrome
Eligibility Criteria
Inclusion Criteria:
- Unilateral shoulder pain for ≥1 month
- A diagnosis of SAIS as determined by having 3 or ore positive tests out of: Neer test, Hawkins test, Painful arc, Jobe test, external rotation resistance test.
- A positive SAT
Exclusion criteria:
- Cervical spine involvement as evidenced by reproduction of symptoms with neck movement
- Massive rotator cuff tear as evidenced by pseudoparalysis
- Previous history of a fracture or surgery within the involved shoulder.
Limited passive range of motion by ≥50% or more compared with uninvolved side in
- 2 planes of motion (i.e. flexion, external rotation)
- A history of shoulder dislocation or subluxation
- A history of Rheumatoid arthritis, CVA, fibromyalgia
- Current pregnancy
- Population with special needs
- Pending disability claim / litigation procedure associated with shoulder complaint.
Sites / Locations
- MeuhedetRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
intervention group
control group
Participants in the intervention group will receive 12 treatment sessions over a 6-week period. Three sessions during the first 2 weeks, 2 sessions per week during weeks 3 and 4 , and one session during weeks 5 and 6. Each session will be 30 minutes including 10 minutes of manual therapy and 20 minutes for review and/or modification of the exercise program. The manual therapy will include trigger point manual therapy. The exercise program will include 2 scapular and rotator cuff strengthening exercises emphasizing scapular upward rotation and posterior tilt and one additional flexibility exercise. These exercise will be repeated at home on the days in between the therapy sessions.
Participants in the control group will receive 12 treatment sessions over a 6-week period. Three sessions during the first 2 weeks, 2 sessions per week during weeks 3 and 4 , and one session during weeks 5 and 6. Each session will be 30 minutes including 10 minutes of manual therapy and 20 minutes for review and/or modification of the exercise program. The manual therapy will include trigger point manual therapy, posterior shoulder stretching, and mobilization-with-movement into shoulder elevation. The exercise program will include 2 exercises focusing on scapular and rotator cuff strengthening without a special emphasis on scapular upward rotation as well as one additional flexibility exercise. These exercises will be performed at home on the days on between the therapy sessions.