Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome
Primary Purpose
Shoulder Impingement Syndrome
Status
Recruiting
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Exercise
Sponsored by
About this trial
This is an interventional treatment trial for Shoulder Impingement Syndrome
Eligibility Criteria
Inclusion Criteria:
- Patients aged from 25 to 45 years old.
- Patients with shoulder impingement stage I &II as judged by criteria of neer classification.
- Patients diagnosed by orthopedic surgeon with shoulder impingement, the diagnosis will be confirmed by positive Neer and Hawkins tests.
Exclusion Criteria:
- History of cardiac diseases or dyspnea on exertion
- Patients with cervical radiculopathy.
- Patients with shoulder instability.
- Patients with frozen shoulder.
- Acute shoulder trauma.
Sites / Locations
- Kafr Elshiekh HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Study grou[p
control group
Arm Description
Closed-chain shoulder girdle scapular depression exercise
Shoulder girdle depression against manual resistance exercise
Outcomes
Primary Outcome Measures
Pain will be measured by visual analogue scale
10cm visual analogue scale (0= no pain, and 10= maximum pain) will be used to determine overall shoulder pain
Secondary Outcome Measures
Range of motion (flexion and abduction) will be measured by Electronic goniometer
Electronic Goniometer will be used to measure shoulder range of motion (Flexion and abduction)
Function
shoulder function will be measured by western Ontario Rotator Cuff Questionnaire (WORC).
Full Information
NCT ID
NCT05318209
First Posted
March 21, 2022
Last Updated
July 20, 2022
Sponsor
Nasr Awad Abdelkader Othman
Collaborators
Atef Abdulalim Nadier, Pharos University, Ehab Ai Abdalah,Lecurer, Horus University
1. Study Identification
Unique Protocol Identification Number
NCT05318209
Brief Title
Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome
Official Title
Comparison Between Closed-chain Shoulder Girdle Scapular Depression Exercise and Shoulder Girdle Depression Against Manual Resistance on Patients With Shoulder Impingement Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 1, 2022 (Anticipated)
Primary Completion Date
March 1, 2023 (Anticipated)
Study Completion Date
August 1, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Nasr Awad Abdelkader Othman
Collaborators
Atef Abdulalim Nadier, Pharos University, Ehab Ai Abdalah,Lecurer, Horus University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule & pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule & pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .
The exercise program will consist of 3 sessions / week for 5 weeks
Detailed Description
BACKGROUND:
Patients with shoulder impingment syndrome report disability, especially during overhead movements, which may hinder activities of daily living .
Muscular strengthening training influences the resting position and scapular movement pattern of subjects with shoulder impingement syndrome and improve function of the affected shoulder.
Therefore, the focus of treatment for the syndrome is on performing exercises, including stretching, strengthening, and neuromuscular control exercises.
Although multiple types of exercise, such as scapular stability exercises, strengthening of the rotator cuff through range, and flexibility exercises for the anterior and posterior shoulder exercise is effective in the management of patients with shoulder impingement syndrome, there is not enough evidence to say whether one mode of exercise is superior to another.
RESEARCH QUESTION:
Are there any difference between closed-chain shoulder girdle scapular depression exercise and shoulder girdle depression against manual resistance exercise on patients with shoulder impingement syndrome
METHODS:
forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule & pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule & pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .
The exercise program will consist of 3 sessions / week for 5 weeks
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
46 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Study grou[p
Arm Type
Experimental
Arm Description
Closed-chain shoulder girdle scapular depression exercise
Arm Title
control group
Arm Type
Active Comparator
Arm Description
Shoulder girdle depression against manual resistance exercise
Intervention Type
Other
Intervention Name(s)
Exercise
Intervention Description
Closed-chain Shoulder Girdle Scapular Depression Exercise
Primary Outcome Measure Information:
Title
Pain will be measured by visual analogue scale
Description
10cm visual analogue scale (0= no pain, and 10= maximum pain) will be used to determine overall shoulder pain
Time Frame
10 minutes
Secondary Outcome Measure Information:
Title
Range of motion (flexion and abduction) will be measured by Electronic goniometer
Description
Electronic Goniometer will be used to measure shoulder range of motion (Flexion and abduction)
Time Frame
20 minutes
Title
Function
Description
shoulder function will be measured by western Ontario Rotator Cuff Questionnaire (WORC).
Time Frame
30 minutes
10. Eligibility
Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients aged from 25 to 45 years old.
Patients with shoulder impingement stage I &II as judged by criteria of neer classification.
Patients diagnosed by orthopedic surgeon with shoulder impingement, the diagnosis will be confirmed by positive Neer and Hawkins tests.
Exclusion Criteria:
History of cardiac diseases or dyspnea on exertion
Patients with cervical radiculopathy.
Patients with shoulder instability.
Patients with frozen shoulder.
Acute shoulder trauma.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nasr A. Abdelkader, PhD
Phone
00201025771117
Email
dr.nasrawad@cu.edu.eg
Facility Information:
Facility Name
Kafr Elshiekh Hospital
City
Kafr Ash Shaykh
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Atef A. Nadier, PhD
Phone
00201003867064
Email
atef.neder@pua.edu.eg
12. IPD Sharing Statement
Learn more about this trial
Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome
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