Scapular ms Strength vs PNF in SIS Patients
Primary Purpose
Shoulder Impingement
Status
Suspended
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
exercises
Sponsored by
About this trial
This is an interventional treatment trial for Shoulder Impingement focused on measuring pnf
Eligibility Criteria
Inclusion Criteria:
• age of 20-50 years.
- body mass index (BMI)<20 kg/m2
- subjects complaining Shoulder impingement.
- subjects with altered scapular resting positions and dyskinesis (
- Subjects will be included if they met at least 2 of the following 5 criteria: Neer's Impingement Test, Hawkins-Kennedy Impingement Test, Supraspinatus ("Empty Can" or Jobe) Test, Apprehension and relocation Tests
Exclusion Criteria:
- Undergone shoulder surgery.
- exhibited symptoms related to the cervical spine.
- taking nonsteroidal anti-inflammatory medications.
- received a steroid injection in the past 12 months.
- were already enrolled in a physical therapy program.
Sites / Locations
- Cairo University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
No Intervention
Arm Label
scapular muscle strengthening exercises
PNF exercise
control
Arm Description
Group A (n=22): will receive a program of scapular muscle strengthening exercises for 18 sessions (3 sessions per week for six weeks)
Group B (n=22): will receive a scapular PNF exercise program for the same frequency as in group A
Group C (n=22): will be a control group who will not receive any treatment during the study period.
Outcomes
Primary Outcome Measures
muscle strength for scapular muscles by Lafayette hand held dynamometer
muscle strength of upper trapezius,middle trapezius ,lower trapezius and serratus anterior in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
muscle ratio by dividing muscle strength of each muscle on the other
muscle ratio of upper trapezius/lower trapezius,upper trapezius/middle trapezius and upper trapezius/serratus anterior muscles in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
muscle angle by lateral scapular slide test
scapular symmetry at 0⁰ abduction ,45⁰ abduction and 90⁰ abduction in patients with shoulder impingement syndrome pre and post application of between scapular muscle strengthening and PNF exercise
Secondary Outcome Measures
pain improvement by shoulder pain and disability index.
improving pain in patients with shoulder impingement syndrome.
function improvment by shoulder pain and disability index.
improving function in patients with shoulder impingement syndrome pre and post application of between scapular muscle strengthening and PNF exercise
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05535699
Brief Title
Scapular ms Strength vs PNF in SIS Patients
Official Title
Scapular Muscle Strengthening Versus Scapular Proprioceptive Neuromuscular Facilitation In Shoulder Impingement Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
September 2022
Overall Recruitment Status
Suspended
Why Stopped
finishing some devices
Study Start Date
September 12, 2022 (Anticipated)
Primary Completion Date
April 12, 2023 (Anticipated)
Study Completion Date
April 12, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
HYPOTHESES:
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of upper trapezius in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of middle trapezius in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of lower trapezius in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving muscle strength of serratus anterior in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/lower trapezius muscles in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/middle trapezius muscles in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on muscle ratio of upper trapezius/serratus anterior muscles in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on scapular symmetry at 0⁰ abduction in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and motor control exercise on scapular symmetry at 45⁰ abduction in patients with shoulder impingement syndrome.
There will be no significant difference between Scapular muscle strengthening and motor control exercise on scapular symmetry at 90⁰ abduction in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving pain in patients with shoulder impingement syndrome.
There will be no significant difference between scapular muscle strengthening and PNF exercise on improving function in patients with shoulder impingement syndrome.
Detailed Description
Sub-acromial Impingement Syndrome (SIS) has been identified with a prevalence of almost 40% among shoulder pathologies. SIS has significant economic consequences owing to its treatment costs and losses incurred through workplace absenteeism.
Alterations in scapular muscle performance have been found in subjects with scapular dyskinesis. Hyperactivity of the upper trapezius (UT) with reduced middle (MT) and lower trapezius (LT) muscle activation in addition to insufficient serratus anterior (SA) muscle function have been related to decreased amounts of scapular upward rotation, external rotation, and posterior tilt in patients .
Research into scapular stability exercises for the management of SIS is increasing, yet there is little evidence on their efficacy .
The addition of scapular stabilization exercises to stretching and strengthening exercises can be significantly beneficial in increasing the strength, developing joint position sense and decreasing dyskinesia.
Proprioceptive neuromuscular facilitation (PNF) is a rehabilitation concept which is widely used by physical therapists , promoting motor learning, motor control, strength and mobility . This comprehensive rehabilitation approach includes task-oriented training with manual facilitation aimed at motor learning and motor control .
To the authors' knowledge, none of the studies has investigated the potential effect abnormal scapular muscle strengthening versus PNF exercise on the muscle strenth, muscle ratio, and ROM of the scapula during arm elevation in patient with SIS.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement
Keywords
pnf
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
66 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
scapular muscle strengthening exercises
Arm Type
Experimental
Arm Description
Group A (n=22): will receive a program of scapular muscle strengthening exercises for 18 sessions (3 sessions per week for six weeks)
Arm Title
PNF exercise
Arm Type
Experimental
Arm Description
Group B (n=22): will receive a scapular PNF exercise program for the same frequency as in group A
Arm Title
control
Arm Type
No Intervention
Arm Description
Group C (n=22): will be a control group who will not receive any treatment during the study period.
Intervention Type
Other
Intervention Name(s)
exercises
Intervention Description
scapular exercise
Primary Outcome Measure Information:
Title
muscle strength for scapular muscles by Lafayette hand held dynamometer
Description
muscle strength of upper trapezius,middle trapezius ,lower trapezius and serratus anterior in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
Time Frame
baseline
Title
muscle ratio by dividing muscle strength of each muscle on the other
Description
muscle ratio of upper trapezius/lower trapezius,upper trapezius/middle trapezius and upper trapezius/serratus anterior muscles in patients with shoulder impingement syndrome. pre and post application of between scapular muscle strengthening and PNF exercise
Time Frame
baseline
Title
muscle angle by lateral scapular slide test
Description
scapular symmetry at 0⁰ abduction ,45⁰ abduction and 90⁰ abduction in patients with shoulder impingement syndrome pre and post application of between scapular muscle strengthening and PNF exercise
Time Frame
baseline
Secondary Outcome Measure Information:
Title
pain improvement by shoulder pain and disability index.
Description
improving pain in patients with shoulder impingement syndrome.
Time Frame
baseline
Title
function improvment by shoulder pain and disability index.
Description
improving function in patients with shoulder impingement syndrome pre and post application of between scapular muscle strengthening and PNF exercise
Time Frame
baseline
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
• age of 20-50 years.
body mass index (BMI)<20 kg/m2
subjects complaining Shoulder impingement.
subjects with altered scapular resting positions and dyskinesis (
Subjects will be included if they met at least 2 of the following 5 criteria: Neer's Impingement Test, Hawkins-Kennedy Impingement Test, Supraspinatus ("Empty Can" or Jobe) Test, Apprehension and relocation Tests
Exclusion Criteria:
Undergone shoulder surgery.
exhibited symptoms related to the cervical spine.
taking nonsteroidal anti-inflammatory medications.
received a steroid injection in the past 12 months.
were already enrolled in a physical therapy program.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
mohamed AH ABDELMEGEED, lecturer
Organizational Affiliation
Cairo University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
salwa fadl, PROFESSOR
Organizational Affiliation
Cairo University
Official's Role
Study Chair
Facility Information:
Facility Name
Cairo University
City
Giza
Country
Egypt
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
31621693
Citation
Aceituno-Gomez J, Garcia-Madero VM, Blazquez-Gamallo R, Harto-Martinez AM, Mohedano A, Vinuela A, Avendano-Coy J, Gomez-Soriano J, Munoz-Gonzalez A, Gonzalez-Gonzalez J, Criado-Alvarez JJ. [Health-related quality of life in patients diagnosed with subacromial syndrome in the Talavera Integrated Area]. Rev Esp Salud Publica. 2019 Oct 17;93:e201910094. Spanish.
Results Reference
background
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Scapular ms Strength vs PNF in SIS Patients
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