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Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Primary Purpose

Shoulder Pain, Shoulder Impingement Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Chile
Study Type
Interventional
Intervention
Conventional physical therapy
Conventional physical therapy + Dynamic Humeral Centering exercises
Sponsored by
Universidad de Antofagasta
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shoulder Pain

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Older than 18 years old and less than 60 years old. Pain in the lateral and upper arm region for more than two weeks of evolution. At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch. Exclusion Criteria: Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia. Cervical or thoracic pain. Fracture or surgery in the shoulder region or in the last 6 months.

Sites / Locations

  • Universidad de AntofagastaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Control group

Experimental group

Arm Description

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises

Outcomes

Primary Outcome Measures

Subacromial space dimensions
Ultrasonography measure of coracohumeral and acromiohumeral distances

Secondary Outcome Measures

Pain intensity
Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest
Range of motion
Active and passive range of motion in coronal, sagital and transverse planes
Muscular endurance
Time (in seconds) it takes for the participant to become fatigued when performing repetitive movements with the upper extremity in the frontal plane
Muscular endurance
Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane
Shoulder Pain and Disability Index
Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)

Full Information

First Posted
May 18, 2023
Last Updated
May 27, 2023
Sponsor
Universidad de Antofagasta
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1. Study Identification

Unique Protocol Identification Number
NCT05892250
Brief Title
Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome
Official Title
Effects of Dynamic Humeral Centering Exercises on Functionality and Disability in Subacromial Pain Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 6, 2023 (Actual)
Primary Completion Date
July 24, 2023 (Anticipated)
Study Completion Date
December 18, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad de Antofagasta

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
Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Pain, Shoulder Impingement Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
84 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control group
Arm Type
Active Comparator
Arm Description
Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise
Arm Title
Experimental group
Arm Type
Experimental
Arm Description
Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises
Intervention Type
Behavioral
Intervention Name(s)
Conventional physical therapy
Intervention Description
Manual techniques and therapeutic exercise
Intervention Type
Behavioral
Intervention Name(s)
Conventional physical therapy + Dynamic Humeral Centering exercises
Intervention Description
Manual techniques and therapeutic exercise and active dynamic humeral centering exercises
Primary Outcome Measure Information:
Title
Subacromial space dimensions
Description
Ultrasonography measure of coracohumeral and acromiohumeral distances
Time Frame
baseline
Secondary Outcome Measure Information:
Title
Pain intensity
Description
Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest
Time Frame
baseline
Title
Range of motion
Description
Active and passive range of motion in coronal, sagital and transverse planes
Time Frame
baseline
Title
Muscular endurance
Description
Time (in seconds) it takes for the participant to become fatigued when performing repetitive movements with the upper extremity in the frontal plane
Time Frame
baseline
Title
Muscular endurance
Description
Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane
Time Frame
baseline
Title
Shoulder Pain and Disability Index
Description
Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)
Time Frame
baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Older than 18 years old and less than 60 years old. Pain in the lateral and upper arm region for more than two weeks of evolution. At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch. Exclusion Criteria: Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia. Cervical or thoracic pain. Fracture or surgery in the shoulder region or in the last 6 months.
Facility Information:
Facility Name
Universidad de Antofagasta
City
Antofagasta
ZIP/Postal Code
1240000
Country
Chile
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juan Guerrero, MSc
Phone
56957601527
Ext
7067
Email
juan.guerrero@uantof.cl

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
The information will be provided to other researchers upon request to the principal investigator of the project.
IPD Sharing Time Frame
Data will be available once there are publications associated with the clinical trial. These data will be available for 4 years.
IPD Sharing Access Criteria
By e-mail request

Learn more about this trial

Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

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