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Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome

Primary Purpose

Shoulder Impingement Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Progressive resistance training
Traditional physical therapy
Sponsored by
Foundation University Islamabad
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shoulder Impingement Syndrome focused on measuring Exercises, Impingement syndrome, Physical therapy , Resistance training, Shoulder pain

Eligibility Criteria

20 Years - 40 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Both genders.(Male and Female) Young early adulthood with age 20-40 years. Diagnosed cases of Shoulder impingement syndrome. Exclusion Criteria: Active joint disease (rheumatoid, or any other rheumatological diseases Any history of Cardiovascular events Any history of upper limb surgery Hematological disease. Osteoporosis. osteomyelitis Active fractures/ non or mal-union fractures Rotator cuff tears Adhesive capsulitis.

Sites / Locations

  • Foundation University College of Physical TherapyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Group A- Control group

Group B- Study Group

Arm Description

Group (A)/ control group Involves participants receiving TENS+ hot pack (10mins) Pendulum exercises and stretching exercises This group will not receive resistance training from 5 repetitions to 20 repetitions of door way stretch (maintained for 30seconds), pendulum exercises and foam roll strtech will be provided over the 6 weeks protocol

Group (B)/ Experimental group involves participants receiving Traditional l physical therapy for shoulder impingement syndrome for 6 weeks. TENS+ hot pack (10mins) Pendulum exercises and stretching exercises 3-6RM Load will be determined after which multipulley system will be used for treatment and treatment will be divided in to two series of 8 repetition: 25%, 30%,35%,40%, 50% of 6RM over the period of 6 weeks Speed of movement will be 2 seconds for both the eccentric and concentric phases. To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation It is a combined treatment so study group will receive both study group and control group intervention

Outcomes

Primary Outcome Measures

Pain intensity using Numeric pain rating scale (NPRS)
change in the values of pain using Numeric pain rating scale from the base line then week 3 and then to the end of 6 weeks
Shoulder range of motion using Goniometer
Shoulder range of motion will be assessed using goniometer in flexion, extension, abduction, external and internal rotation of shoulder for both the study and control group

Secondary Outcome Measures

Full Information

First Posted
October 8, 2023
Last Updated
October 8, 2023
Sponsor
Foundation University Islamabad
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1. Study Identification

Unique Protocol Identification Number
NCT06079944
Brief Title
Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome
Official Title
Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 1, 2023 (Actual)
Primary Completion Date
March 1, 2024 (Anticipated)
Study Completion Date
March 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Foundation University Islamabad

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
A randomized control trial will be done on diagnosed Shoulder impingemnet patients with physical therapy screening in Fauji Foundation Hospital Rawalpindi. There is a growing demand on finding treatments which can be more beneficial and can be started early on in the treatment phase, nowadays. The purpose of the study is to determine the "effects of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome" using the resistance band and multipulley system. The traditional physical therapy will include hot pack placed on shoulder and neck region for ten minutes, Transcutaneous electrical nerve stimular will be used and the electrodes will be placed on the desired area (shoulder complex) the intensity will be increased manually according to the capacity of the patient and the treatment time will be of 15 minutes, stretching exercises such as doorway stretch and foam roll supine stretch will be done in the hospital for first 3 weeks and the next 3 weeks will be for home exercises moving from 5 repetitions to 20 repetitions for a set of 3. stretch will be hold for 30 seconds
Detailed Description
OBJECTIVES: The objectives of this study are: To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of strength. To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of pain. To determine the effect of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome in terms of range of motion. 1.HYPOTHESIS: Alternate Hypothesis: There is significant effect in the study group in terms of pain with progressive resistance training than in control group with traditional physical therapy in patients with shoulder impingement syndrome. There is significant effect in the study group in terms of range of motion with progressive resistance training than in the control group with traditional physical therapy in patients with shoulder impingement syndrome. There is significant effect in the study group in terms of strength with progressive resistance training than in the control group with traditional physical therapy in patients with shoulder impingement syndrome. Null Hypothesis: There is no significant effect in the study group in terms of pain with progressive resistance training than in control group with traditional physical therapy in patients with shoulder impingement syndrome. There is no significant effect in the study group in terms of range of motion with progressive resistance training than in the control group with traditional physical therapy in patients with shoulder impingement syndrome. There is no significant effect in the study group in terms of strength with progressive resistance training than in the control group with traditional physical therapy in patients with shoulder impingement syndrome. Research Design: Experimental study. Randomized Control Trial Clinical setting: Rehabilitation department, Fauji Foundation Hospital Study duration: 18 months Selection Criteria: Inclusion Criteria Both genders (Male and Female) Young early adulthood with age 20-40 years. Diagnosed Cases of Shoulder impingement syndrome. Exclusion criteria: Active joint disease (rheumatoid, or any other rheumatological disease) Any history of Cardiovascular events Recent history of upper limb surgery Hematological disease. Osteoporosis. Osteomyelitis Active fractures/ non or mal-union fractures Rotator cuff tears Adhesive capsulitis. Sampling technique: Convenience sampling envelope Method Outcome Measures: Data will be collected on Demographics and general information Pain will be assessed with the help of NPRS (numeric pain rating scale Scale) Strength will be measured while calculating the repetition maximum Range of motion will be calculated by Goniometry self rated upper extremity disability will be measured by DASH (disabilities of Arm, shoulder and hand) questionnaire Study Group (B) = This group will receive TENS+ Hot pack, Pendulum exercises and stretching exercises for first two weeks before moving to the strength training to avoid any damage incase patient is in the inflammatory phase 6RM Load will be determined after which resistance band and multipulley system will be used for treatment and treatment will be divided in to a series of 8 repetitions: 25%, 30%, 35%, 40%, and 50% of 6RM over the period of 6 weeks. Speed of movement will be 2 seconds for both the eccentric and concentric phases. To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation using multipulley system. Resistance training will only be given to the study group. This groups outcome meaures will be assessed at 3 weeks and then 6th week. Control group (B) =this group will not receive resistance training through resistance band and multipulley, only traditional Physical therapy will be given and their outcomes will be observed at the baseline and then after treatment of 6 weeks. Data analysis techniques: Firstly, Informed consent will be taken by the participants. Data will be gathered according to the inclusion criteria mentioned in the study. Screening tests will be applied and if patient reports the following tests positive: Painful Arc Sign, Infraspinatus test, and Hawkin Kennedy then there is a high likelihood ratio of having the disease and if all three tests are negative, there is strong evidence of absence of disease. Tests for other muscles will also be applied that passes through the subacromial space. Pain will be scored using numeric pain rating scale before the assignment of population in both the groups. Convenience sampling will be used to include the participants in either the control group or study group. Significance of the study: Progressive resistance training program for the musculature of the shoulder in patients with shoulder impingement syndrome may prove effective in reducing pain, increasing strength and improving function. This study will help the practitioner to use the new treatment options for treating patients with shoulder impingement syndrome. The results of the study will add to the literature about the effects of progressive resistance training combined with traditional physical therapy in patients with shoulder impingement syndrome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement Syndrome
Keywords
Exercises, Impingement syndrome, Physical therapy , Resistance training, Shoulder pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
34 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group A- Control group
Arm Type
Active Comparator
Arm Description
Group (A)/ control group Involves participants receiving TENS+ hot pack (10mins) Pendulum exercises and stretching exercises This group will not receive resistance training from 5 repetitions to 20 repetitions of door way stretch (maintained for 30seconds), pendulum exercises and foam roll strtech will be provided over the 6 weeks protocol
Arm Title
Group B- Study Group
Arm Type
Experimental
Arm Description
Group (B)/ Experimental group involves participants receiving Traditional l physical therapy for shoulder impingement syndrome for 6 weeks. TENS+ hot pack (10mins) Pendulum exercises and stretching exercises 3-6RM Load will be determined after which multipulley system will be used for treatment and treatment will be divided in to two series of 8 repetition: 25%, 30%,35%,40%, 50% of 6RM over the period of 6 weeks Speed of movement will be 2 seconds for both the eccentric and concentric phases. To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation It is a combined treatment so study group will receive both study group and control group intervention
Intervention Type
Procedure
Intervention Name(s)
Progressive resistance training
Intervention Description
6RM Load will be determined after which multipulley system will be used for treatment and treatment will be divided in to two series of 8 repetition: 25%, 30%,35%,40%, 50% of 6RM over the period of 6 weeks Speed of movement will be 2 seconds for both the eccentric and concentric phases. To strengthen the shoulder muscles patients will perform flexion, extension, medial and lateral rotation using multipulley system.
Intervention Type
Procedure
Intervention Name(s)
Traditional physical therapy
Intervention Description
TENS+ Hot pack Pendulum exercises and stretching exercises
Primary Outcome Measure Information:
Title
Pain intensity using Numeric pain rating scale (NPRS)
Description
change in the values of pain using Numeric pain rating scale from the base line then week 3 and then to the end of 6 weeks
Time Frame
6 weeks
Title
Shoulder range of motion using Goniometer
Description
Shoulder range of motion will be assessed using goniometer in flexion, extension, abduction, external and internal rotation of shoulder for both the study and control group
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Both genders.(Male and Female) Young early adulthood with age 20-40 years. Diagnosed cases of Shoulder impingement syndrome. Exclusion Criteria: Active joint disease (rheumatoid, or any other rheumatological diseases Any history of Cardiovascular events Any history of upper limb surgery Hematological disease. Osteoporosis. osteomyelitis Active fractures/ non or mal-union fractures Rotator cuff tears Adhesive capsulitis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Esma Araf, MSKPT
Phone
+923105969743
Email
Esmaaraf25@gmail.com
Facility Information:
Facility Name
Foundation University College of Physical Therapy
City
Rawalpindi
State/Province
Punjab
ZIP/Postal Code
46000
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nida Kiani, DPT.MSNMPT
Phone
+923330418548
Email
nida.mushtaq@fui.edu.pk

12. IPD Sharing Statement

Learn more about this trial

Effects of Progressive Resistance Training Combined With Traditional Physical Therapy in Patients With Shoulder Impingement Syndrome

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