Back to resultsEffect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome
Primary Purpose
Shoulder Impingement
Status
Not yet recruiting
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
mulligan technique
conventional therapy
Sponsored by
About this trial
This is an interventional treatment trial for Shoulder Impingement focused on measuring mulligan technique, sub-acromial space
Eligibility Criteria
Inclusion Criteria:
age of patients from 30- 55 years old . Both Male and female.
Shoulder pain and two out of four specified objective signs and symptoms:
Positive Neer impingement test. Positive Hawkins-Kennedy impingement test. Painful or limitation of active shoulder elevation (flexion, abduction, scaption).
Pain or limitation with the functional movement patterns of hand-behind-back or hand-behind-head.
Exclusion Criteria:
Systemic or neurological disorder. Adhesive capsulitis. Cervical radiculopathy. History of shoulder surgery. Corticosteroid injection within the past month Subjects who had received physical therapy treatment for their shoulder within the past three months.
Sites / Locations
- Deraya university
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Group A
Group B
Arm Description
the patient will receive Shoulder complex mobilization with movement three time a week for two weeks
will receive Conventional therapy three times a week for two weeks.
Outcomes
Primary Outcome Measures
sub-acromial space
sub-acromial space will be measured by ultrasonography
Secondary Outcome Measures
shoulder range of movement
shoulder range of motion will be measured by digital goniometer
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05439525
Brief Title
Effect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome
Official Title
Effect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 5, 2022 (Anticipated)
Primary Completion Date
August 30, 2022 (Anticipated)
Study Completion Date
August 30, 2022 (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
the aim of this study is to investigate the Effect of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome
Detailed Description
Shoulder Impingement Syndrome (SIS) is defined as the mechanical entrapment of the rotator cuff (mainly the supraspinatus tendon) or the sub-acromial bursa in the sub-acromial space between the humeral head and the acromion or coracohumeral ligament .It is typically exacerbate when the arm is elevated or when overhead throwing activities are performed . Mulligan technique is a type of manual therapy with hypoalgesic effects, increases joint ROM, enhances muscle function and treats specific pathologies. Mobilization with movement (MWM) can be defined as the application of a sustained passive accessory force / glide to a joint while the patient actively performs a task that was previously identified as being problem.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement
Keywords
mulligan technique, sub-acromial space
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
mulligan and conventional therapy
Masking
Outcomes Assessor
Masking Description
permuted block
Allocation
Randomized
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Experimental
Arm Description
the patient will receive Shoulder complex mobilization with movement three time a week for two weeks
Arm Title
Group B
Arm Type
Active Comparator
Arm Description
will receive Conventional therapy three times a week for two weeks.
Intervention Type
Other
Intervention Name(s)
mulligan technique
Intervention Description
The patient will be in sitting and the therapist stands on the contralateral side of pain, stabilizing the scapula posteriorly with one hand. The head of the humerus is translated posteriorly and laterally with the other hand, along the plane of the glenoid fossa. While the glide is sustained, the patient actively elevates their arm through the plane of abduction or scaption (elevation). Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session the perform mobilization on acromioclavicular and sternoclavicular joint
Intervention Type
Other
Intervention Name(s)
conventional therapy
Intervention Description
Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine.
Strengthen the rotator cuff and scapular stabilizers.
Improve upper-quarter postural awareness
Primary Outcome Measure Information:
Title
sub-acromial space
Description
sub-acromial space will be measured by ultrasonography
Time Frame
up to two weeks
Secondary Outcome Measure Information:
Title
shoulder range of movement
Description
shoulder range of motion will be measured by digital goniometer
Time Frame
up to two weeks
Other Pre-specified Outcome Measures:
Title
pressure pain threshold
Description
pressure algometer will be used to measure pressure pain threshold
Time Frame
up to two weeks
Title
shoulder function
Description
quick DASH will be used to measure shoulder function. DASH is a shortened version of the DASH questionnaire that uses 11 items to measure the degree of difficulty in performing various physical activities due to a shoulder, arm, or hand problem (6 items); the severity of pain and tingling (2 items); and the problem's effect on social activities, work, and sleep (3 items).
Time Frame
up to two weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
age of patients from 30- 55 years old . Both Male and female.
Shoulder pain and two out of four specified objective signs and symptoms:
Positive Neer impingement test. Positive Hawkins-Kennedy impingement test. Painful or limitation of active shoulder elevation (flexion, abduction, scaption).
Pain or limitation with the functional movement patterns of hand-behind-back or hand-behind-head.
Exclusion Criteria:
Systemic or neurological disorder. Adhesive capsulitis. Cervical radiculopathy. History of shoulder surgery. Corticosteroid injection within the past month Subjects who had received physical therapy treatment for their shoulder within the past three months.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
alshaymaa sh abd el-azeim, lecturer
Phone
01033771553
Email
alshaymaa.shaaban@pt.cu.edu.eg
Facility Information:
Facility Name
Deraya university
City
Cairo
Country
Egypt
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Noha alaa eldeen Mahmoud
Phone
01092569170
First Name & Middle Initial & Last Name & Degree
Amal Hassan Mohammed
12. IPD Sharing Statement
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Effect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome
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