ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

Foundation University Islamabad

Status: Enrolling

Conditions: Rotator Cuff Syndrome

Treatments: Procedure: Mobilization with movement; Procedure: Upper Quadrant Core Strengthening protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT06723730

FUI/CTR/2024/57

Details and patient eligibility

About

This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain

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Full description

The purpose of this study is to determine the effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related shoulder pain on A. Pain B. Range of motion C. Propioception D. Kinesiophobia

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-65 years
• Both genders
• Unilateral shoulder pain of traumatic origin
• Scoring should be less than 8 on numeric pain rating scale
• Symptoms lasting more than 6 weeks
• Pain on active shoulder movement
• Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
• Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain

Exclusion criteria

• History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
• Adhesive capsulitis
• History of dislocation
• Glenohumeral osteoarthritis
• Cancer
• Auto-immune inflammatory conditions and infection
• Positive joint integrity tests ( Ant. and Post. Drawer tests)
• Hill sachs lesions
• Bankarts lesions
• Cervical rib
• Previous shoulder or neck surgery or fracture
• Familiar pain provoked by neck movements
• Presence of radicular sign
• Diagnosis of fibromyalgia
• Clinical depression
• Rheumatoid arthritis
• Poor bone quality ( osteoporosis)
• Vertobrobasilar insufficiency test

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Upper Quadrant Strenghtening + MWM Group

Experimental group

Description:

In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)

Treatment:

Procedure: Upper Quadrant Core Strengthening protocol

Procedure: Mobilization with movement

Upper Quadrant Strenghtening Group

Experimental group

Description:

Participants will perform upper quadrant core strengthening protocol. Upper quadrant core strengthening protocol will comprise of following four week protocol. 1. Week One Scapular postural correction , Shoulder Shrugging exercises 2. Week Two External rotation at 0 degree 3. Week Three Internal rotation at 0 degree 4. Week Four Standing Row at 45 and 90 degree, Anterior shoulder stretch , Thoracic exercises in sitting

Treatment:

Procedure: Upper Quadrant Core Strengthening protocol