Cervical Unilateral Antero-posterior Mobilization and Thoracic Central Postro-anterior Mobilization in Treatment of Shoulder Impingement Syndrome

Egyptian Chinese University

Status: Completed

Conditions: Shoulder Impingement

Treatments: Other: mobilization exercise; Other: therapeutic exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06349746

collage of physical therapy

Details and patient eligibility

About

Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. The conservative option that has shown effectiveness is manual therapy of the cervical and thoracic spine

Full description

This study will be conducted to answer the following question:

What is the effect of adding cervical and thoracic mobilization to selected therapeutic exercise Program on pain intensity, Pain-free shoulder flexion and scaption active ROM, muscle strength of external rotator and abductors, shoulder functional status in patients with Shoulder Impingement Syndrome

Enrollment: 56 patients

Sex: Male

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria required at least three positive findings from five diagnostic tests for SIS (Hawkins-Kennedy test, Neer's test, painful arc, Resisted External Rotation test, Jobe's test) and persistent shoulder pain (anterolateral shoulder region) for 3 to 6 months, along with limitations in functional movements as Individuals who experienced painful restrictions in their ability to raise their shoulder (flexion, abduction, scaption) and had pain or limitations when performing functional movements such as reaching behind their back or behind their head. As well as subjects who willingly participated in the study and gave their consent for the research purposes.

Exclusion criteria included adhesive capsulitis, radiologically confirmed grade III rotator cuff tears, calcific tendinitis, neurological or systemic disorders, cervical radiculopathy, prior shoulder surgery, recent corticosteroid injections, or recent physiotherapy within the previous three months. Patients complain from shoulder pain without pain on palpation, mobility limitations or pain during provocative tests, but complaining of abdominal tenderness on palpation were also excluded from this study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

56 participants in 2 patient groups

Therapeutic exercises

Active Comparator group

Description:

a specific therapeutic exercise program consisted of stretching exercises for posterior capsule and progressive resistance exercises for rotator cuff and scapula stabilizer and home exercise

Treatment:

Other: therapeutic exercises

cervical and thoracic mobilization

Active Comparator group

Description:

cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization added to therapeutic exercises

Treatment:

Other: mobilization exercise