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

Egyptian Chinese University

Status: Not yet enrolling

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: 50 estimated patients

Sex: All

Ages: 20 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • patients who had received at least two positive signs on their Neer sign, Hawkins sign, supraspinatus test, apprehension test, and relocation test

  • Patients report pain on elevating the arm between 70 ° and 120 ° (the "painful arc"), on forced movement above the head, and when lying on the affected side

Exclusion criteria

• • cervical radiculopathy

  • a 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 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