Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Universidad de Antofagasta

Status: Enrolling

Conditions: Shoulder Pain; Shoulder Impingement Syndrome

Treatments: Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises; Behavioral: Conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05892250

17798315

Details and patient eligibility

About

Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

Enrollment: 84 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Older than 18 years old and less than 60 years old.
• Pain in the lateral and upper arm region for more than two weeks of evolution.
• At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch.

Exclusion criteria

• Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia.
• Cervical or thoracic pain.
• Fracture or surgery in the shoulder region or in the last 6 months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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84 participants in 2 patient groups

Control group

Active Comparator group

Description:

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise

Treatment:

Behavioral: Conventional physical therapy

Experimental group

Experimental group

Description:

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises

Treatment:

Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises