Effects of Mulligan's Technique in Subjects With Shoulder Impingement Syndrome

Universidade Federal de Sao Carlos

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: Mobilization with Movement (MWM) condition/ Sham condition; Other: Sham condition/ Mobilization with Movement (MWM) condition

Study type: Interventional

Funder types: Other

Identifiers

NCT02463526

U1111-1154-7379

28898014.3.0000.5504 (Other Identifier)

Details and patient eligibility

About

Participants will be initially assessed for their suitability for inclusion in the study and will undergo a physical screening of the affected shoulder and cervical spine by an experienced physiotherapist. After, participants will be attended 72 hours after data recording of the baseline measures (range of motion with a goniometer, pressure pain threshold with a algometer, and peak force with a dynamometer) for four sessions per week with 24 hours of interval between sessions. At each experimental week session, each participant will receive one of the two treatment conditions (MWM or sham) and then will repeats the assessment. In the following week, there will be a crossover condition of each individual and 24 hours after the last treatment session, the examiner will do the last assessment.

Enrollment: 27 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of shoulder pain of >1-week duration, localized at the proximal anterolateral shoulder region consistent to Shoulder Impingement Syndrome (SIS);
• at least 1 positive impingement test (Jobe's test, Neer's test, Hawkins-Kennedy's Test) associated with painful range of motion during arm elevation; or pain during external rotation with the arm in 90 degrees of elevation in the coronal plane.

Exclusion criteria

• fibromyalgia (based on self-report),pregnancy, a history of onset of symptoms because of traumatic injury, other histories of shoulder injury, torn tendons, ligamentous laxity based on positive Sulcus test and apprehension test, numbness or tingling in the upper extremity, previous shoulder or neck surgery, systemic illnesses, body mass index > 28kg/m2, corticosteroid injection 3 months before evaluation, physical therapy 3 months before evaluation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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27 participants in 2 patient groups

Group 1 - MWM condition/Sham condition

Experimental group

Description:

Subjects will receive treatment for 4 times with Mulligan's Mobilization with Movement (MWM) condition, and after 72 hrs, will be treated 4 times with the sham condition.

Treatment:

Other: Sham condition/ Mobilization with Movement (MWM) condition

Other: Mobilization with Movement (MWM) condition/ Sham condition

Group 2 - Sham condition/MWM condition

Experimental group

Description:

Subjects will receive treatment for 4 times with sham condition, and after 72 hrs, will be treated 4 times with the Mulligan's Mobilization with Movement (MWM) condition.

Treatment:

Other: Sham condition/ Mobilization with Movement (MWM) condition

Other: Mobilization with Movement (MWM) condition/ Sham condition