Effects of Thrower's Ten and Routine Physical Therapy in Patients With Shoulder Impingement Syndrome

Riphah International University

Status: Enrolling

Conditions: Shoulder Impingement Syndrome

Treatments: Other: Thrower's Ten Exercise Program; Other: Routine physical therapy.

Study type: Interventional

Funder types: Other

Identifiers

NCT06407804

REC/RCR&AHS/23/01110

Details and patient eligibility

About

To compare the effects of thrower's ten and routine physical therapy on pain, range of motion and functional disability in patients with shoulder impingement syndrome

Full description

Shoulder impingement is a common cause of shoulder pain. It's also known as impingement syndrome or swimmer's shoulder, since it's common in swimmers. It occurs when there is impingement of tendons or bursa in the shoulder from bones of the shoulder. A randomized clinical trial will be conducted at Ibne Sina Hospital,Multan . Non probability convenience sampling technique will be applied on 46 patients who will be allocated through computerized randomization into group A & group B to collect data. Group A will be given Throwers ten Program and group B will be given routine physical therapy along with baselines. The study will be completed within the time duration of nine months. Primary Outcome measures of the research will be pain, range of motion,function and disability . Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Enrollment: 46 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age group 18-35 years
• Male and female
• Shoulder or neck pain within the prior 6month
• 3 positive tests out of 5: Positive Neer's test, positive Hawkins test, positive Jobe's test, painful arc, and pain on resisted external rotation of the arm.

Exclusion criteria

• History of surgery of the affected shoulder
• Fractures in around the shoulder
• Neurological disorders leading to altered muscle activity
• Systemic arthritic conditions (RA, Osteoporosis)
• Disorders of the cervical spine

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Thrower's Ten Exercise Program

Experimental group

Description:

1. D2 PNF flexion 2. D2 PNF extension 3. Internal rotation 4. External rotation 5. Push ups 6. Press ups

Treatment:

Other: Thrower's Ten Exercise Program

Routine physical therapy

Sham Comparator group

Description:

1. Unilateral bench press 2. Bi lateral shoulder retraction 3. Extension in prone position 4. Neck retraction. Then isometrics will be performed which includes 1. Isometric shoulder internal and external rotation 2. Side lying shoulder external rotation 3. Scapular scaption exercise

Treatment:

Other: Routine physical therapy.