Exercises Associated or Not With Manual Therapy Shoulder Impingement

Universidade Federal de Sao Carlos

Status

Completed

Conditions

Shoulder Impingement

Treatments

Other: Exercises

Other: Exercises + Manual Therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT02035618

UFSCar/CEP 270/2010

Details and patient eligibility

About

Manual therapy combined with a protocol of therapeutic exercises will increase the beneficial effects on scapular kinematics, myofascial pain and function in subjects with shoulder impingement when compared to exercises only.

Enrollment

46 patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

history of non-traumatic onset of shoulder pain;
painful arc during active elevation of the arm;
one or more positive shoulder impingement tests (Neer, Hawkins and Jobe), or pain during passive or resisted external rotation of the arm at 90° of abduction;
pain with palpation of the rotator cuff tendons;
all subjects need also to be able to reach 150° of arm elevation as evaluated by visual observation.

Exclusion criteria

limitation of glenohumeral internal and external rotation as indicative of adhesive capsulitis;
body mass index > 28kg/m2 as the amount of subcutaneous tissue can compromise the quality of the signal increasing soft tissue artifact;
numbness or tingling of the upper limb reproduced by cervical compression test;
history of clavicle, scapula or humerus fracture;
history of rotator cuff surgery;
systemic illnesses;
positive sulcus or apprehension tests as indicative of instability;
positive drop arm test as indicative of full thickness tear;
corticosteroid injection within 3 months prior to intervention, or physiotherapy within 6 months prior to intervention;
depressive symptoms as evaluated by the Beck Depression Inventory score ( > 9 points) due to its influence on myofascial pain;
allergy to tape.