Mobilization With Movement for Shoulder Impingement

César Fernández-de-las-Peñas

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: Sham mobilization-with-movement (MWM); Other: Real mobilization-with-movement (MWM)

Study type: Interventional

Funder types: Other

Identifiers

NCT02172079

USAL201000048540

Details and patient eligibility

About

Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.

Enrollment: 42 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of shoulder pain of > 3months duration
• pain localized at the proximal anterolateral shoulder region
• medical diagnosis of shoulder impingement syndrome
• at least 2 positive impingement tests including Neer, Hawking, or Jobe test

Exclusion criteria

• diagnosis of fibromyalgia
• pregnancy
• a history of traumatic onset of shoulder pain
• other histories of shoulder injury
• ligamentous laxity based on a positive Sulcus test and apprehension test
• numbness or tingling in the upper extremity
• previous shoulder or cervical spine surgery
• corticosteroid injection on the shoulder within 1 year of the study
• physical therapy 6 months prior to the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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42 participants in 2 patient groups

Real mobilization-with-movement (MWM)

Experimental group

Description:

For the MWM group, an accessory posterior-lateral gliding movement in the humeral head combined with a movement of active shoulder flexion will be applied. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior aspect of the head of the humerus

Treatment:

Other: Real mobilization-with-movement (MWM)

Sham mobilization-with-movement (MWM)

Sham Comparator group

Description:

The sham condition will replicate the treatment condition except for the hand positioning. The therapist locates one hand over the belly of the pectoralis major muscle and the other over scapula without applying any pressure. The patient will be asked to move the arm in a similar manner as in the MWM group

Treatment:

Other: Sham mobilization-with-movement (MWM)