Pectoralis Minor Release in Patients With Subacromial Impingement Syndrome

Cairo University (CU)

Status: Active, not recruiting

Conditions: Subacromial Impingement Syndrome

Treatments: Other: Experimental group therapy; Other: conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07601568

P.T.REC/012/005809

Details and patient eligibility

About

To investigate the effect of PMI release on subacromial space, pectoralis minor length, shoulders ROM, shoulder joint pain, and functional ability in patients with SAIS.

Full description

Statement of the problem:

This study will be designed to answer the following question Does PMI release have an effect on subacromial space in patients with SAIS?

The purposes of the study:

1. To investigate the effect of PMI release on subacromial space in patients with SAIS.
2. To investigate the effect of PMI release on pectoralis minor length in patients with SAIS.
3. To investigate the effect of PMI release on shoulders ROM (flexion, abduction, internal and external rotation) in patients with SAIS.
4. To investigate the effect of PMI release on shoulder joint pain in patients with SAIS.
5. To investigate the effect of PMI release on functional ability in patients with SAIS.

Enrollment: 60 estimated patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients with chronic unilateral SAIS.
2. Patient age average 40- 60 years old from both sexes (Michael and Gail 2000).
3. Decreased AHD less than 10mm by x-ray image (Mean AHD in absence of rotator cuff tear is 10.5mm (Goutallier et al., 2011)).
4. Decreased of active shoulder ROM.
5. Presence of unilateral shoulder joint pain.
6. Reliable patients.

Exclusion criteria

All patients who have any of the following will be excluded from the study (Lewis and Valentine 2007)

1. Intra articular injection.
2. Arthroscopic intervention.
3. Previous shoulder fracture.
4. Shoulder subluxation.
5. Adhesive capsulitis.
6. Shoulder osteoarthritis.
7. Any previous operation on cervical and shoulder region.
8. Mastectomy on the same side of shoulder impingement.
9. Patients with neurological disorder that may contribute performance the procedure instructions.
10. Osteoporosis.
11. Pregnant and lactating woman.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

traditional group

Sham Comparator group

Description:

Thirty patients will receive traditional physical therapy treatment (Postural correction exercises and scapular stabilization exercises) at the painful shoulder, Treatment sessions will be two times per week for six weeks

Treatment:

Other: conventional physical therapy

Experimental Group

Experimental group

Description:

Thirty patients will receive traditional treatment plus pectoralis minor stretching and release, Treatment sessions will be two times per week for six weeks.

Treatment:

Other: conventional physical therapy

Other: Experimental group therapy