Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement

High Point University

Status: Completed

Conditions: Subacromial Impingement Syndrome

Treatments: Other: thoracic mobilization & shoulder mobilization & exercise; Other: shoulder mobilization & exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT01753271

201208-122

Details and patient eligibility

About

Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement.

Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.

Enrollment: 20 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• To be eligible, participants must meet the clinical prediction rule for unilateral subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement sign, b) positive painful arc sign, and c) weakness in external rotation with the arm at the side

Exclusion criteria

• Individuals with contraindications to treatment with mobilization and manipulation (Appendix A) will be excluded

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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20 participants in 2 patient groups

Thoracic Mobilization

Experimental group

Description:

thoracic mobilization in addition to shoulder mobilization plus exercise

Treatment:

Other: thoracic mobilization & shoulder mobilization & exercise

Other: shoulder mobilization & exercise

exercise only

Active Comparator group

Description:

shoulder mobilization plus exercise alone

Treatment:

Other: shoulder mobilization & exercise