The Effect of Biomechanical Scapular Mobilization With Movement and Motor Learning (BSMWM)

Pharos University in Alexandria

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: biomechanical scapular mobilization with movement and motor learning

Study type: Interventional

Funder types: Other

Identifiers

NCT04701814

PUA 201901013

Details and patient eligibility

About

the study about new mobilization technique used in shoulder impingement syndrome patient to increase the range of motion of elevation, decrease the pain, and increasing the function level, this technique is based on normal mechanics that occur inside the joint during certain movement.

Full description

The study is about a new technique of mobilization based on normal biomechanics that occurs during the movements of a joint. For example, shoulder abduction or elevation needs the scapula to move upward rotation with posterior tilt and external rotation. Moreover, needs glenohumeral (GH) joint glide inferior and posterior these movements occur normally to permit us to elevate our shoulder without any restriction and the full range of motion(ROM). so in the patients with shoulder problems and have difficulties reaching full ROM of elevation the investigators applied mobilization of scapula toward upward rotation with external rotation and posterior tilt and by using mobilization belt applied posterior and inferior glide to GH joint. However, mobilization techniques have a short-term effect to enhance this effect, the investigators adding a motor learning approach to achieve a long-term effect and prevent recurrent .the investigators applied this technique 3 times per week for 3 weeks.

Enrollment: 38 patients

Sex: Female

Ages: 25 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

clinical diagnosis: shoulder impingement syndrome.

1. History of shoulder pain when they elevated their arm.
2. Limited range of motion due to the pain.
3. Pain localized at the painful point at proximal anterolateral shoulder region or medical diagnosis of shoulder impingement syndrome with at least 2 positive impingement tests including Neer, Hawkins, or Jobe test.

Exclusion criteria

• Fibromyalgia.
• Fracture, dislocation, or subluxation of the shoulder.
• history of trauma.
• shoulder surgery.
• numbness or tingling in the upper limb.
• Corticosteroids injection within 1 year.
• systemic illness.
• ligamentous laxity

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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38 participants in 2 patient groups

group A (controlled group)

Active Comparator group

Description:

received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.

Treatment:

Other: biomechanical scapular mobilization with movement and motor learning

group B(Study group)

Active Comparator group

Description:

All patients in group B received biomechanical scapular mobilization with movement and motor learning and traditional methods.

Treatment:

Other: biomechanical scapular mobilization with movement and motor learning