Effects of Exercise Trainings on Pain, Function and AHD in Patients With SPS
Condition: Subacromial Impingement Syndrome
MeSH terms: Shoulder Impingement Syndrome; Syndrome
Study type: Interventional

Summary: 
      Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the
      aetiology of subacromial pain syndrome. Maintenance of the AHD is crucial for prevention and
      rehabilitation of rotator cuff related disorders.

      The development of a rehabilitation treatment plan is based in part on the assessment of
      scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be
      based on the identified impairments.

      The aim of this study is to investigate the effect of utilizing scapula retraction exercises
      with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a
      scapular stabilization program on functionality, pain and AHD in patients with SPS and
      compare with health population.
    

Detailed description: 
      Coordinated motion between the humerus and scapula is required for pain-free arm movement.
      Rotator cuff and scapulothoracic muscles dynamically control the subacromial space or
      acromiohumeral distance (AHD).Scapulothoracic muscles need to provide stability and control
      in a synchronized fashion to facilitate normal scapulohumeral movement. Scapular upward
      rotation and posterior tilt is essential to maintain the AHD.Therefore, the force couple
      function of the rotator cuff muscles play an critical role in opposing the superior migration
      force that is generated by deltoid muscle and, to maintenance the subacromial space.

      Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the
      aetiology of subacromial impingement syndrome. Maintenance of the AHD is crucial for
      prevention and rehabilitation of rotator cuff related disorders.

      The development of a rehabilitation treatment plan is based in part on the assessment of
      scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be
      based on the identified impairments.

      he aim of this study is to investigate the effect of utilizing scapula retraction exercises
      with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a
      scapular stabilization program on functionality, pain and AHD in patients with SPS and
      compare with health population.
    

Intervention name(s): Scapula Retraction Exercise Group; Scapula Retraction +Glenohumeral Rotational Exercise Group
Intervention type(s): Other; Other
Intervention description(s): physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions.
After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up.; physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic and also rotator cuff muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions.
After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up
Other intervention name(s): scapula stabilization exercises; Scapula stabilization +Glenohumeral Rotational Exercise Group
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: acromiohumeral distance; pain; functional level; Subacromial Impingement Syndrome