Effect of Cervical Mobilization on Rotator Cuff Tendinitis

Study Overview
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Brief Summary
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this study aimed to investigate the effect of 3 types of cervical mobilization on the strength of shoulder abductors, external rotators and pain level in patient with rotator cuff tendinitis. the measurement will be made immediately, 10 minutes, and 30 minutes after mobilization

Detailed Description
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subjects will be allocated according to the inclusion and exclusion criteria from outpatient clinic at El sahel teaching hospital. they will be assigned randomly into 3 groups, each group will receive certain type of cervical mobilization. the outcome measures will be measured before, immediate, 10 minutes, and 30 minutes after treatment

Official Title
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Immediate and Carry Over Effect of Different Cervical Mobilization Techniques on Rotator Cuff Tendinitis Patients

Conditions
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Rotator Cuff Tendinitis

Intervention / Treatment
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* Procedure: cervical mobilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients will be included if they have rotator cuff tendinitis Exclusion Criteria: Patients will be excluded if they had recent neck trauma or acute whiplash disorder ,any intra articular injection in the gleno-humeral joint during last three months, patients with musculoskeletal disorder (any type of fracture), any history of surgery on that shoulder and tendon calcification, cervical rib, rotator cuff tear.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: group A<br>This group will receive antero-posterior cervical mobilization at c5-6 grade III oscillation | Procedure: cervical mobilization<br>* 3 types of cervical mobilization at the level of C 5- 6<br>|
| Active Comparator: group B<br>This group will receive lateral glide cervical mobilization at c5-6 grade III oscillation | Procedure: cervical mobilization<br>* 3 types of cervical mobilization at the level of C 5- 6<br>|
| Active Comparator: group C<br>This group will receive postero-anterior cervical mobilization at c5-6 grade III oscillation | Procedure: cervical mobilization<br>* 3 types of cervical mobilization at the level of C 5- 6<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in strength of shoulder abductors | strength testing with a hand-held dynamometer will be applied for 3 groups using Isometric contraction of shoulder abductors | before treatment, immediate, 10 minutes, and 30 minutes after cervical mobilization | 
| change in strength of shoulder external rotators | strength testing with a hand-held dynamometer will be applied for 3 groups using Isometric contraction of shoulder external rotators | before treatment, immediate, 10 minutes, and 30 minutes after cervical mobilization | 
| change in pain level | pain severity will be measured using visual analogue scale for 3 groups | before treatment, immediate, 10 minutes, and 30 minutes after cervical mobilization |