Assessment of Thoracolumbar Fascia Length

Study Overview
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Brief Summary
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The purpose of the study is to compare the elasticity of thoracolumbar fascia in patients with and without subacromial impingement syndrome. 30 patients diagnosed as subacromial impingement syndrome in physical medicine and rehabilitation department of Baskent University will be recruited as group 1. 30 healthy volunteers will be recruited as group 2. Visual Analogue Scale (VAS) with the aim of assessing pain severity, tape measurement for posterior capsule shortness; body lateral flexion, rotation and extensor movements and lumbar extensor shortness will be observed for correlation with thoracalumbal fascia flexibility. Lateral flexion, flexion, and extension movements will be measured using goniometry for trunk normal joint movements. The thoracolumbar fascia length test and Modify Schober test will be used for thoracolumbar fascia length.

Official Title
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Assessment of Thoracolumbar Fascia Length in Patients With Subacromial Impingement Syndrome

Conditions
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Fascia

Intervention / Treatment
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* Diagnostic Test: Visual Analogue Scale
* Diagnostic Test: posterior capsule tightness
* Diagnostic Test: shortness tests for lumbar movements
* Diagnostic Test: range of motion tests for lumbar movements
* Diagnostic Test: The thoracolumbar fascia length test
* Diagnostic Test: Modify Schober test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 30 patients with Subacromial Impingement Syndrome and 30 volunteers between ages of 20-40 years both sexes Exclusion Criteria: having lumbar surgery having problem with lumbar region in last 6 months having scoliosis radiologically diagnosed kiphosis MR diagnosed lumbar and thoracic herniation positive sacroiliac tests restricted pelvic motion having scapular dyskinesia

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group 1<br>Assessments will be done for 30 patients diagnosed as subacromial impingement syndrome in physical medicine and rehabilitation department of Baskent University. | Diagnostic Test: Visual Analogue Scale<br>* intensity of pain perception patients feel<br>Diagnostic Test: posterior capsule tightness<br>* tape measurement for posterior capsule tightness with patients lying at side and horizontally adducting their shoulder.<br>Diagnostic Test: shortness tests for lumbar movements<br>* tape measurement for lumbar movements<br>Diagnostic Test: range of motion tests for lumbar movements<br>* range of motion measurements for lumbar flexion, extension and lateral flexion with goniometer.<br>Diagnostic Test: The thoracolumbar fascia length test<br>* patient sitting straight with shoulders at horizontal plane, both the arms are asked to rotated with primarily spinal rotation. the degree of rotation gives idea about the thoracolumbar fascia length<br>Diagnostic Test: Modify Schober test<br>* tape measurement of spinal flexion between designated regions<br>|
| Group 2<br>Assessments will be done for 30 healthy volunteers | Diagnostic Test: Visual Analogue Scale<br>* intensity of pain perception patients feel<br>Diagnostic Test: posterior capsule tightness<br>* tape measurement for posterior capsule tightness with patients lying at side and horizontally adducting their shoulder.<br>Diagnostic Test: shortness tests for lumbar movements<br>* tape measurement for lumbar movements<br>Diagnostic Test: range of motion tests for lumbar movements<br>* range of motion measurements for lumbar flexion, extension and lateral flexion with goniometer.<br>Diagnostic Test: The thoracolumbar fascia length test<br>* patient sitting straight with shoulders at horizontal plane, both the arms are asked to rotated with primarily spinal rotation. the degree of rotation gives idea about the thoracolumbar fascia length<br>Diagnostic Test: Modify Schober test<br>* tape measurement of spinal flexion between designated regions<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| thoracolumbar fascia length test | thoracolumbar fascia length | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale measurement in cm with 0 pointing no pain and 10 pointing worst pain. patient marks the intensity of his/her pain in a 10 cm line and researcher measures the intensity of the pain with a tape. | pain intensity | 1 week | 
| Goniometric measurement | lumbar movements | 1 week | 
| Shortness measurement with tape measurement in cm. patient stretches the posterior capsule and the beginning and the end positions are measured with tape. | posterior capsule shortness | 1 week | 
| lumbar extensor shortness test measurement in cm | lumbar extensor shortness | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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thoracolumbar fascia, subacromial impingement syndrome