Manual Therapy Versus Conventional Rehabilitation Protocol on Subacromial Pain Syndrome

Study Overview
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Brief Summary
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This study compares the periodic effects of Accelerated rehabilitation protocol (ARP) and Mulligan mobilization with mowement method (MWM) in subacromial pain syndrome patients rehabilitation. Half of the participants will receive ARP, while the other half will receive MWM.

Official Title
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Comparison of the Effects of Mulligan Mobilization With Movement Method and Accelerated Rehabilitation Protocol on Shoulder Pain and Functions in Subacromial Pain Syndrome: A Randomized Single Blind Trial

Conditions
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Subacromial Impingement Syndrome

Intervention / Treatment
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* Other: accelerated protocol and mulligan method


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: to be in the 18-60 age range, to be cooperative during evaluation and treatment and to accept to participate in the study Exclusion Criteria: the presence of adhesive capsulitis, surgical indication or shoulder surgery, cervicothoracic problems (such as stenosis and disc herniation) diagnosed as neurological or inflammatory joint diseases

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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 |
| --- | --- |
| Experimental: mulligan method<br>Mulligan mobilization with mowement method every three days for six weeks | Other: accelerated protocol and mulligan method<br>* manual therapy technic<br>|
| Experimental: accelerated protocol<br>accelerated rehabilitation protocol every three days for six weeks | Other: accelerated protocol and mulligan method<br>* manual therapy technic<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder Pain and Disability Index | It consists of 13 questions in two sections as 5 pain questions and 8 disability questions. Both sections are scored with VAS. The total score range is between 0-130 and it is calculated with the percentage score. Pain and disability are inversely proportional with the percentage score | two weeks | 
| Visual Analogue Scale | to record pain intensity during rest and active shoulder movements. The patient is asked to mark the point corresponding to the pain (0 no pain and 10 maximal pain) on 10 cm horizontal line. The distance between the marked point and the beginning is recorded as a pain score | two weeks | 
| Active Range of Motion measurement | Conventional goniometer with 1° increments is used to determine shoulder limitations due to pain in patients | two weeks | 
| Subacromial Interval Measurement | Subacromial interval measurement was performed via anterior-posterior shoulder radiography | six weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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shoulder pain