Suspension System on Impingement Syndrome

Study Overview
=================
Brief Summary
-----------------
To investigate the effect of shoulder exercise using a selected suspension system exercise program on pain, disability, functional performance and proprioception in patients with subacromial impingement syndrome.

Detailed Description
-----------------
Two groups were assigned to this study, the first one received four conventional exercises that designed for shoulder impingement syndrome, the second group received the same four conventional exercises plus four selected suspension system exercises. The sessions were conducted three times per week fir four weeks.

Official Title
-----------------
Effect of a Selected Suspension System Exercise Program on Patients With Subacromial Impingement Syndrome

Conditions
-----------------
Impingement Syndrome

Intervention / Treatment
-----------------
* Device: Suspension system
* Device: Dumbbells


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Fifty-eight subjects with SIS (more than three months). Their age ranges from 20-45 years old Level of pain (at least 2/10 on VAS) Body mass index (BMI) between 18-25 Subjects must show positive results in at least two of the following tests: Neer's impingement test, Hawkins-Kennedy test, supraspinatus (empty can) test, apprehension and relocation test. Exclusion Criteria: The subjects will be excluded if they had: Received physiotherapy at last 3 months. Received corticosteroids injection in subacromial space at last 3 months. Received anti-inflammatory medications. Have a fracture or dislocation in shoulder, neck and thoracic regions. Have an acute rotator cuff tear. Have tumor or malignancy in shoulder region. Have neurologic problems in shoulder, neck and thoracic regions. Have cooperation difficulties due to cognitive disorders.

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 45 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Conventional exercises for impingement syndrome<br>Four exercises (prone extension, side-lying external rotation, side-lying forward flexion, prone horizontal abduction with external rotation) will be performed for three sets of 10 repetitions | Device: Dumbbells<br>* Participants will be tested by four exercises designed for impingement syndrome using Dumbbells<br>|
| Experimental: Suspension system exercises for impingement syndrome<br>Four exercises (Kneeling shoulder extension, Supine/ standing / kneeling row, sitting press up, kneeling push up) will be performed for 3-6 sets of 10 repetitions | Device: Suspension system<br>* Participants will be tested by four exercises designed for impingement syndrome using the suspension system<br>* Other names: Neurac system;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in active shoulder ROM | Proprioception will be tested by using inclinometer to determine patient's active shoulder range of motion for internal and external rotation, flexion, and extension | Baseline | 
| Improvement in functional performance | Assessment of function using SPADI subscale which contains 13 items that assess two domains; a 5-item subscale that measures pain and 8-item subscale that measures disability. In addition, Several non-specific strength/power tests may assist in determining the level of functional performance of the patients | Baseline |