Effect of High Intensity Exercises in Treatment of Patients With Shoulder Impingement Syndrome

Study Overview
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Brief Summary
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Purposes of the study To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome

Detailed Description
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Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Official Title
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Effect of Adding High Intensity Exercises to Conventional Physical Therapy in Treatment of Athlete Patients With Shoulder Impingement Syndrome

Conditions
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Shoulder Impingement Syndrome

Intervention / Treatment
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* Other: High intensity shoulder exercise
* Other: Conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Athletic patients Age of the patients between 18 - 35 years Unilateral shoulder pain more than 3 months. Positive Hawkins test. Positive empty or full cane test. Pain at night or incapable of lying on the shoulder. Pain with active shoulder elevation in the scapular plane. History of pain in the C5-C6 dermatome. Pain with palpation of the rotator cuff tendons. The patient had pain with resisted isometric abduction Exclusion Criteria: History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation). Clinical sign of cervical radiculopathy. History of acromio -clavicular pain. Rheumatoid Arthritis. Adhesive capsulitis. Tumors Labrum lesions Capsular or ligamentous tears or avulsions Cartilage lesions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: High intensity exercise + Conventional physical therapy<br>Patients in this group will receive High-intensity exercise + Conventional physical therapy | Other: High intensity shoulder exercise<br>* Exercises that target the rotator cuff muscles using 90% of one repetition maximum only for 5 repetitions<br>Other: Conventional physical therapy<br>* Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises<br>|
| Active Comparator: Conventional physical therapy<br>Patients in this group will receive Conventional physical therapy | Other: Conventional physical therapy<br>* Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain and function | Shoulder pain and disability index (SPADI) | Change from Baseline pain and function at 6 weaks | 
| Supraspinatus muscle thickness | Diagnostic Ultrasound | Change from Baseline Supraspinatus muscle thickness at 6 weaks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sub acromial space (Acromiohumeral distance). | Diagnostic Ultrasound | Change from Baseline Sub acromial space at 6 weaks | 
| External and internal rotators muscle strength. | Hand-held dynamometer | Change from Baseline External and internal rotators muscle strength at 6 weaks | 
| supuraspinatus muscle strength | Hand-held dynamometer | Change from Baseline supuraspinatus muscle strength at 6 weaks | 
| shoulder performance | Timed push up test | Change from Baseline shoulder performance at 6 weaks |