Clinical trial NCT04701814: The Effect of Biomechanical Scapular Mobilization With Movement and Motor Learning
Official title: The Effect of Biomechanical Scapular Mobilization With Movement and Motor Learning in Shoulder Impingement Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Impingement Syndrome
Lead sponsor: Pharos University in Alexandria
Sponsor class: OTHER
First posted: 2021-01-08
Enrollment: 38
Sex: FEMALE
Minimum age (years): 25
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Patients were divided randomly in two equal groups (A and B): Group A (controlled group):

They were received traditional physical therapy program including: passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM), strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). Group B (study group): they have received the same physical therapy program as in group A, in addition to Biomechanical scapular mobilization with movement and motor learning.
Primary purpose: TREATMENT

Brief summary: the study about new mobilization technique used in shoulder impingement syndrome patient to increase the range of motion of elevation, decrease the pain, and increasing the function level, this technique is based on normal mechanics that occur inside the joint during certain movement.

Detailed description: The study is about a new technique of mobilization based on normal biomechanics that occurs during the movements of a joint. For example, shoulder abduction or elevation needs the scapula to move upward rotation with posterior tilt and external rotation. Moreover, needs glenohumeral (GH) joint glide inferior and posterior these movements occur normally to permit us to elevate our shoulder without any restriction and the full range of motion(ROM). so in the patients with shoulder problems and have difficulties reaching full ROM of elevation the investigators applied mobilization of scapula toward upward rotation with external rotation and posterior tilt and by using mobilization belt applied posterior and inferior glide to GH joint. However, mobilization techniques have a short-term effect to enhance this effect, the investigators adding a motor learning approach to achieve a long-term effect and prevent recurrent .the investigators applied this technique 3 times per week for 3 weeks.

Eligibility criteria: Inclusion Criteria:

clinical diagnosis: shoulder impingement syndrome.

1. History of shoulder pain when they elevated their arm.
2. Limited range of motion due to the pain.
3. Pain localized at the painful point at proximal anterolateral shoulder region or medical diagnosis of shoulder impingement syndrome with at least 2 positive impingement tests including Neer, Hawkins, or Jobe test.

Exclusion Criteria:

* Fibromyalgia.
* Fracture, dislocation, or subluxation of the shoulder.
* history of trauma.
* shoulder surgery.
* numbness or tingling in the upper limb.
* Corticosteroids injection within 1 year.
* systemic illness.
* ligamentous laxity

Primary outcomes:
measure: Visual Analogue Scale
timeFrame: 3 weeks
measure: Universal Goniometer
timeFrame: 3 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Alexandria
country: Egypt
facility: Pharos university in Alexandria
Study officials:
affiliation: Pharos University in Alexandria
name: Moataz A. Mohamed, (B.Sc.P.T.)
role: STUDY_CHAIR
References:
citation: Surenkok O, Aytar A, Baltaci G. Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial. J Sport Rehabil. 2009 Nov;18(4):493-501. doi: 10.1123/jsr.18.4.493.