Clinical trial NCT04667273: Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome
Official title: Effectiveness of Neuromuscular Electrical Stimulation in Patients With Subacromial Impingement Syndrome: Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Subacromial Impingement Syndrome
Keywords: Shoulder impingement syndrome
Visual Analog Scale
Range of motion
Muscle strength
Sleep
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2020-12-14
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The sample of the study will consist of patients with subacromial impingement syndrome (SIS) who were referred to Istanbul University Cerrahpaşa Physical Therapy and Rehabilitation Department by an orthopedist. Forty eight SIS patients will be included in the study. Patients who meet the inclusion criteria will be divided into two groups.

Group 1: Exercise Training+ Neuromuscular Electrical Stimulation Group 2: Exercise Training
Primary purpose: TREATMENT

Brief summary: Subacromial Impingement Syndrome (SIS) is one of the musculoskeletal system problems. SIS, which is the most common cause of shoulder pain, constitutes 44-65% of complaints of shoulder pain. Studies have shown that exercise is effective in treating patients with SIS, but the effectiveness and superiority of Neuromuscular Electrical Stimulation (NMES) to each other is uncertain. NMES is widely applied in physiotherapy. In the SIS, the lower trapezius and serratus anterior muscle are affected. Therefore, our aim is to determine the effects of exercises and NMES used in patients with SIS on pain, range of motion (ROM), muscle strength and functional status, neck pain and sleep quality.

Detailed description: The aim of this study investigate exercise training (ET) and ET combined with Neuromuscular Electrical Stimulation (NMES) on pain, range of motion (ROM), functional capacity, neck pain, sleep quality. The study will be included 48 volunteers with Subacromial Impingement Syndrome (SIS). The study's inclusion criteria are as follows: Having a diagnosis of subacute / chronic extrinsic SIS, 18 to 65 years of age and being volunteer. The exclusion criteria are as follows: Fracture or surgical history in the shoulder region, another diagnosis that can affect shoulder function, having received local corticosteroid injection / treatment in the shoulder joint within the last 3 months, neuromuscular disease, pregnancy, cancer, unstabil angina, communication problems, systemic inflammatory joint disease, situations where electrical stimulation and exercise are contraindicated, orthopedic, rheumatologic or congenital disease of the affected upper extremity. The sociodemographic data of the patients will be questioned. ET will be applied daily and NMES will be applied 2 days a week for 8 weeks. In addition, both groups will apply these exercises as a home program 3 times a day, 10 repetitions of each exercise. Pain intensity with Visual Analog Scale (VAS), range of motion (ROM) with goniometer, muscle strength with Hand-held Dynamometer, upper extremity function evaluation with Quick Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire, disability of neck level with Neck Disability Index, sleep quality with Pittsburgh Sleep Quality Index will be evaluated before and after treatment. All parameters will be compared between ET and ET+NMES group.

Eligibility criteria: Inclusion Criteria:

* Having a diagnosis of subacute / chronic extrinsic SIS
* 18 to 65 years of age
* Being volunteer

Exclusion Criteria:

* Fracture or surgical history in the shoulder region
* Another diagnosis that can affect shoulder function
* Having received local corticosteroid injection / treatment in the shoulder joint within the last 3 months
* Neuromuscular disease
* Pregnancy
* Cancer
* Unstabil angina
* Communication problems
* Systemic inflammatory joint disease
* Situations where electrical stimulation and exercise are contraindicated
* Orthopedic, rheumatologic or congenital disease of the affected upper extremity

Primary outcomes:
measure: Disability Arm Shoulder Hand Questionnaire (DASH)
timeFrame: 8 weeks
Secondary outcomes:
measure: Visual Analog Scale (VAS)
timeFrame: 8 weeks
measure: Goniometer
timeFrame: 8 weeks
measure: Digital hand-held dynamometer
timeFrame: 8 weeks
measure: Neck Disability Index
timeFrame: 8 weeks
measure: Pittsburgh Sleep Quality Scale
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University
Study officials:
affiliation: İstanbul Üniversitesi- Cerrahpaşa İstanbul, Türkiye
name: Ebru Kaya Mutlu, Assoc. Prof.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bdaiwi AH, Mackenzie TA, Herrington L, Horsley I, Cools AM. Acromiohumeral Distance During Neuromuscular Electrical Stimulation of the Lower Trapezius and Serratus Anterior Muscles in Healthy Participants. J Athl Train. 2015 Jul;50(7):713-8. doi: 10.4085/1062-6050-50.4.03. Epub 2015 May 1.
citation: Camargo PR, Alburquerque-Sendin F, Avila MA, Haik MN, Vieira A, Salvini TF. Effects of Stretching and Strengthening Exercises, With and Without Manual Therapy, on Scapular Kinematics, Function, and Pain in Individuals With Shoulder Impingement: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2015 Dec;45(12):984-97. doi: 10.2519/jospt.2015.5939. Epub 2015 Oct 15.