Clinical trial NCT06156475: The Physiotherapy Approaches in Patients With Subacromial Impingement Syndrome
Official title: The Effect of Electromyographic Biofeedback and Proprioception Exercises on Pain and Functionality in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Subacromial Impingement Syndrome
Keywords: Shoulder impingement syndrome
shoulder pain
proprioception
biofeedback
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2023-12-05
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 study consisted of patients with subacromial impingement syndrome evaluated by an orthopedist. Patients who met the inclusion criteria were divided into two groups.
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effectiveness of Electromyographic Biofeedback with proprioception exercises on pain, range of motion, muscle strength, proprioception and functionality in patients with subacromial impingement syndrome.

Detailed description: This study is planned as a prospective, randomized clinical study. Patients with subacromial impingement syndrome who volunteered to participate in the study, met the inclusion criteria, and signed the consent form were randomly assigned to the proprioception exercise group and the proprioception exercise with electromyographic biofeedback group. Demographic and clinical data of the patients were recorded. Shoulder function with Disabilities of the Arm, Shoulder and Hand scale, pain with VAS, painless active shoulder flexion, abduction, and external-internal rotation with goniometer, muscle strength with Manual Muscle Tester, proprioception (55°-90°- 125° angles of flexion and abduction, and angular deviations) with the Laser-pointer assisted angle reproduction test were evaluated, and patient satisfaction was evaluated with The Global Rating of Change Scale. After the initial evaluations were completed, only proprioception exercises and proprioception exercises with EMG-BF were applied 2 days a week for 8 weeks. Additionally, both groups were given Want exercises.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with subacromial impingement syndrome,
* Being between the ages of 18 and 65,
* Not having received medical treatment,
* Not having received a shoulder-related physiotherapy program in the last year,
* Not having had any shoulder-related surgery,

Exclusion Criteria:

* Neurological deficits of the upper extremity and the presence of another orthopedic disorder, rheumatic or congenital disease other than subacromial impingement syndrome,
* Presence of mental problem,
* Having received corticosteroid treatment in the last year,
* Upper extremity fracture,
* Acute cervical pathology,
* Having cardiovascular and systemic diseases that prevent working,
* Pregnancy,
* Those with communication problems.

Primary outcomes:
measure: Disabilities of the Arm, Shoulder and Hand scale
timeFrame: 8 weeks
Secondary outcomes:
measure: Visual analogue scale
timeFrame: 8 weeks
measure: Joint range of motion
timeFrame: 8 weeks
measure: Muscle strength
timeFrame: 8 weeks
measure: Proprioception
timeFrame: 8 weeks
measure: Patient satisfaction
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Aydin University
state: Florya
Study officials:
affiliation: Bandırma Onyedi Eylül University
name: Ebru Kaya Mutlu, Professor
role: PRINCIPAL_INVESTIGATOR
affiliation: Istabul Aydin University
name: Buse Aydin, M.Sc.
role: STUDY_CHAIR
affiliation: Mustafa Kemal University
name: Yasemin Karaaslan, Asst. Prof.
role: STUDY_CHAIR
affiliation: Istanbul Aydın University
name: Hanifegül Taskiran, Professor
role: STUDY_CHAIR
affiliation: Acıbadem Mehmet Ali Aydınlar University
name: Nezih Ziroglu, MD
role: STUDY_CHAIR
References: