Clinical trial NCT01753271: Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement
Official title: Subacute Effects of Cervicothoracic Spinal Manipulation in Addition to Shoulder Manual Therapy Plus Exercise Intervention in Individuals With Subacromial Impingement Syndrome: a Randomized, Controlled Clinical Trial Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Subacromial Impingement Syndrome
Lead sponsor: High Point University
Sponsor class: OTHER
Collaborators: name: University of Illinois at Chicago
name: Walsh University
First posted: 2012-12-20
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement.

Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.


Eligibility criteria: Inclusion Criteria:

* To be eligible, participants must meet the clinical prediction rule for unilateral subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement sign, b) positive painful arc sign, and c) weakness in external rotation with the arm at the side

Exclusion Criteria:

* Individuals with contraindications to treatment with mobilization and manipulation (Appendix A) will be excluded

Primary outcomes:
measure: Shoulder Pain and Disability Index Change over time
timeFrame: 2 weeks, 4 weeks, discharge
Secondary outcomes:
measure: Numeric Pain Rating Scale change over time
timeFrame: 2 weeks, 4 weeks, discharge
measure: Fear Avoidance Beliefs Questionnaire change over time
timeFrame: 2 weeks, 4 weeks, discharge
Other outcomes:
measure: Shoulder range of motion change over time
timeFrame: 2 weeks, 4 weeks, discharge
measure: test of resistance change over time - number of repetitions performed
timeFrame: 2 weeks, 4 weeks, discharge
Locations:
city: Chicago
country: United States
facility: University of Illinois at Chicago
state: Illinois
city: Elizabethton
country: United States
facility: Physical Therapy Services
state: Tennessee
city: Johnson City
country: United States
facility: East Tennessee State University
state: Tennessee
Study officials:
affiliation: High Point University
name: Alexis A Wright, Phd
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wright AA, Donaldson M, Wassinger CA, Emerson-Kavchak AJ. Subacute effects of cervicothoracic spinal thrust/non-thrust in addition to shoulder manual therapy plus exercise intervention in individuals with subacromial impingement syndrome: a prospective, randomized controlled clinical trial pilot study. J Man Manip Ther. 2017 Sep;25(4):190-200. doi: 10.1080/10669817.2016.1251377. Epub 2016 Nov 7.