Clinical trial NCT05318209: Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome
Official title: Comparison Between Closed-chain Shoulder Girdle Scapular Depression Exercise and Shoulder Girdle Depression Against Manual Resistance on Patients With Shoulder Impingement Syndrome
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Shoulder Impingement Syndrome
Lead sponsor: Cairo University
Sponsor class: OTHER
Collaborators: name: Atef Abdulalim Nadier, Pharos University
name: Ehab Ai Abdalah,Lecurer, Horus University
First posted: 2022-04-08
Enrollment: 46
Sex: ALL
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule \& pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule \& pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .

The exercise program will consist of 3 sessions / week for 5 weeks

Detailed description: BACKGROUND:

Patients with shoulder impingment syndrome report disability, especially during overhead movements, which may hinder activities of daily living .

Muscular strengthening training influences the resting position and scapular movement pattern of subjects with shoulder impingement syndrome and improve function of the affected shoulder.

Therefore, the focus of treatment for the syndrome is on performing exercises, including stretching, strengthening, and neuromuscular control exercises.

Although multiple types of exercise, such as scapular stability exercises, strengthening of the rotator cuff through range, and flexibility exercises for the anterior and posterior shoulder exercise is effective in the management of patients with shoulder impingement syndrome, there is not enough evidence to say whether one mode of exercise is superior to another.

RESEARCH QUESTION:

Are there any difference between closed-chain shoulder girdle scapular depression exercise and shoulder girdle depression against manual resistance exercise on patients with shoulder impingement syndrome

METHODS:

forty patients will be assigned randomly into 2 equal groups Study group (n=23) will receive "closed-chain shoulder girdle scapular depression exercise" in addition to Stretching for posterior capsule \& pectoralis minor, Eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound Control group B (n=23) will receive "shoulder girdle depression against manual resistance exercise" in addition to stretching for posterior capsule \& pectoralis minor, eccentric exercise for external rotators and Strength exercises for serrates anterior and low intensity ultrasound .

The exercise program will consist of 3 sessions / week for 5 weeks

Eligibility criteria: Inclusion Criteria:

* Patients aged from 25 to 45 years old.
* Patients with shoulder impingement stage I \&II as judged by criteria of neer classification.
* Patients diagnosed by orthopedic surgeon with shoulder impingement, the diagnosis will be confirmed by positive Neer and Hawkins tests.

Exclusion Criteria:

* History of cardiac diseases or dyspnea on exertion
* Patients with cervical radiculopathy.
* Patients with shoulder instability.
* Patients with frozen shoulder.
* Acute shoulder trauma.

Primary outcomes:
measure: Pain will be measured by visual analogue scale
timeFrame: 10 minutes
Secondary outcomes:
measure: Range of motion (flexion and abduction) will be measured by Electronic goniometer
timeFrame: 20 minutes
measure: Function
timeFrame: 30 minutes
Other outcomes:
Locations:
city: Kafr Ash Shaykh
country: Egypt
facility: Kafr Elshiekh Hospital
Study officials:
References: