Assessment of Thoracolumbar Fascia Length

Assessment of Thoracolumbar Fascia Length in Patients With Subacromial Impingement Syndrome

The purpose of the study is to compare the elasticity of thoracolumbar fascia in patients with and without subacromial impingement syndrome.

30 patients diagnosed as subacromial impingement syndrome in physical medicine and rehabilitation department of Baskent University will be recruited as group 1. 30 healthy volunteers will be recruited as group 2. Visual Analogue Scale (VAS) with the aim of assessing pain severity, tape measurement for posterior capsule shortness; body lateral flexion, rotation and extensor movements and lumbar extensor shortness will be observed for correlation with thoracalumbal fascia flexibility. Lateral flexion, flexion, and extension movements will be measured using goniometry for trunk normal joint movements. The thoracolumbar fascia length test and Modify Schober test will be used for thoracolumbar fascia length.

Study Overview

• Status: Completed
• Conditions: Fascia
• Intervention / Treatment: Diagnostic test: Visual Analogue Scale; Diagnostic test: posterior capsule tightness; Diagnostic test: shortness tests for lumbar movements; Diagnostic test: range of motion tests for lumbar movements; Diagnostic test: The thoracolumbar fascia length test; Diagnostic test: Modify Schober test

• Study Type: Observational
• Enrollment (Actual): 60

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06810
    • Başkent University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 40 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

30 patients with Subacromial Impingement Syndrome and 30 volunteers

Description

Inclusion Criteria:

• 30 patients with Subacromial Impingement Syndrome and 30 volunteers
• between ages of 20-40 years
• both sexes

Exclusion Criteria:

• having lumbar surgery
• having problem with lumbar region in last 6 months
• having scoliosis
• radiologically diagnosed kiphosis
• MR diagnosed lumbar and thoracic herniation
• positive sacroiliac tests
• restricted pelvic motion
• having scapular dyskinesia

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Group 1; Assessments will be done for 30 patients diagnosed as subacromial impingement syndrome in physical medicine and rehabilitation department of Baskent University.	Diagnostic test: Visual Analogue Scale; intensity of pain perception patients feel; Diagnostic test: posterior capsule tightness; tape measurement for posterior capsule tightness with patients lying at side and horizontally adducting their shoulder.; Diagnostic test: shortness tests for lumbar movements; tape measurement for lumbar movements; Diagnostic test: range of motion tests for lumbar movements; range of motion measurements for lumbar flexion, extension and lateral flexion with goniometer.; Diagnostic test: The thoracolumbar fascia length test; patient sitting straight with shoulders at horizontal plane, both the arms are asked to rotated with primarily spinal rotation. the degree of rotation gives idea about the thoracolumbar fascia length; Diagnostic test: Modify Schober test; tape measurement of spinal flexion between designated regions
Group 2; Assessments will be done for 30 healthy volunteers	Diagnostic test: Visual Analogue Scale; intensity of pain perception patients feel; Diagnostic test: posterior capsule tightness; tape measurement for posterior capsule tightness with patients lying at side and horizontally adducting their shoulder.; Diagnostic test: shortness tests for lumbar movements; tape measurement for lumbar movements; Diagnostic test: range of motion tests for lumbar movements; range of motion measurements for lumbar flexion, extension and lateral flexion with goniometer.; Diagnostic test: The thoracolumbar fascia length test; patient sitting straight with shoulders at horizontal plane, both the arms are asked to rotated with primarily spinal rotation. the degree of rotation gives idea about the thoracolumbar fascia length; Diagnostic test: Modify Schober test; tape measurement of spinal flexion between designated regions

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
thoracolumbar fascia length test	thoracolumbar fascia length	1 week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analogue Scale measurement in cm with 0 pointing no pain and 10 pointing worst pain. patient marks the intensity of his/her pain in a 10 cm line and researcher measures the intensity of the pain with a tape.	pain intensity	1 week
Goniometric measurement	lumbar movements	1 week
Shortness measurement with tape measurement in cm. patient stretches the posterior capsule and the beginning and the end positions are measured with tape.	posterior capsule shortness	1 week
lumbar extensor shortness test measurement in cm	lumbar extensor shortness	1 week

Collaborators and Investigators

• Sponsor: Baskent University

Study record dates

Study Major Dates

• Study Start (ACTUAL): November 1, 2017
• Primary Completion (ACTUAL): May 1, 2018
• Study Completion (ACTUAL): May 1, 2018

Study Registration Dates

• First Submitted: January 10, 2018
• First Submitted That Met QC Criteria: January 23, 2018
• First Posted (ACTUAL): January 30, 2018

Study Record Updates

• Last Update Posted (ACTUAL): January 16, 2019
• Last Update Submitted That Met QC Criteria: January 15, 2019
• Last Verified: January 1, 2019

More Information

Terms related to this study

• Keywords: subacromial impingement syndrome; thoracolumbar fascia
• Additional Relevant MeSH Terms: Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Shoulder Impingement Syndrome
• Other Study ID Numbers: KA17/273

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No