EFFECT OF NEUROMUSCULAR TRAINING ON SHOULDER FUNCTION

EFFECT OF NEUROMUSCULAR TRAINING ON SHOULDER FUNCTION IN PATIENTS WITH SHOULDER IMPINGEMENT SYNDROME: A DOUBLE BLINDED RANDOMIZED CONTROLLED TRIAL

This study will be conducted to compare the effect of neuromuscular training versus traditional strength training in terms of shoulder joint function, proprioception accuracy and isometric external and internal rotator muscles strength in patients with SIS, it will be conducted at the out-patient clinic of physical therapy in Pharos University in Alexandria, Egypt

Study Overview

• Status: Not yet recruiting
• Conditions: NMT
• Intervention / Treatment: Other: traditional training exerises; Other: NEUROMUSCULAR TRAINING EXERCISE

Detailed Description

Double-blinded randomized controlled trial (patient and research assistant (the examiner of all patients) will be blinded).

Participants:

Thirty-four patients of both genders will be selected through non-probability sampling diagnosed as Neer's stage II SIS and their age range from 25-45 years will be randomly assigned to 1 of 2 groups. Each patient will sign an informed consent before starting the study (Appendix III).

Eligible patients will be recruited by physical therapist via referral from the treating orthopedic surgeon who will diagnose SIS based on clinical and radiological examination.

Group I (control): it includes 17 patients who will receive traditional strength training program.

Group II (experimental): it includes 17 patients who will receive upper extremity neuromuscular training exercises

• Study Type: Interventional
• Enrollment (Anticipated): 34
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: aya ahmed nada, master degree; Phone Number: +201285859034; Email: elnour653@gmail.com
• Study Contact Backup: Name: maha mostafa mohammed, associate professor; Phone Number: +201118803232; Email: maha.mostafa@pt.cu.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patient age from 25-40 with a clinical diagnosis of Neer's stage II SIS (Consigliere et al., 2018).

Shoulder pain for at least three months (Heron et al., 2017) Painful arc of movement during flexion or abduction (Heron et al., 2017). Positive Neer's or Kennedy- Hawkins Test (Heron et al., 2017). Pain on resisted external rotation, abduction or Empty Can Test (Ager et al., 2019).

Exclusion Criteria:

Symptoms of cervical radiculopathy. Diagnosed inflammatory disorder. Neurological disorder. Widespread pain condition. Evidence of complete RC tear (positive drop arm test). Previous surgery to the affected shoulder.

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Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group I (control); : it includes 17 patients who will receive traditional strength training program.	Other: traditional training exerises; traditional strength training exercises in group I
Experimental: Group II (experimental): it includes 17 patients who will receive upper extremity neuromuscular training exercises	Other: NEUROMUSCULAR TRAINING EXERCISE; patients will receive neuromuscular training exercises in group II

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
SPADI (The Shoulder Pain and Disability Index)	It is a self-report questionnaire for shoulder function	6 weeks
Inclinometer	joint position sense	6 weeks
Hand held dynamometer	isometric muscle strength	6 weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Anticipated): December 20, 2021
• Primary Completion (Anticipated): October 1, 2022
• Study Completion (Anticipated): December 1, 2022

Study Registration Dates

• First Submitted: September 1, 2021
• First Submitted That Met QC Criteria: September 1, 2021
• First Posted (Actual): September 9, 2021

Study Record Updates

• Last Update Posted (Actual): December 16, 2021
• Last Update Submitted That Met QC Criteria: December 15, 2021
• Last Verified: December 1, 2021

More Information

Terms related to this study

• Keywords: NMT= NEUROMUSCULAR TRAINING
• Other Study ID Numbers: shoulder neuromuscular

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