Effect of Closed-chain Shoulder Girdle Scapular Depression Exercise on Shoulder Impingement Syndrome

Comparison Between Closed-chain Shoulder Girdle Scapular Depression Exercise and Shoulder Girdle Depression Against Manual Resistance on Patients With Shoulder Impingement Syndrome

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

Study Overview

• Status: Recruiting
• Conditions: Shoulder Impingement Syndrome
• Intervention / Treatment: Other: Exercise

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

• Study Type: Interventional
• Enrollment (Estimated): 46
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Nasr A. Abdelkader, PhD; Phone Number: 00201025771117; Email: dr.nasrawad@cu.edu.eg

Study Locations

• Egypt
  • Kafr Ash Shaykh, Egypt
    • Recruiting
    • Kafr Elshiekh Hospital
    • Contact: Atef A. Nadier, PhD; Phone Number: 00201003867064; Email: atef.neder@pua.edu.eg

Participation Criteria

Eligibility Criteria

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

Description

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.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Study grou[p; Closed-chain shoulder girdle scapular depression exercise	Other: Exercise; Closed-chain Shoulder Girdle Scapular Depression Exercise
Active Comparator: control group; Shoulder girdle depression against manual resistance exercise	Other: Exercise; Closed-chain Shoulder Girdle Scapular Depression Exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain will be measured by visual analogue scale	10cm visual analogue scale (0= no pain, and 10= maximum pain) will be used to determine overall shoulder pain	10 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Range of motion (flexion and abduction) will be measured by Electronic goniometer	Electronic Goniometer will be used to measure shoulder range of motion (Flexion and abduction)	20 minutes
Function	shoulder function will be measured by western Ontario Rotator Cuff Questionnaire (WORC).	30 minutes

Collaborators and Investigators

• Sponsor: Nasr Awad Abdelkader Othman
• Collaborators: Atef Abdulalim Nadier, Pharos University; Ehab Ai Abdalah,Lecurer, Horus University

Study record dates

Study Major Dates

• Study Start (Estimated): February 1, 2024
• Primary Completion (Estimated): March 1, 2024
• Study Completion (Estimated): December 1, 2024

Study Registration Dates

• First Submitted: March 21, 2022
• First Submitted That Met QC Criteria: March 31, 2022
• First Posted (Actual): April 8, 2022

Study Record Updates

• Last Update Posted (Actual): February 8, 2024
• Last Update Submitted That Met QC Criteria: February 7, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Pathologic Processes; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Rupture; Shoulder Injuries; Tendon Injuries; Depression; Syndrome; Rotator Cuff Injuries; Shoulder Impingement Syndrome
• Other Study ID Numbers: P.T.REC/012/003377

Drug and device information, study documents

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