- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05546177
Effect Of Instrumented Assisted Soft Tissue Mobilization On Pain, Function And Proprioception In Patients With Shoulder Impingement Syndrome (SIS)
September 15, 2022 updated by: Nabil Mahmoud Ismail Abdel-Aal, Cairo University
Effect Of Instrumented Assisted Soft Tissue Mobilization On Pain, Function And Proprioception In Patients With Shoulder Impingement Syndrome. A Randomised Controlled Trial
this study will be conducted to investigate instrumented Assisted Soft Tissue Mobilization On Pain, Function And Proprioception In Patients With Shoulder Impingement Syndrome
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Shoulder impingement is a clinical syndrome in which soft tissues become painfully entrapped in the area of the shoulder joint.
Patients present with pain on elevating the arm or when lying on the affected side.
Shoulder pain is the third most common musculoskeletal complaint in orthopedic practice, and impingement syndrome is one of the more common underlying diagnoses.
On the pathophysiological level, it can have various functional, degenerative, and mechanical causes.
The impingement hypothesis assumes a pathophysiological mechanism in which different structures of the shoulder joint come into mechanical conflict.
The decision to treat conservatively or surgically is generally made on the basis of the duration and severity of pain, the degree of functional disturbance, and the extent of structural damage.
The goal of treatment is to restore pain-free and powerful movement of the shoulder joint.Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment for myofascial restriction which is applied using specially designed instruments to provide a mobilizing effect to soft tissue (e.g., scar tissue and myofascial adhesion) to decrease pain and improve range of motion (ROM) and function.
eighty patients will be allocated randomly into two equal groups; the experimental one will receive IASTM and the control will receive traditional therapy for eight weeks.
Study Type
Interventional
Enrollment (Anticipated)
80
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
25 years to 40 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with impingement syndrome from both genders.
- Age range from 25-40 years
- Body mass index 18.5-24.9 kg/m2
- Subjects are non-smokers.
- Shoulder impingement symptoms lasting at least 6 weeks
Exclusion Criteria:
- Hand truma, present pain or other kinds of complaints in the hand area.
- History of deformities, fractures, or surgery of the tested upper extremity joints affecting hand grip strength within the last 6 months.
- Presence of cardiopulmonary, hormonal disorder, central or peripheral neurological deficits or any condition that can influence the results.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: instrumented assisted soft tissue mobilization
the patients will receive instrumented assisted soft tissue mobilization three times a week for eight weeks
|
The subject will be treated with instrumented assisted soft tissue mobilization, applied to the upper and lower fibers of Pectoral, Trapezius (upper, middle and lower), Rhomboids major , Rhomboids minor, Teres minor, Teres major, and Latissimus dorsi muscles.
The IASTM technique was performed for 20 seconds parallel to the muscle fibers followed by 20 seconds perpendicular to the muscle fibers of each one of the selected muscle
the patients will receive Transcutaneous electrical nerve stimulation (TENS) to manage the pain,Ultrasound , Exercise including (Range of motion exercises, stretching exercises, and strengthening exercises (Scapular stabilization exercises and rotator cuff strengthening exercises)
|
Active Comparator: traditional therapy
the patients will receive traditional therapy three times a week for eight weeks
|
the patients will receive Transcutaneous electrical nerve stimulation (TENS) to manage the pain,Ultrasound , Exercise including (Range of motion exercises, stretching exercises, and strengthening exercises (Scapular stabilization exercises and rotator cuff strengthening exercises)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pain intensity
Time Frame: up to eight weeks
|
pain will be measured by visual analogue scale.
It is a vertical or horizontal 100 mm line graduated by different levels of pain, starting from 0 (no pain) till 100 (worst pain)
|
up to eight weeks
|
shoulder disability
Time Frame: up to eight weeks
|
The Arabic version of Disabilities of arm, shoulder, and hand (DASH) will be used for assessing shoulder function.
DASH questionnaire includes 30 items with score from 0 to 100.
A score of 0 represents no disability, while a score of 100 represents the most sever.
|
up to eight weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
shoulder range of motion
Time Frame: up to eight weeks
|
inclinometer will be used to assess shoulder range of motion.
|
up to eight weeks
|
shoulder proprioception
Time Frame: up to eight weeks
|
inclinometer will be used to assess shoulder proprioception
|
up to eight weeks
|
rounded shoulder
Time Frame: up to eight weeks
|
tape measure will be used to assess the rounded shoulder
|
up to eight weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
September 25, 2022
Primary Completion (Anticipated)
April 30, 2023
Study Completion (Anticipated)
April 30, 2023
Study Registration Dates
First Submitted
September 15, 2022
First Submitted That Met QC Criteria
September 15, 2022
First Posted (Actual)
September 19, 2022
Study Record Updates
Last Update Posted (Actual)
September 19, 2022
Last Update Submitted That Met QC Criteria
September 15, 2022
Last Verified
September 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- p.t.REC/012/002833
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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