Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Effects of Dynamic Humeral Centering Exercises on Functionality and Disability in Subacromial Pain Syndrome

Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

Study Overview

• Status: Recruiting
• Conditions: Shoulder Impingement Syndrome; Shoulder Pain
• Intervention / Treatment: Behavioral: Conventional physical therapy; Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises

• Study Type: Interventional
• Enrollment (Estimated): 84
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Chile
  • Antofagasta, Chile, 1240000
    • Recruiting
    • Universidad de Antofagasta
    • Contact: Juan Guerrero, MSc; Phone Number: 7067 56957601527; Email: juan.guerrero@uantof.cl

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Older than 18 years old and less than 60 years old.
• Pain in the lateral and upper arm region for more than two weeks of evolution.
• At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch.

Exclusion Criteria:

• Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia.
• Cervical or thoracic pain.
• Fracture or surgery in the shoulder region or in the last 6 months.

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
Active Comparator: Control group; Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise	Behavioral: Conventional physical therapy; Manual techniques and therapeutic exercise
Experimental: Experimental group; Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises	Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises; Manual techniques and therapeutic exercise and active dynamic humeral centering exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Subacromial space dimensions	Ultrasonography measure of coracohumeral and acromiohumeral distances	baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest	baseline
Range of motion	Active and passive range of motion in coronal, sagital and transverse planes	baseline
Muscular endurance	Time (in seconds) it takes for the participant to become fatigued when performing repetitive movements with the upper extremity in the frontal plane	baseline
Muscular endurance	Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane	baseline
Shoulder Pain and Disability Index	Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)	baseline

Collaborators and Investigators

• Sponsor: Universidad de Antofagasta

Study record dates

Study Major Dates

• Study Start (Actual): March 6, 2023
• Primary Completion (Estimated): July 24, 2025
• Study Completion (Estimated): December 18, 2025

Study Registration Dates

• First Submitted: May 18, 2023
• First Submitted That Met QC Criteria: May 27, 2023
• First Posted (Actual): June 7, 2023

Study Record Updates

• Last Update Posted (Estimated): January 15, 2024
• Last Update Submitted That Met QC Criteria: January 12, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Pain; Neurologic Manifestations; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Arthralgia; Syndrome; Shoulder Impingement Syndrome; Shoulder Pain
• Other Study ID Numbers: 17798315

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: The information will be provided to other researchers upon request to the principal investigator of the project.
• IPD Sharing Time Frame: Data will be available once there are publications associated with the clinical trial. These data will be available for 4 years.
• IPD Sharing Access Criteria: By e-mail request
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

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