Effect of High Intensity Exercises in Treatment of Patients With Shoulder Impingement Syndrome

Effect of Adding High Intensity Exercises to Conventional Physical Therapy in Treatment of Athlete Patients With Shoulder Impingement Syndrome

Purposes of the study

To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome

Study Overview

• Status: Completed
• Conditions: Shoulder Impingement Syndrome
• Intervention / Treatment: Other: High intensity shoulder exercise; Other: Conventional physical therapy

Detailed Description

Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • facult of physical therapy,MTI

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

1. Athletic patients
2. Age of the patients between 18 - 35 years
3. Unilateral shoulder pain more than 3 months.
4. Positive Hawkins test.
5. Positive empty or full cane test.
6. Pain at night or incapable of lying on the shoulder.
7. Pain with active shoulder elevation in the scapular plane.
8. History of pain in the C5-C6 dermatome.
9. Pain with palpation of the rotator cuff tendons.
10. The patient had pain with resisted isometric abduction

Exclusion Criteria:

1. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation).
2. Clinical sign of cervical radiculopathy.
3. History of acromio -clavicular pain.
4. Rheumatoid Arthritis.
5. Adhesive capsulitis.
6. Tumors
7. Labrum lesions
8. Capsular or ligamentous tears or avulsions
9. Cartilage lesions

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: High intensity exercise + Conventional physical therapy; Patients in this group will receive High-intensity exercise + Conventional physical therapy	Other: High intensity shoulder exercise; Exercises that target the rotator cuff muscles using 90% of one repetition maximum only for 5 repetitions; Other: Conventional physical therapy; Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises
Active Comparator: Conventional physical therapy; Patients in this group will receive Conventional physical therapy	Other: Conventional physical therapy; Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain and function	Shoulder pain and disability index (SPADI)	Change from Baseline pain and function at 6 weaks
Supraspinatus muscle thickness	Diagnostic Ultrasound	Change from Baseline Supraspinatus muscle thickness at 6 weaks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Sub acromial space (Acromiohumeral distance).	Diagnostic Ultrasound	Change from Baseline Sub acromial space at 6 weaks
External and internal rotators muscle strength.	Hand-held dynamometer	Change from Baseline External and internal rotators muscle strength at 6 weaks
supuraspinatus muscle strength	Hand-held dynamometer	Change from Baseline supuraspinatus muscle strength at 6 weaks
shoulder performance	Timed push up test	Change from Baseline shoulder performance at 6 weaks

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Principal Investigator: Abdallah Gamiel, MSc, Cairo university

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2023
• Primary Completion (Actual): December 25, 2023
• Study Completion (Actual): December 25, 2023

Study Registration Dates

• First Submitted: July 5, 2023
• First Submitted That Met QC Criteria: July 15, 2023
• First Posted (Actual): July 18, 2023

Study Record Updates

• Last Update Posted (Actual): April 1, 2024
• Last Update Submitted That Met QC Criteria: March 28, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Rupture; Shoulder Injuries; Tendon Injuries; Syndrome; Rotator Cuff Injuries; Shoulder Impingement Syndrome
• Other Study ID Numbers: P.T.REC/012/004361

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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