RELATION BETWEEN BODY POSTURE and SHOULDER DYSFUNCTION

CORRELATION BETWEEN SHOULDER DYSFUNCTION and FRONTAL PLANE POSTURE in SUBACROMIAL IMPINGEMENT SYNDROME

The purpose of this study will be to investigate if there is any correlation between shoulder dysfunction and the lateral alignment of the spine, scapular dyskinesia, pelvic tilting angle, Shoulder height angle, and trunk side bending (strength and mobility) in the frontal plane in patients with unilateral SIS.

Study Overview

• Status: Recruiting
• Conditions: Subacromial Impingement Syndrome; Frontal Plane Postural

Detailed Description

This study will be conducted to answer the following question:

Is there any correlation between shoulder dysfunction and the lateral alignment of the spine, scapular dyskinesia, pelvic tilting angle, Shoulder height angle, and trunk side bending (strength and mobility) in the frontal plane in patients with unilateral SIS?

This study will be limited to:

1. Thirty four (34) patients with unilateral SIS.
2. Male and female subjects will be included between 20 and 40 years of age .
3. Shoulder pain and disability level will be measured using the Arabic version of shoulder pain and disability index (SPADI).
4. Thoracolumbar lateral deviation will be measured using a scoliometer.
5. Scapular dyskinesia will be measured using lateral scapular slide test (LSST).
6. The pelvic tilting angle and shoulder height angle will be evaluated using Kinovea software.
7. Trunk side bending ROM will be evaluated using a bubble inclinometer .
8. Trunk side bending strength will be evaluated using a handheld dynamometer.

Assumptions:

It will be assumed that:

1. The instructions given to all individuals will be clear with satisfying explanations for all assessment methods.
2. All individuals will follow the instructions.

Hypotheses:

It will be hypothesized that:

1. There will be no significant correlation between pain score and measured variables in patients with unilateral SIS:

   1. lateral spinal deviation
   2. scapular dyskinesia
   3. pelvic tilting angle in the frontal plane
   4. shoulder height angle in the frontal plane
   5. ipsilateral trunk lateral side bending ROM
   6. contralateral trunk lateral side bending ROM
   7. ipsilateral trunk lateral side bending strength
   8. contralateral trunk lateral side bending strength

2. There will be no significant correlation between disability score and measured variables in patients with unilateral SIS:

   1. lateral spinal deviation
   2. scapular dyskinesia
   3. pelvic tilting angle in the frontal plane
   4. shoulder height angle in the frontal plane
   5. ipsilateral trunk lateral side bending ROM
   6. contralateral trunk lateral side bending ROM
   7. ipsilateral trunk lateral side bending strength
   8. contralateral trunk lateral side bending strength

• Study Type: Observational
• Enrollment (Estimated): 34

Contacts and Locations

• Study Contact: Name: enas fawzy youssf, professor; Phone Number: 00201145300981 00201127867507; Email: orthdep.magles@yahoo.com
• Study Contact Backup: Name: AMR SAAD TAWFIK SOLIMAN, demonstrator; Phone Number: 00201002043808 +201002043808; Email: amrsaadtawfik@cu.edu.eg

Study Locations

• Egypt
  • Cairo, Egypt
    • Recruiting
    • Faculty of Physical Therapy Cairo University
    • Contact: Amr Saad, demonstrator; Phone Number: 01128587378; Email: amrsaadtawfik@cu.edu.eg
    • Contact: Enas Fawzy, professor; Phone Number: 01002043808; Email: enasfawzy@gmail.com

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Non-Probability Sample

Study Population

Thirty four (34) patients with unilateral SIS. Male and female subjects will be included between 20 and 40 years of age with a BMI between 18.5 to 29.9 kg/m2.

Description

Inclusion Criteria:

1. Non-athletic patients of both sexes.
2. referred by an orthopedic surgeon with a diagnosis of unilateral SIS (Stage I, or II).
3. Patients aged between 20 to 40 years.
4. BMI between 18.5 to 29.9 kg/m2.

5. having four or more of the following findings:

   • Shoulder pain that is located either anteriorly or laterally to the acromion process
   • Pain worsening by shoulder flexion and/or abduction
   • A painful movement arc ranging from 60° to 120°
   • A palpably painful greater tuberosity of the humerus
   • The pain is replicated using the supraspinatus empty-can test, A positive Neer impingement sign, external rotation resistance test, and a positive Hawkins sign.

Exclusion Criteria:

1. Systematic illnesses
2. Pregnancy
3. Any degenerative disorder or disc lesion affection of the spine
4. A history of upper limb or spinal surgery
5. Previous upper limb or spinal fractures
6. Post-traumatic shoulder pain
7. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation)
8. Clinical signs of cervical radiculopathy (pain related to cervical movements)
9. Adhesive capsulitis
10. Tumors
11. Shoulder labral or cartilage lesions
12. Capsular or ligamentous tears or avulsions
13. any apparent deformity in the lower limbs including leg length discrepancy.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Thoracolumbar lateral deviation	will be measured using a scoliometer	2 MONTHES
Scapular dyskinesia	will be measured using lateral scapular slide test (LSST)	2 monthes
The pelvic tilting angle and shoulder height angle	will be evaluated using Kinovea software	2 monthes
Trunk side bending ROM	will be evaluated using a bubble inclinometer	2 Monthes
Trunk side bending strength	will be evaluated using a handheld dynamometer	2 monthes
Shoulder pain and disability level	will be measured using the Arabic version of shoulder pain and disability index (SPADI)	2 monthes

Collaborators and Investigators

• Sponsor: Cairo University

Publications and helpful links

General Publications

• Bhattacharyya R, Edwards K, Wallace AW. Does arthroscopic sub-acromial decompression really work for sub-acromial impingement syndrome: a cohort study. BMC Musculoskelet Disord. 2014 Sep 29;15:324. doi: 10.1186/1471-2474-15-324.

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Actual): August 19, 2024
• Primary Completion (Estimated): September 30, 2024
• Study Completion (Estimated): October 15, 2024

Study Registration Dates

• First Submitted: June 18, 2024
• First Submitted That Met QC Criteria: June 23, 2024
• First Posted (Actual): June 25, 2024

Study Record Updates

• Last Update Posted (Actual): September 4, 2024
• Last Update Submitted That Met QC Criteria: August 31, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Wounds and Injuries; Disease; Joint Diseases; Musculoskeletal Diseases; Shoulder Injuries; Syndrome; Shoulder Impingement Syndrome
• Other Study ID Numbers: P.T.REC/012/005179

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: I do not have enough information right now

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No