The Relationship of Critical Shoulder Angle With Proprioception and Disability

January 28, 2026 updated by: Seda BAKTIR, Lokman Hekim University

The Relationship of Critical Shoulder Angle With Proprioception and Disability in Patients With Subacromial Impingement

With this study it will determined that the effect of critical shoulder angle which will be obtained from the MRI images of patients with Subacromial Impingement Syndrome on proprioception and disability level.

Study Overview

Detailed Description

Critical shoulder angle (CSA) is defined as the intersection angle between two lines which are drawn from inferior border of glenoid cavity to superior border of glenoid cavity and from inferior border of glenoid cavity to inferolateral border of acromion. Higher CSA is accepted a predisposing factor for degenerative shoulder diseases. Increase in CSA means more shear forces reflects on shoulder joint which also causes overload on the RC tendon. Increase of degeneration in shoulder joint may cause decreased proprioception. As a result of degeneration, the level of disability will be increased. At the end of this study, the relationship among critical shoulder angle, proprioception and disability could be more clearly interpreted.

Study Type

Observational

Enrollment (Actual)

101

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Cankaya
      • Ankara, Cankaya, Turkey (Türkiye)
        • Lokman Hekim University

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Paitents with Level I-II Subacromial Impingement Syndrome

Description

Inclusion Criteria:

  • Being between 25-70 years of age,
  • Diagnosis of SIS based on physical examination (at least three positive results from the Neer, Jobe, Hawkins/Kennedy Impingement, and/or Painful Arc tests),
  • Being Level I-II Subacromial Impingement (radiologic examination (MRI)),
  • having painful arc between 60° and 120° during active shoulder elevation
  • Having shoulder pain for 3 months.

Exclusion Criteria:

  • Having a shoulder operation before.
  • Having Cardiovascular, Rheumatological or Neurological Disease
  • Having Cervical Spine Disease
  • Having Physiotherapy Treatment in last 6 months.
  • Having a trauma, fracture, total Rotator Cuff rupture, Frozen Shoulder on shoulder joint

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Subacromial Impingement Syndrome
Assessment of correlation
Other Names:
  • Evaluation of Critical Shoulder Angle
  • Evaluation of Shoulder Proprioception
  • Evaluation of Shoulder Disability

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Critical Shoulder Angle
Time Frame: Baseline (The evaluation will be conducted only once)
Critical Shoulder Angle is the intersection angle between two lines which are drawn from inferior border of glenoid cavity to superior border of glenoid cavity and from inferior border of glenoid cavity to inferolateral border of acromion. That will be measured from the MRI images of patients.
Baseline (The evaluation will be conducted only once)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disability
Time Frame: Baseline (The evaluation will be conducted only once)
The disability will be assessed by using SPADI (Shoulder Pain and disability Index). First part includes 5 questions inquiring pain status. Second part includes 8 questions inquiring activity participation status. Total score ranges between 0-100. Increase of scores reflects higher disability.
Baseline (The evaluation will be conducted only once)
Shoulder Proprioception
Time Frame: Baseline (The evaluation will be conducted only once)

Shoulder proprioception will be evaluated 60° ve 90° ve 120° degrees of shoulder joint active-active, active-passive and passive-active manner.

The Shoulder proprioception will be assessed using a bubble inclinometer.

Baseline (The evaluation will be conducted only once)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

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 (Actual)

May 30, 2024

Primary Completion (Actual)

August 12, 2025

Study Completion (Actual)

August 12, 2025

Study Registration Dates

First Submitted

February 28, 2025

First Submitted That Met QC Criteria

March 10, 2025

First Posted (Actual)

March 17, 2025

Study Record Updates

Last Update Posted (Actual)

January 29, 2026

Last Update Submitted That Met QC Criteria

January 28, 2026

Last Verified

August 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

We are planning not to share this data not to declare the data of our participants with any third group.

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

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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