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Scapular Blackburn Stabilization Versus PNF i Impingement Syndrome (impingment)

30. september 2026 opdateret af: Mostafa Esmat Fouad Ebrahem, Cairo University

Scapulær Blackburn-stabilisering versus proprioceptiv neuromuskulær facilitering ved subakromialt impingementsyndrom

purpose of study to Aim to investigate effect(s) of scapular Blackburn stabilization exercises compared toscapular proprioceptive neuromuscular facilitation (SPNF) exercise in addition to conventional exercises on shoulder pain, function, shoulder,sacpular ROM, scapular muscle strength and scapular orientation in patients with sub acromial impingement syndrome

Participants will be randomly allocated to three groups as follow:

Group A (n=17): will receive a program of conventional exercise include rotator cuff strengthening ,stretching for posterior capsule and stretching for pectoralis minor for 18 sessions (3 sessions per week for six weeks) Group B (n=17): will receive a scapular PNF exercise program in addition to conventional Exercise with the same frequency. Group C (n=17): will receive a scapular Blackburn stabilization exercises in addition to conventional Exercise with the same frequency

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Sub-acromial impingement syndrome(SIS) is the most frequent cause of pain and overhead reach limitation in the shoulder area. It occurs when there is impingement of tendons or bursa in the shoulder from bones of the shoulder. Intrinsic and extrinsic factors that contribute to the development of SIS include inflammation in the supra humeral space, inhibition of the rotator cuff muscles, degeneration of the rotator cuff tendons, abnormal scapular position and kinematics. Currently SIS covers a range of pathologies from sub acromial bursitis to rotator cuff tendinopathy and full thickness rotator cuff tears.

The trial will guide physical therapists in selecting effective therapeutic interventions for patients with SAIS and scapular dyskinesia, aiming to reduce the number of treatment sessions, speed up recovery, and improve shoulder pain and functional abilities.

Scapular Blackburn stabilization exercise minimizes excessive superior translation of the humeral head in the glenoid fossa during elevation and subacromial space impingement, consequently addressing shoulder impingement. It also strengthens the scapulothoracic and rotator cuff muscles and decreases muscle imbalance.

Proprioceptive Neuromuscular Facilitation has been described as a comprehensive rehabilitation concept, promoting motor learning, motor control, strength and mobility.

This comprehensive rehabilitation approach includes task-oriented training with manual facilitation aimed at motor learning and motor control.

therefore, what are the effects of scapular Blackburn stabilization and PNF techniques in addition to conventional exercises on shoulder pain, function, shoulder ROM, scapular muscle strength, and scapular orientation in patients with sub acromial impingement syndrome?

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

51

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Giza Governorate
      • Cairo, Giza Governorate, Egypten, 022
        • faculty of physical therapy Cairo university

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

30 år til 50 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • 1. Fifty one Male and female patients with SIS and aged between 30-50.

    2. Body mass index (BMI) 18.5-29.9 kg/m2.

    3. patients complaining primary shoulder impingement.

    4. patients with altered scapular resting positions with scapular dyskinesia with positive lateral scapular slide test.

    5- patients will be included at least three special tests positive from the following tests:

A-Hawkins-Kennedy Impingement Test:

B-Neer"s Impingement Test:

C- "Empty Can" or Jobe Test D-painful arc test

E-External rotation resistance test

F-Cross-body adduction test

G-Drop arm sign

Exclusion Criteria:

  • 1- Neurological deficit affecting the shoulder function during daily activities.

    2-Cervical disc pathology.

    3- Brain injures.

    4- Fractures in the upper limb

    5-Undergone shoulder surgery

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Experimental.

receive a scapular PNF exercise program in addition to conventional Exercise ,

scapular Blackburn stabilization

Eksperimentel: Experimental

receive a scapular Blackburn stabilization exercises in addition to conventional Exercise

PNF plus Exercise

Andet: control group

Exercise only

Exercise only

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
shoulder pain and functional disability
Tidsramme: Assessment procedure will be performed pre intervention and post third and sixth week of treatment

Shoulder pain and disability index., minimum number 0=mean No pain and No disabilities and maximum number 10=mean highest pain and maximum disability

Assessment procedure will be performed pre intervention and post third and sixth week of treatment
A-shoulder flexion ROM B- shoulder external rotation C-shoulder internal rotation
Tidsramme: Assessment procedure will be performed pre intervention and post third and sixth week of treatment

Digital Inclinometer.

Assessment procedure will be performed pre intervention and post third and sixth week of treatment
selective muscle strength on: A- upper trapezius B- middle trapezius C-lower trapezius. D- serrates anterior
Tidsramme: Assessment procedure will be performed pre intervention and post third and sixth week of treatment

-Lafayette Hand-held dynamometer

Assessment procedure will be performed pre intervention and post third and sixth week of treatment
scapula orientation
Tidsramme: Assessment procedure will be performed pre intervention and post third and sixth week of treatment

lateral scapular slide test

Assessment procedure will be performed pre intervention and post third and sixth week of treatment

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Enas F. Youssef, Prof.Dr, chair person of Department of Physical therapy for Musculoskeletal Disorder and its Surgery

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

30. juli 2024

Primær færdiggørelse (Faktiske)

30. juni 2025

Studieafslutning (Faktiske)

30. juli 2025

Datoer for studieregistrering

Først indsendt

18. juli 2024

Først indsendt, der opfyldte QC-kriterier

13. august 2024

Først opslået (Faktiske)

15. august 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Blackburn versus PNF

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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