Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement
Subacute Effects of Cervicothoracic Spinal Manipulation in Addition to Shoulder Manual Therapy Plus Exercise Intervention in Individuals With Subacromial Impingement Syndrome: a Randomized, Controlled Clinical Trial Pilot Study
Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic spinal manipulation in addition to shoulder mobilization and exercise for improving range of motion, pain, physical function and fear avoidance beliefs in patients with subacromial shoulder impingement.
Hypotheses It is hypothesized that those subjects who receive spinal manipulation in addition to shoulder mobilization and exercise will achieve greater improvements in range of motion, pain, function and fear avoidance beliefs at two weeks following treatment conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the subjects who did not receive the spinal manipulation.
연구 개요
상태
정황
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Illinois
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Chicago, Illinois, 미국, 60612
- University of Illinois at Chicago
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Tennessee
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Elizabethton, Tennessee, 미국, 37643
- Physical Therapy Services
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Johnson City, Tennessee, 미국, 37604
- East Tennessee State University
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- To be eligible, participants must meet the clinical prediction rule for unilateral subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement sign, b) positive painful arc sign, and c) weakness in external rotation with the arm at the side
Exclusion Criteria:
- Individuals with contraindications to treatment with mobilization and manipulation (Appendix A) will be excluded
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Thoracic Mobilization
thoracic mobilization in addition to shoulder mobilization plus exercise
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활성 비교기: exercise only
shoulder mobilization plus exercise alone
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Shoulder Pain and Disability Index Change over time
기간: 2 weeks, 4 weeks, discharge
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Patients will be followed for the duration of their physical therapy treatment.
An average of 12 visits over 6 weeks
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2 weeks, 4 weeks, discharge
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Numeric Pain Rating Scale change over time
기간: 2 weeks, 4 weeks, discharge
|
Patients will be followed for the duration of their physical therapy treatment.
An average of 12 visits over 6 weeks
|
2 weeks, 4 weeks, discharge
|
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Fear Avoidance Beliefs Questionnaire change over time
기간: 2 weeks, 4 weeks, discharge
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Patients will be followed for the duration of their physical therapy treatment.
An average of 12 visits over 6 weeks
|
2 weeks, 4 weeks, discharge
|
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Shoulder range of motion change over time
기간: 2 weeks, 4 weeks, discharge
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Patients will be followed for the duration of their physical therapy treatment.
An average of 12 visits over 6 weeks
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2 weeks, 4 weeks, discharge
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test of resistance change over time - number of repetitions performed
기간: 2 weeks, 4 weeks, discharge
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The test is performed by asking the patient to hold the shoulder at 90 degrees of shoulder flexion and follow a 20cm wide spiral using their affected arm. The patient is asked to complete as many spiral movements as possible until stopped secondary to pain. The maximum number of repetitions to be performed is 20. Patients will be followed for the duration of their physical therapy treatment. An average of 12 visits over 6 weeks |
2 weeks, 4 weeks, discharge
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공동 작업자 및 조사자
수사관
- 수석 연구원: Alexis A Wright, Phd, High Point University
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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