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.
研究概览
地位
条件
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
-
Illinois
-
Chicago、Illinois、美国、60612
- University of Illinois at Chicago
-
-
Tennessee
-
Elizabethton、Tennessee、美国、37643
- Physical Therapy Services
-
Johnson City、Tennessee、美国、37604
- East Tennessee State University
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Thoracic Mobilization
thoracic mobilization in addition to shoulder mobilization plus exercise
|
|
|
有源比较器：exercise only
shoulder mobilization plus exercise alone
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Shoulder Pain and Disability Index Change over time
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Numeric Pain Rating Scale change over time
大体时间：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
|
|
Fear Avoidance Beliefs Questionnaire change over time
大体时间：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
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Shoulder range of motion change over time
大体时间：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
|
|
test of resistance change over time - number of repetitions performed
大体时间：2 weeks, 4 weeks, discharge
|
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
|
合作者和调查者
调查人员
- 首席研究员：Alexis A Wright, Phd、High Point University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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