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NCT Number: NCT06723730

ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain

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Key information

Conditions

Rotator Cuff Syndrome

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

Location status: Recruiting

Location contact

Qurat ul Ain Saeed, MS-OMPT,PHD*

CONTACT

[email protected]

03315562889

About this study

The purpose of this study is to determine the effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related shoulder pain on A. Pain B. Range of motion C. Propioception D. Kinesiophobia

Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18-65 years
  • Both genders
  • Unilateral shoulder pain of traumatic origin
  • Scoring should be less than 8 on numeric pain rating scale
  • Symptoms lasting more than 6 weeks
  • Pain on active shoulder movement
  • Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
  • Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain

Exclusion criteria

  • History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
  • Adhesive capsulitis
  • History of dislocation
  • Glenohumeral osteoarthritis
  • Cancer
  • Auto-immune inflammatory conditions and infection
  • Positive joint integrity tests ( Ant. and Post. Drawer tests)
  • Hill sachs lesions
  • Bankarts lesions
  • Cervical rib
  • Previous shoulder or neck surgery or fracture
  • Familiar pain provoked by neck movements
  • Presence of radicular sign
  • Diagnosis of fibromyalgia
  • Clinical depression
  • Rheumatoid arthritis
  • Poor bone quality ( osteoporosis)
  • Vertobrobasilar insufficiency test

Treatment and study plan

Upper Quadrant Core Strengthening protocol

Procedure

Upper Quadrant Core Strengthening protocol Core strengthening protocol will comprise of following four week protocol.

  • Week one Scapular postural correction and shoulder shrugging exercises
  • Week two External rotation at 0 degree
  • Week three Internal rotation at 0 degree
  • Week four Standing row at 45 and 90 degree , Anterior shoulder stretch and Thoracic exercise in sitting

Mobilization with movement

Procedure

In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement.

Mobilization with movement protocol will comprise of following forms.

  • Acromioclavicular joint glides
  • Scapular glides
  • Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)

Primary outcomes

  1. Pain intensity

    Time frame: 4 weeks

    Pain will be measured on Numerical Pain rating scale. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

  2. Range of motion

    Time frame: 4 weeks

    A universal goniometer will be used to measure the shoulder ROM in external & internal rotation, abduction and flexion and their normal ranges are 90, 80, 0-180, 0-180 degree respectively.

  3. Proprioception

    Time frame: 4 weeks

    The laser pointer method for assessing Shoulder Joint Position Sense (JPS) involves the patient using a laser pointer to target a 1 meter distanced scoreboard while performing arm movements. Patient will be asked to perform flexion, abduction and external rotation to 90 degree or alternatively to maximum possible pain free range below 90 degree. After three practice rounds with eyes open, four attempt with eye closed will be performed and shoulder range will be measured. We will measure JPSE for flexion, abduction and external rotation by using mobile app inclinometer.

  4. Kinesiophobia

    Time frame: 4 Weeks

    The Tampa Scale of Kinesiophobia (TSK) is a 17-item self-report tool with a 4-point Likert scale, measuring fear of movement due to injury or pain, and somatic focus on underlying medical issues. Scores range from 17 to 68, with higher scores (≥37) indicating significant kinesiophobia and poorer health outcomes.

Study contacts

Contact information is provided by the study sponsor or research team.

Raima Liaqat, MS-MSKPT*

CONTACT

[email protected]

0302-9670275

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Dec 9, 2024
Registry last updated
Dec 9, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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