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Completed

NCT Number: NCT06531889

Core Stabilization Exercises on Shoulder Impingement Syndrome

The objective of this retrospective study was to look into the effects of core stabilization exercises applied in conjunction with classic physiotherapy program on pain, muscle strength, disability, and posture in SIS.

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Key information

Conditions

Subacromial Impingement Syndrome Joint Diseases Musculoskeletal Diseases Shoulder Impingement Syndrome Shoulder Injuries Wounds and Injuries

Age range

35 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Yeditepe University

Istanbul, +90, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients between the ages of 35 and 60 who were diagnosed by a Physical Therapy and Rehabilitation doctor with at least ten years of experience, whose SIS was confirmed by MRI, and who had shoulder complaints for at least three months, patients with positive signs, a positive Hawkins-Kennedy test, significant loss of active and passive shoulder movements or painful range of motion (ROM), and patients whose treatment and evaluation methods were appropriate for the study design were enrolled in the study

Exclusion criteria

  • Patients who had upper extremity surgery, patients with a history of shoulder trauma and corticosteroid application to the shoulder region in the previous year, a history of shoulder dislocation, infection, tumor, adhesive capsulitis, reflex sympathetic dystrophy, congenital anomaly, rheumatic disease, and chronic severe systemic disease, as well as professional athletes and patients whose evaluations were missing in the previous month were excluded

Treatment and study plan

classical physiotherapy program

Other

Classical physiotherapy program=Classical physiotherapy program included transcutaneous electrical nerve stimulation, infrared radiation for 15 min, continuous ultrasound for 5 min and home exercise program. For active assistive shoulder range of motion (ROM), home exercises included the Codman exercise, flexion exercise at the ladder, and the Wand exercise, as well as some strengthening and stretching exercises performed at the pain limit with 10 repetitions twice a day (six weeks)

core stabilization exercises

Other

The interventions of the core exercise were applied when the patient lay on his/her back with his/her knees at flexion. The number of repeats for each exercise was five, and these exercises were done 3 times a week for 6 weeks with the same physiotherapist. The further steps in the exercises were extended according to the activation duration of the core muscles, and this extension was elongated 5 s

Primary outcomes

  1. The Numerical Rating Scale (NPRS-11)

    Time frame: Change from baseline pain score at 6th week

    The Numerical Rating Scale (NPRS-11) is an 11-point scale for self-report of pain. It is the most commonly used unidimensional pain scale. The respondent selects a whole number (integers 0-10) that best reflects the intensity (or other quality if requested of his/her pain.0 point is the minimum and 10 point is the maximum. The higher the score, the more severe the pain.

  2. New York Posture Rating Method to determine their postures

    Time frame: Change from baseline pain score at 6th week

    The rating chart is used to assess 13 areas of the body, based on the assumption that posture is the alignment of the body and its segments. 13 regions (head, neck, shoulder, scapula, upper thoracic, waist, rips, abdomen, hips, knees, legs, feet and toes) are assessed in two different positions (lateral and posterior). A score is allocated to each area according to the position: 5 points to the correct position; 3 points for a slight deviation, and 1 point for a pronounced deviation. Total score is between 18-90 points. higher the points better the postural alignment

  3. Shoulder pain and disability index

    Time frame: Change from baseline score of The Shoulder Pain and Disability Index at 6th week

    The Shoulder Pain and Disability Index (SPADI) was developed to measure current shoulder pain and disability in an outpatient setting. The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability between 0 to 100, with a higher value indicating worse condition.

Secondary outcomes

  1. Shoulder mobility on the Shoulder Range of Motion

    Time frame: Change from baseline range of motion at 6th week

    Shoulder ROM was measured in six directions (Flexion, Extension, Abduction, Adduction, Right rotation, Left rotation) with goniometer.

  2. Core muscle strength test

    Time frame: Change from baseline strenght score at 6th week

    The level of difficulty was raised from stage 1 to stage 5. high values are indicative of positive progress

  3. Endurance of Core Muscles

    Time frame: Change from baseline endurance score at 6th week

    Each test was repeated three times, and the average of the measurements was used. The Biering-Sørensen test measures how many seconds the participant can keep the unsupported upper part of the body in a horizontal position.high values are indicative of positive progress

  4. Manual muscle test

    Time frame: Change from baseline manual muscle testing score at 6th week

    The lowest value is zero and the highest value is 5. high values are indicative of positive progress

Sponsors and collaborators

Lead sponsor

Acibadem University

Other

Collaborators

  • Yeditepe University

Registry information

Official study title

Core Stabilization Exercises in Shoulder Impingement Syndrome: A Preliminary Retrospective Study

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Aug 1, 2024
Registry last updated
Aug 1, 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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