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Completed

NCT Number: NCT03494192

Effects of Exercise Trainings on Pain, Function and AHD in Patients With SPS

Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the aetiology of subacromial pain syndrome. Maintenance of the AHD is crucial for prevention and rehabilitation of rotator cuff related disorders.

The development of a rehabilitation treatment plan is based in part on the assessment of scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be based on the identified impairments.

The aim of this study is to investigate the effect of utilizing scapula retraction exercises with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a scapular stabilization program on functionality, pain and AHD in patients with SPS and compare with health population.

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Key information

Conditions

Subacromial Impingement Syndrome Joint Diseases Musculoskeletal Diseases Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Shoulder Impingement Syndrome Shoulder Injuries Signs and Symptoms Wounds and Injuries

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hacettepe University, Faculty of Health Sciences, Dept. of Physiotherapy and Rehabilitation

Ankara, 06100, Turkey (Türkiye)

About this study

Coordinated motion between the humerus and scapula is required for pain-free arm movement. Rotator cuff and scapulothoracic muscles dynamically control the subacromial space or acromiohumeral distance (AHD).Scapulothoracic muscles need to provide stability and control in a synchronized fashion to facilitate normal scapulohumeral movement. Scapular upward rotation and posterior tilt is essential to maintain the AHD.Therefore, the force couple function of the rotator cuff muscles play an critical role in opposing the superior migration force that is generated by deltoid muscle and, to maintenance the subacromial space.

Abnormal reduction of the AHD has been considered as one of the possible mechanisms in the aetiology of subacromial impingement syndrome. Maintenance of the AHD is crucial for prevention and rehabilitation of rotator cuff related disorders.

The development of a rehabilitation treatment plan is based in part on the assessment of scapular motion and muscle deficits in patients with shoulder pain. Rehabilitation should be based on the identified impairments.

he aim of this study is to investigate the effect of utilizing scapula retraction exercises with or without glenohumeral rotational exercises at gradual shoulder elevation angles into a scapular stabilization program on functionality, pain and AHD in patients with SPS and compare with health population.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • painful arc of movement during flexion or abduction;
  • positive Neer or Kennedy-Hawkins impingement signs
  • pain on resisted lateral rotation, abduction or empty can test.

Exclusion criteria

  • previous shoulder surgery;
  • shoulder pain reproduced by neck movement;
  • clinical signs of full-thickness RC tears; or
  • shoulder capsulitis.

Treatment and study plan

Scapula Retraction Exercise Group

Other

physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions.

After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up.

Other names: scapula stabilization exercises

Scapula Retraction +Glenohumeral Rotational Exercise Group

Other

physiotherapy program consists of manual therapy, supervised stretching and scapulothoracic and also rotator cuff muscles strengthening exercises and home exercise programme including stretching and strengthening exercises will be applied two times a week total 24 sessions.

After 24 sessions completed, patients will proceed to reduced exercise program until the 6-month follow-up

Other names: Scapula stabilization +Glenohumeral Rotational Exercise Group

Primary outcomes

  1. Functional Level

    Time frame: ffrom baseline to twelve week after treatment sessions

    Functional level will be assessed by using Shoulder Pain and Disability Index (SPADİ). All assessment will be recorded at baseline, at the end of the 12-week treatment sessions and 6-month follow-up.

Other outcomes

  1. pain assessment

    Time frame: from baseline to 6-month follow up

    pain intensity will de assessed by using Visual Analog Scale at rest, activity and at night. All assessment will be recorded at baseline, at the end of the 12-week treatment sessions and 6-month follow-up.

  2. Acromiohumeral Distance Measurement

    Time frame: from baseline to 6-month follow up

    Acromiohumeral Distance will be measured by 0°, 30°, 45°, 60° and 90° of shoulder abduction positions. All assessment will be recorded at baseline, at the end of the 12-week treatment sessions and 6-month follow-up.

  3. Patient Satisfaction

    Time frame: at 12 week and 6-month follow ups

    Patient Satisfaction will be assessed by simple questions consisting of self- recovery rate and patients expectation

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Official study title

Utilizing Scapula Retraction Exercises With or Without Glenohumeral Rotational Exercises With a Gradual Progression: A Double-Blind Randomized Controlled Trial for Subacromial Pain Syndrome

Important dates

Study start
2018
Primary completion
2020
Study completion
2021
First posted
Apr 11, 2018
Registry last updated
Feb 3, 2022

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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