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NCT Number: NCT07484360

Effects of Kinetic Chain Exercises on Pain, Range of Motion and Disability in Shoulder Impingement Syndrome

PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.

Non probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28

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Key information

Conditions

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

Age range

30 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

RC Medical Centre

Lahore, Punjab Province, 54792, Pakistan

About this study

PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.

Non probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • • Age group 30-50 years
  • Males and Females
  • Subjects with history of pain in upper lateral aspect of arm with a NPRS score between >3 to <8 on a 0-10 scale
  • Neers impingement test positive
  • Hawkins- Kennedy test positive
  • Painful arc positive
  • Empty can (Jobe test) positive

Exclusion criteria

  • • Subjects having Capsular Pattern +ve
  • Individuals with OA of GH joint
  • Type III acromion process decreasing the sub-acromial space leading to sub-acromial impingement (on X-ray evaluation)
  • AC joint arthritis
  • Rheumatoid Arthritis
  • Fracture history involving upper limb
  • Shoulder surgery on affected side.
  • Subjects with signs of total rotator cuff tears i.e. gross weakness in abduction.
  • Subjects who received corticosteroid injections in last three months

Treatment and study plan

Kinetic chain exercises

Other

Kinetic chain exercises work on the stabilizer muscles of scapula, such as the anterior serratus, rhomboids, and trapezius, which are responsible for maintaining the scapula-humeral rhythm. These scapular stabilizers reduce the undesirable movements that would otherwise cause shoulder impingement, therefore reducing stress on the sub-acromial structures. Kinetic chain exercises enhance body's proper movement patterns, improving proprioception, and increase the activation of primary movers. Decreased biomechanical dysfunction results in better arm positioning. By performing exercises that address the entire kinetic chain, these would assist in avoiding the compensatory mechanisms and repetitive strain injuries that act as relapse triggers for SIS. The patients enjoy sustained relief from shoulder impingement syndrome pain and notice less frequency of future shoulder injuries Kinetic chain shoulder therapy exercises involve kinetic link and model called biomechanical model and cranial t

conventional physical therapy treatment

Other
  • Heating pad for ten minutes
  • Therapeutic ultrasound for 5 minutes
  • Active range of motion exercises (two sets of 15 repetitions for each exercise)
  • Codman exercises (two sets of 15 repetitions)

Primary outcomes

  1. Numeric Pain Rating scale

    Time frame: from start of study to 4 weeks

    . This scale ranges from 0 to 10 where 0 indicating "no pain" and 10 indicating "worst pain possible"

  2. Shoulder Pain and Disability Index

    Time frame: From start of study upto 4 weeks

    The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consisting of two dimensions, one for the pain and other for functional ability of the subject. The pain dimension consists of five questions regarding the severity of an individual's pain intensity

  3. Universal Goniometer

    Time frame: From start of study upto 4 weeks

    Health care practitioners often use universal goniometer to obtain objective measurements of joint range of motion (ROM) to find out the baseline functional status and to measure the effectiveness of treatment interventions

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 20, 2026
Registry last updated
Mar 20, 2026

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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