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Completed

NCT Number: NCT05548816

Prevalence of Subacromial Impingement Among Egyptian Swimmers

In the available literature, there are no prevalence studies that show the incidence of subacromial impingement in swimmers in Egypt, this should be considered as it's one of the most commonly reported injuries worldwide in swimmers. There are also no available studies to show the difference in incidence of subacromial impingement between both genders in Egypt. This study is attempting to remedy both research deficits and to reduce the literature gap and to show the prevalence rate of this injury among Egyptian swimmers in different age groups, to help prevent its widespread and to provide data for further investigations. This study would give the Egyptian swimming federation and the Ministry of youth and sports a clear idea about the prevalence rate of swimmer's shoulder at different ages in Egyptian swimmers. Most importantly, this study is to provide the physiotherapy community in Egypt data about this injury, the rate of prevalence and how to prevent it and hopefully would help in further future studies and also to apply it in different countries.

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Key information

Conditions

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

Age range

12 year–25 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Nutrilife clinic

Cairo, 11375, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 440 swimmers (males and females) , their age between 12 - 25.
  • Professional swimmers only.
  • Complain of anterior shoulder pain while swimming or elevation of shoulder.
  • BMI will be ranged from (18.5 - 24.9 kg/m2 ).
  • All swimmers are under supervision and psychologically, medically stable.
  • All swimmers received a good explanation of the questionnaire and the given study.

Exclusion criteria

  • Any swimmer who refuse to participate in the study
  • Uncooperative swimmers.
  • Unprofessional swimmers.
  • Participants who play any other sports.
  • Exclude any previous traumatic lesion.
  • Exclude any form of shoulder instability.
  • Take any medication that affects pain perception as NSAIDS.

Treatment and study plan

Handheld Dynamometer , Special tests and Modified DASH questionarre .

Other

A mix of tools , special tests and questionarre to help in confirming the diagnosis of subacromial impingement.

Other names: Special tests ( Lift-off , Neers , Hawkins and kennedy tests), Modified DASH (Disabilities of the Arm, Shoulder, and Hand) questionarre .

Primary outcomes

  1. External / lnternal rotation ratio

    Time frame: 1 day

    Measured by Handheld dynamometer

  2. Lift-off test

    Time frame: 1 day

    This test is performed in a standing position, with the examiner observing and testing from standing behind the patient. To perform this test, the patient is asked to place the back of the affected arm (dorsum of the hand) in the mid lumbar spine area. The testing movement involves the patient performing internal rotation (IR), by lifting the hand off the back while the examiner places pressure on the hand. The test is considered to be positive if the patient cannot resist, lift the hand off the back or if she/he compensates by extending the elbow and shoulder.

  3. Neers test

    Time frame: 1 day

    Neer's sign In standing the patient's arm was passively elevated in the plane of the scapula while preventing rotation of the scapula. Reproduction of pain at the anterior edge of the acromion/lateral deltoid was considered a positive response for impingement.

  4. Hawkins and kennedy test

    Time frame: 1 day

    Hawkins and Kennedy test while sitting, with the elbow flexed to 90, the patient's shoulder was passively elevated to 90 in the sagittal plane and then forcefully rotated medially. Pain indicated a positive test result.

  5. Modified QuickDASH questionarre result

    Time frame: 1 day

    The QuickDASH is scored in two components: the disability/symptom section (11 items, scored 1-5) and the optional high performance sport/music or work modules (4 items, scored 1-5) .For Example in the disability / symptoms sections , at least 10 of the 11 items must be completed for a score to be calculated.

    The assigned values for all completed responses are simply summed and averaged, producing a score out of five.This value is then transformed to a score out of 100 by subtracting one and multiplying by 25 , measures scaled on a 0-100 scale. A higher score indicates greater disability.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Prevalence of Subacromial Impingement Among Egyptian Swimmers a Cross Sectional Survey Study.

Important dates

Study start
2022
Primary completion
2022
Study completion
2023
First posted
Sep 21, 2022
Registry last updated
Mar 28, 2023

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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