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Completed

NCT Number: NCT07331597

Scapulothoracic Joint Mobilization With or Without Acromioclavicular Joint Mobilization in Sub-acromial Pain Syndrome

the study was conducted to find out the effects of scapulothoracic joint mobilization with or without acromioclavicular joint mobilization in patients with sub-acromial pain syndrome.

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Key information

Conditions

Subacromial Pain Syndrome Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

25 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dr.Sheharyar Tanveer Clinic Sharaq pur

Sheikhupura, Punjab Province, 39460, Pakistan

About this study

the study was conducted to determine the effects on the pain, range of motion of shoulder joint and the SPADI score in patients with sub-acromial pain syndrome post intervention including scapulothoracic upward rotation, posterior tilting and outward rotation glide with or without combination of acromioclavicular inferior glide.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 25 - 40 years
  • Genders both male and female
  • Patients having unilateral non-traumatic shoulder pain
  • Patients having pain for ≥ 3 months
  • According to Dutch Orthopedic Association Clinical Practice Guidelines 2 out of following 3 tests should be positive i.e. Hawkin's kennedy test, Painful arc test, and Infraspinatus resistance test
  • Positive scapular assistance test
  • Positive AC joint scarf test

Exclusion criteria

  • Patients having bilateral shoulder pain
  • Younger than 25 and older than 40 years
  • With positive drop arm test for supraspinatus tears
  • Degenerative joint disease of shoulder
  • Patients diagnosed with frozen shoulder
  • Having history of shoulder fracture and dislocation
  • Patients diagnosed with cervical radiculopathy (19)
  • Having history of shoulder or neck surgery (19)
  • Patients who had steroid injections in shoulder joint in the past 6 months
  • Patients having other neurological, orthopedic and systemic problems affecting the shoulder, neck and back

Treatment and study plan

Scapulothoracic joint mobilization

Other

during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks

Acromioclavicular joint mobilization

Other

during 1st week : Maitland grade-II mobilization for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week : Maitland grade-II, III for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval, 3 sessions a week for 4 weeks.

Standard physiotherapy treatment

Other

Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.

Primary outcomes

  1. Numeric Pain Rating scale

    Time frame: from enrolment to the end of 4 weeks of treatment

    this scale is used to evaluate pain. it consists of 11 points from 0 to 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 moderate pain and 7-10 represents severe pain.

  2. Shoulder Pain and Disability Index SPADI

    Time frame: from enrolment to the end of 4 weeks treatment

    this questionnaire consisting of 13 items is used to assess the severity of pain and difficulty while performing daily life activities. two subscales for pain and disability. uses a visual Analog scale or Numeric rating scale for each item, resulting in scores from 0-100 for each sub-scale, with higher scores indicating more pain or disability.

Secondary outcomes

  1. goniometer for shoulder flexion ROM

    Time frame: from enrolment to the end of 4 weeks treatment

    changes in shoulder flexion range of motion was measured at baseline and after 4 weeks of treatment sessions using goniometer

  2. Goniometer for shoulder extension ROM

    Time frame: from enrolment to the end of 4 weeks of treatment

    changes in the shoulder extension range of motion were measured at baseline and at the end of 4 weeks of treatment sessions using goniometer

  3. Goniometer for shoulder abduction ROM

    Time frame: from enrolment to the end of 4 weeks treatment sessions

    changes in the shoulder abduction range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer

  4. Goniometer for shoulder adduction ROM

    Time frame: from enrolment to the end of 4 weeks of treatment

    changes in shoulder adduction range of motion were measured at baseline and at the end of 4 weeks treatment sessions by using goniometer

  5. Goniometer for shoulder external rotation ROM

    Time frame: from enrolment to the end of 4 weeks of treatment

    changes in shoulder external rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer

  6. goniometer for shoulder internal rotation ROM

    Time frame: from enrolment to the end of 4 weeks treatment

    changes in the shoulder internal rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Scapulothoracic Joint Mobilization With or Without Acromioclavicular Joint Mobilization in Patients With Sub-acromial Pain Syndrome

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jan 12, 2026
Registry last updated
Feb 19, 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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