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Completed

NCT Number: NCT06156475

The Physiotherapy Approaches in Patients With Subacromial Impingement Syndrome

The aim of this study is to investigate the effectiveness of Electromyographic Biofeedback with proprioception exercises on pain, range of motion, muscle strength, proprioception and functionality in patients with subacromial impingement syndrome.

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Key information

Conditions

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

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Istanbul Aydin University

Istanbul, Florya, Turkey (Türkiye)

About this study

This study is planned as a prospective, randomized clinical study. Patients with subacromial impingement syndrome who volunteered to participate in the study, met the inclusion criteria, and signed the consent form were randomly assigned to the proprioception exercise group and the proprioception exercise with electromyographic biofeedback group. Demographic and clinical data of the patients were recorded. Shoulder function with Disabilities of the Arm, Shoulder and Hand scale, pain with VAS, painless active shoulder flexion, abduction, and external-internal rotation with goniometer, muscle strength with Manual Muscle Tester, proprioception (55°-90°- 125° angles of flexion and abduction, and angular deviations) with the Laser-pointer assisted angle reproduction test were evaluated, and patient satisfaction was evaluated with The Global Rating of Change Scale. After the initial evaluations were completed, only proprioception exercises and proprioception exercises with EMG-BF were applied 2 days a week for 8 weeks. Additionally, both groups were given Want exercises.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Being diagnosed with subacromial impingement syndrome,
  • Being between the ages of 18 and 65,
  • Not having received medical treatment,
  • Not having received a shoulder-related physiotherapy program in the last year,
  • Not having had any shoulder-related surgery,

Exclusion criteria

  • Neurological deficits of the upper extremity and the presence of another orthopedic disorder, rheumatic or congenital disease other than subacromial impingement syndrome,
  • Presence of mental problem,
  • Having received corticosteroid treatment in the last year,
  • Upper extremity fracture,
  • Acute cervical pathology,
  • Having cardiovascular and systemic diseases that prevent working,
  • Pregnancy,
  • Those with communication problems.

Treatment and study plan

Proprioception exercises

Procedure

Patients trained for proprioception exercises.

Proprioception exercises with Electromyographic Biofeedback

Procedure

Patients trained for Proprioception exercises with Electromyographic Biofeedback

Wand Exercise

Procedure

Patients were educated with wand exercises.

Primary outcomes

  1. Disabilities of the Arm, Shoulder and Hand scale

    Time frame: 8 weeks

    The Disabilities of the Arm, Shoulder and Hand scale was used to measure shoulder function. The Disabilities of the Arm, Shoulder and Hand scale consists of 30 items. The total score that can be obtained from items scored between 1-5 varies between 0-100. An increase in the score indicates a decrease in function.

Secondary outcomes

  1. Visual analogue scale

    Time frame: 8 weeks

    The severity of pain was measured Visual analogue scale. ccording to this scale, patients rated their pain between 0 and 10. As the score increases, the pain increases.

  2. Joint range of motion

    Time frame: 8 weeks

    Active shoulder flexion, abduction, and external-internal rotation range of motion was measured with goniometer.

  3. Muscle strength

    Time frame: 8 weeks

    Shoulder flexion, abduction, and external-internal rotator muscle strength was measured with manual muscle tester.

  4. Proprioception

    Time frame: 8 weeks

    To evaluate joint position sense, laser pointer-assisted angle reproduction test was applied for measurements at 55°-90°-125° flexion and abduction angles.

  5. Patient satisfaction

    Time frame: 8 weeks

    The amount of improvement or deterioration in patients was assessed with the "Global Rating Change Scale".This scale is scored according to a 7-point Likert type (-3: much worse, -2: worse, -1: slightly worse, 0: the same, 1: slightly better, 2: quite better, 3: much better).

Sponsors and collaborators

Lead sponsor

Istanbul University - Cerrahpasa

Other

Registry information

Official study title

The Effect of Electromyographic Biofeedback and Proprioception Exercises on Pain and Functionality in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Dec 5, 2023
Registry last updated
Dec 11, 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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