Handgrip Strengthening Exercise in Treatment of the Patients With Primary Sub-Acromial Impingement Syndrome

The Relative Effect of Handgrip Strengthening Exercise in Treatment of the Patients With Primary Sub-Acromial Impingement Syndrome

This study aims to investigate the relative effect of handgrip strengthening exercise in improving function, pain, strength, and active range of motion (AROM) of the shoulder among patients with primary sub-acromial impingement syndrome (SAIS).

The current study is a Single-Blind Randomized Clinical Trial to investigate the effectiveness of handgrip strengthening exercise in the treatment of patients with primary subacromial impingement syndrome. The randomization process will be based on concealed envelop picked up by participants.The patient will be conveniently recruited from the ministry of health hospitals in Jeddah.The patient who will meet the inclusion criteria; they will sign the consent form. The baseline data will be collected. The assessment will be carried out at the baseline, 4 weeks and 8 weeks; end of the treatment program; by the same blinded examiner for each patient and consist of the following instrument: Disabilities of Arm, Shoulder & Hand (DASH questionnaire), Visual analog scale (VAS), Hand-held dynamometer (HHD), and smartphone clinometer.

Inclusion Criteria:

• Willing to comply with all study procedures and be available for the duration of the study
• Aged 18 to 45
• Diagnosed by their referring physician with subacromial impingement syndrome and has a positive impingement & rotator cuff test
• Pain intensity between 3 to 8 in VAS

Exclusion Criteria:

• History of shoulder fracture or dislocation, osteophytes, and labral tear.
• History of cardiac, neurological or musculoskeletal disease that precludes the ability to perform the exercise in the upper extremity.
• Treatment with another intervention.
• Hand or forearm dysfunction
• Rheumatoid disease
• Diabetic
• History of shoulder, cervical, and thoracic surgery
• Pregnancy
• Malignancy
• Symptoms for more than 1 year
• Bilateral SAIS