Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Benha University | OTHER |
Not provided
Not provided
Not provided
Not provided
Shoulder impingement syndrome (SIS) is a complex, multi-factorial problem that is treated with a variety of different conservative options. The conservative option that has shown effectiveness is manual therapy of the cervical and thoracic spine
This study will be conducted to answer the following question:
What is the effect of adding cervical and thoracic mobilization to selected therapeutic exercise Program on pain intensity, Pain-free shoulder flexion and scaption active ROM, muscle strength of external rotator and abductors, shoulder functional status in patients with Shoulder Impingement Syndrome
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic exercises | Active Comparator | a specific therapeutic exercise program consisted of stretching exercises for posterior capsule and progressive resistance exercises for rotator cuff and scapula stabilizer and home exercise |
|
| cervical and thoracic mobilization | Active Comparator | cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization added to therapeutic exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| therapeutic exercises | Other | One group received an exercise program that consisted of pain control, ROM, as well as education in scapular control, strengthening of muscles around the shoulder blades, and starting sensory-motor training. The program consisted of all exercises being performed in 3 sets of 15 repetitions. also, scapular stabilizing exercise were added |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | pain intensity will be measured by visual analogue scale | pre intervention and after 6 weeks of intervention |
| shoulder flexion and abduction range of motion | measurement of shoulder flexion and abduction range of motion applied by using digital goniometer | pre intervention and after 6 weeks of intervention |
| muscle strength | shoulder flexors and external rotators muscle strength will be measured by dynamometer | pre intervention and after 6 weeks of intervention |
Not provided
Not provided
Inclusion criteria required at least three positive findings from five diagnostic tests for SIS (Hawkins-Kennedy test, Neer's test, painful arc, Resisted External Rotation test, Jobe's test) and persistent shoulder pain (anterolateral shoulder region) for 3 to 6 months, along with limitations in functional movements as Individuals who experienced painful restrictions in their ability to raise their shoulder (flexion, abduction, scaption) and had pain or limitations when performing functional movements such as reaching behind their back or behind their head. As well as subjects who willingly participated in the study and gave their consent for the research purposes.
Exclusion criteria included adhesive capsulitis, radiologically confirmed grade III rotator cuff tears, calcific tendinitis, neurological or systemic disorders, cervical radiculopathy, prior shoulder surgery, recent corticosteroid injections, or recent physiotherapy within the previous three months. Patients complain from shoulder pain without pain on palpation, mobility limitations or pain during provocative tests, but complaining of abdominal tenderness on palpation were also excluded from this study.
female
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Noha Elserty | Benha University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy | Cairo | 11835 | Egypt |
Not provided
Both groups underwent a physical therapy program; study group received additional cervical and thoracic mobilization. Outcomes included pain intensity, pain-free shoulder active range of motion (ROM) in scaption, flexion, abduction, internal and external rotation, muscle strength of external and internal rotators and abductors, and overall shoulder functional status.
Not provided
Not provided
patients and outcomes assessor will be masked about the grouping of the study
|
| mobilization exercise | Other | cervical unilateral antero-posterior mobilization and thoracic central postro-anterior mobilization |
|
| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
Not provided
Not provided
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
Not provided
Not provided