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The aim of the study is to determine the effect of mulligan's mobilization on shoulder range of motion and subacromial joint space in paraplegic patients with subacromial impingement so, thirty patients will be randomly assigned to two groups group (A) and Group (B)
30 patients will be randomly assigned to two groups Group (A): will receive Mulligan's mobilization plus steroid injection for rotator cuff tendinopathy Group (B): will receive Steroid injection for rotator cuff tendinopathy only
Outcome measures will be:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Will receive mulligan's mobilization plus corticosteroid injection for shoulder joint |
|
| corticosteroid injection for rotator cuff tendinopathy only | Sham Comparator | patients will receive corticosteroid injection for rotator cuff muscle only which helps in resolving inflammation at the shoulder joint |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mulligan's mobilization | Other | Mulligan mobilization isthe concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient. |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder joint range of motion | Shoulder joint ROM ( flexion - abduction- external and internal rotation will be measured by The laser goniometer HALO | Two months |
| Measure | Description | Time Frame |
|---|---|---|
| Subacromial joint space | 3D Ultrasonography enables the identification of common shoulder pathologies, and it will be utilized to assess the subacromial space as a kinematic indication of the shoulder. | Two months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Modern University for Technology and Information | Cairo | Egypt |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D010264 | Paraplegia |
| D019534 | Shoulder Impingement Syndrome |
| ID | Term |
|---|---|
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D000305 | Adrenal Cortex Hormones |
| ID | Term |
|---|---|
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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Randomized controlled trial
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| corticosteroid injection for rotator cuff tendinopathy | Other | corticosteroid injection for rotator cuff helps resolving inflammation which occur for paraplegic patients from overuse of the crutches |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |