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PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.
Non probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28
PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.
Non probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KINETIC CHAIN EXERCISES (OPEN AND CLOSED) | Experimental |
| |
| CONVENTIONAL PHYSIOTHERAPY TREATMENT | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kinetic chain exercises | Other | Kinetic chain exercises work on the stabilizer muscles of scapula, such as the anterior serratus, rhomboids, and trapezius, which are responsible for maintaining the scapula-humeral rhythm. These scapular stabilizers reduce the undesirable movements that would otherwise cause shoulder impingement, therefore reducing stress on the sub-acromial structures. Kinetic chain exercises enhance body's proper movement patterns, improving proprioception, and increase the activation of primary movers. Decreased biomechanical dysfunction results in better arm positioning. By performing exercises that address the entire kinetic chain, these would assist in avoiding the compensatory mechanisms and repetitive strain injuries that act as relapse triggers for SIS. The patients enjoy sustained relief from shoulder impingement syndrome pain and notice less frequency of future shoulder injuries Kinetic chain shoulder therapy exercises involve kinetic link and model called biomechanical model and cranial t |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating scale | . This scale ranges from 0 to 10 where 0 indicating "no pain" and 10 indicating "worst pain possible" | from start of study to 4 weeks |
| Shoulder Pain and Disability Index | The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consisting of two dimensions, one for the pain and other for functional ability of the subject. The pain dimension consists of five questions regarding the severity of an individual's pain intensity | From start of study upto 4 weeks |
| Universal Goniometer | Health care practitioners often use universal goniometer to obtain objective measurements of joint range of motion (ROM) to find out the baseline functional status and to measure the effectiveness of treatment interventions | From start of study upto 4 weeks |
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Inclusion Criteria:
• Age group 30-50 years
Exclusion Criteria:
• Subjects having Capsular Pattern +ve
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| Name | Affiliation | Role |
|---|---|---|
| Ali Raza, Ms.PT(OM) | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| RC Medical Centre | Lahore | Punjab Province | 54792 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Afzalifard, Z., Soltani, A., & Oskouei, A. E. (2023). The effects of magnet therapy on pain and disability in patients with shoulder impingement syndrome. Middle East Journal of Rehabilitation and Health Studies, 10(1). | ||
| Background | Mitra D, Mitra P, Rau S. Effect of Specific Exercise Program and Conventional Exercise Protocol on Pain and Disability in Patients with Subacromial Impingement Syndrome | ||
| 2078803 | Background | Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med. 1990 Sep;24(3):173-7. doi: 10.1136/bjsm.24.3.173. | |
| Background | Saadatian A, Babaei Khorzoghi M, Sahebozamani M, Taghi Karimi M. The Impact of OKC Exercises and TRX Exercises on Shoulder Joint Proprioception in Overhead Athletes With Shoulder Impingement Syndrome: A Randomized Controlled Trial. Physical Treatments - Specific Physical Therapy. 2022;12(2):77-84. |
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| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D010146 | Pain |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
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| conventional physical therapy treatment | Other |
|
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| Background | Kanthanathan Subbiah SR, AS Subhashini, Sailakshmi Ganeshan. Functional Ability and Quality of Life Status following Manual Therapy and Specific Exercise Conditioning in Subacromial Impingement Syndrome: A Randomised Controlled Study. Journal of Clinical and Diagnostic Research. 2023;17(3):YC11- YC6. |
| 24078825 | Background | Webb R, Cofre Lizama LE, Galea MP. Moving with ease: feldenkrais method classes for people with osteoarthritis. Evid Based Complement Alternat Med. 2013;2013:479142. doi: 10.1155/2013/479142. Epub 2013 Sep 3. |
| 40671042 | Background | Wen M, Hu X, Bao G. Scapular dyskinesis-based exercise therapy versus multimodal physical therapy for subacromial impingement syndrome in young overhead athletes with scapular dyskinesis: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2025 Jul 16;17(1):204. doi: 10.1186/s13102-025-01254-8. |
| Background | Qamar, M. M., Basharat, A., Kiran, Q., Nazir, A., Ahmad, W., & Basharat, S. (2023). Comparison of the Effects of Conventional Physical Therapy Versus Progressive Overload Training in Patients with Shoulder Impingement Syndrome; A Randomised Clinical Trial. Annals of King Edward Medical University, 29(1), 50-54. |
| Background | McKim KR. A comprehensive analysis of the swimmers' shoulder [Text]1998. |
| 16558646 | Background | McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. J Athl Train. 2000 Jul;35(3):329-37. |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |