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SUMMARY :
Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint).
Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome.
Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group with abdominal Drawing in maneuvour with cross pattern limb exercises | Experimental | Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session. The intervention plan will be given as follows:
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| Conventional Study group | Active Comparator | Half of the particpants will be treated with only shoulder conventional exercises. Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session. Following exercises will be performed in control group:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Abdominal Drawing Inn maneuver with cross pattern limb exercises | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| NPRS | It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain. | The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks |
| Shoulder Pain and Disability Index | SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points. | The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks |
| Goniometry | Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer. | Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Suyperior Univeristy | Lahore | Punjab Province | 53720 | Pakistan |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Feb 20, 2026 | Apr 7, 2026 |
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| Shoulder Exercises | Other | The participants in conventional group will only receive shoulder exercises that will include Wall climbing, Wand exercises, Shoulder ROMS, Prone arm elevation, Cross-Chest Stretch Pendulum Exercises |
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| ICF_000.pdf |
| ID | Term |
|---|---|
| D019534 | Shoulder Impingement Syndrome |
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070599 | Shoulder Injuries |
| D014947 | Wounds and Injuries |
| D018771 | Arthralgia |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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