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

NCT ID: NCT03468088

Last Updated: 2018-03-16

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-02-01
• Study Completion Date: 2018-12-15

Brief Summary

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).

Detailed Description

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.

Conditions

Impingement Syndrome, Shoulder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Hand grip strengthening

This group will receive handgrip strengthening exercises.

Group Type: EXPERIMENTAL

Hand grip strengthening

Intervention Type: BEHAVIORAL

Handgrip strengthening exercises will be added to the experimental group. This exercise is chosen based on literature review of EMG and biomechanical studies. Adjustable heavy grip hand gripper will be used as handgrip resistance at 10 repetitions maximum (RM). The exercise will be performed in standing position the patient's back will be rested in a wall, arm at 30º abduction, 60º abduction 90º abduction \& with 90º ER. In this positions, the patient will be performed 3 sets of 10 squeezes each at a 1-minute interval.

Conventional treatment

This group will receive conventional exercises.

Group Type: ACTIVE_COMPARATOR

Conventional treatment

Intervention Type: BEHAVIORAL

Ultrasound therapy will be used to treat both groups. Ultrasound will be applied; while the patient will be seated in an adjustable chair with back support, feet on the floor. The chair will be positioned beside a table. The patient's shoulder will be rested on the table beside the body and elbow will be flexed at 90°. A round-headed probe will be used that is put in direct contact with the patient's skin over the shoulder joint. Ultrasound gel will be used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.

Interventions

Hand grip strengthening

Handgrip strengthening exercises will be added to the experimental group. This exercise is chosen based on literature review of EMG and biomechanical studies. Adjustable heavy grip hand gripper will be used as handgrip resistance at 10 repetitions maximum (RM). The exercise will be performed in standing position the patient's back will be rested in a wall, arm at 30º abduction, 60º abduction 90º abduction \& with 90º ER. In this positions, the patient will be performed 3 sets of 10 squeezes each at a 1-minute interval.

Intervention Type: BEHAVIORAL

Conventional treatment

Ultrasound therapy will be used to treat both groups. Ultrasound will be applied; while the patient will be seated in an adjustable chair with back support, feet on the floor. The chair will be positioned beside a table. The patient's shoulder will be rested on the table beside the body and elbow will be flexed at 90°. A round-headed probe will be used that is put in direct contact with the patient's skin over the shoulder joint. Ultrasound gel will be used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves.

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

King Saud University

OTHER

Sponsor Role: lead

Responsible Party

Amal Alanazi

Post Graduate student, Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Amal AlAnazi

Role: PRINCIPAL_INVESTIGATOR

King Saud University

Locations

Ministry of Health Hospital

Jeddah, , Saudi Arabia

Site Status: RECRUITING

Countries

Saudi Arabia

Central Contacts

Sami Gabr, PhD

Role: CONTACT

nadalab2009@hotmail.com

+966562060018

Facility Contacts

Amal AlAnazi

Role: primary

amalalanazi600@gmail.com

+966535924417

Other Identifiers

CAMS 039-3839

Identifier Type: -

Identifier Source: org_study_id