Effectiveness of Passive Mobilization in Patients With Subacromial Syndrome

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-01

Study Completion Date

2018-09-17

Brief Summary

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From a biomechanical point of view, subacromial syndrome causes an increment in the anterior and superior translation of the humeral head, which increases compression in the adjacent tissues of the subacromial space, aggravating the symptoms of the patients. Conservative treatments are the first option for subacromial syndrome management, despite the fact that there is limited evidence about its effectiveness, due to the lack of experimental studies.

The aim of this study is to evaluate the effectiveness of a passive joint mobilization (caudal and dorsal gliding) grade II in the glenohumeral joint, within a multimodal approach to reduce pain and improve the range of motion in patients with subacromial syndrome.

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Detailed Description

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Subacromial syndrome, also known as subacromial impingement, is the most frequent disorder in the shoulder joint. It has a multifactorial origin and represents a wide spectrum of pathologies. Its main consequences are pain and loss of function in the glenohumeral joint. From a biomechanical point of view, subacromial syndrome causes an increment in the anterior and superior translation of the humeral head, which increases compression in the adjacent tissues of the subacromial space, aggravating the symptoms of the patients. Conservative treatments are the first option for subacromial syndrome management, despite the fact that there is limited evidence about its effectiveness, due to the lack of experimental studies.

The aim of this study is to evaluate the effectiveness of a passive joint mobilization (caudal and dorsal gliding) grade II in the glenohumeral joint, within a multimodal approach to reduce pain and improve the range of motion in patients with subacromial syndrome. To this end, a randomized clinical trial will be carried out in the Montpellier Clinic in Zaragoza. Twenty-two patients will be recruited and randomly assigned to one of the two groups (intervention and control). Both groups will receive a standardized treatment consisting of: 10 sessions of infrared rays, and a program of therapeutic exercises and indications to improve their postural hygiene. In addition, the intervention group will receive a passive joint mobilization in the glenohumeral joint of 5 minutes. Pain intensity, range of motion and functionality of the glenohumeral joint will be measured in the first session before any treatment and in the tenth session after the treatment.

Conditions

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Subacromial Impingement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

It is not possible to mask physiotherapists and patients, so the only masking will be for researchers and evaluators

Study Groups

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Intervention

Intervention will consist of passive joint mobilization (caudal and dorsal gliding) grade II in the glenohumeral joint.

Besides, participants will receive a standardized treatment consisting of infrared rays, a program of therapeutic exercises and indications to improve their postural hygiene.

Group Type EXPERIMENTAL

Specific passive mobilization

Intervention Type OTHER

Specific passive mobilizations for the shoulder

Standardized treatment (standard protocol)

Intervention Type OTHER

Infrared rays, a program of therapeutic exercises and indications to improve their postural hygiene

Control

Control treatment will consist of a standardized treatment consisting of infrared rays, a program of therapeutic exercises and indications to improve their postural hygiene.

Group Type ACTIVE_COMPARATOR

Standardized treatment (standard protocol)

Intervention Type OTHER

Infrared rays, a program of therapeutic exercises and indications to improve their postural hygiene

Interventions

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Specific passive mobilization

Specific passive mobilizations for the shoulder

Intervention Type OTHER

Standardized treatment (standard protocol)

Infrared rays, a program of therapeutic exercises and indications to improve their postural hygiene

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of subacromial syndrome
* Pain at rest, which increases when doing active movements
* Neer´s impingement test positive
* Hawkins Kennedy test positive
* Pain lasting more than one month
* Anteriorization of humeral head
* Full capacity (physical and cognitive) to participate in the study and give consent.

Exclusion Criteria

* Infiltrations during the previous six months
* Traumatic origin of pain
* Complete tear of any rotator cuff tendon
* Bilateral pain
* Previous surgical intervention in the affected shoulder
* Patients planning to start with other treatments during the clinical trial.

Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No