Mobilization and Mobilization With Movement Effect on Sub Acromial Space in Impingement Syndrome.
NCT ID: NCT04579003
Last Updated: 2020-10-08
Study Results
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Basic Information
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COMPLETED
NA
22 participants
INTERVENTIONAL
2019-12-06
2020-09-13
Brief Summary
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Detailed Description
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An RCT was conducted in 2016 to find out the effect of posterolateral glide MWM on pain, strength of shoulder muscles and upward rotation of scapula. 31 patients were allocated to a group performing exercises actively and other group who received posterolateral glides MWM. The results suggested that MWM was effective intervention in decreasing pain on VAS and improving strength of external rotators.
A study was conducted in 2013 to compare the effects of supervised exercise with and without manual therapy for impingement syndrome.The results showed marked differences in reducing pain and increasing ROM and strength of rotator muscles in group that received supervised exercise with manual therapy. So it was concluded that manual therapy with exercise program is effective in decreasing pain and improving ROM than exercises alone in impingement syndrome.
A study was conducted to compare the effects of mobilization with movement and mobilization with therapeutic exercises in patients of subacromial impingement. The results are suggestive that shoulder mobilization and MWM with exercises result in more reduction of pain and improved AROM.
A RCT was conducted to compare the effectiveness of joint and soft tissue mobilization techniques and self-training program. The results of this study showed that patient who received manual therapy showed significant differences. So it was concluded that joint mobilization is effective intervention for patients with impingement syndrome.
Studies have been conducted in the past on effect of mobilization and mobilization with movement on shoulder impingement but they did not report their effect on sub acromial space in impingement syndrome using musculoskeletal ultrasound and the comparison of both techniques.
The purpose of this study is to find out the effects of mobilization and mobilization with movement on sub acromial space using musculoskeletal ultrasound in impingement syndrome and compare their outcomes.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Mobilization
Mobilization, heat application, ultrasound, TENS
Mobilization
Moist hot pack for 10 mins/1 set/ 6 consecutive days, Ultrasound for 5 mins/1 set/ 6 consecutive days, TENS on shoulder region for 10 mins/1 set/ 6 consecutive days, Shoulder mobilization posterolateral glide for 30 secs with 30 secs rest for 5 mins.
A total of 6 consecutive sessions were given each consisting of 30 mins.
Mobilization with movement
Mobilization with movement, heat application, ultrasound, TENS
Mobilization with movement
Moist hot pack for 10 mins/1 set/ 6 consecutive days, Ultrasound for 5 mins/1 set/ 6 consecutive days, TENS on shoulder region for 10 mins/1 set/ 6 consecutive days, Shoulder mobilization with movement (MWM) 10 repetitions with 30 secs rest for 5 mins.
A total of 6 consecutive sessions were given each consisting of 30 mins.
Interventions
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Mobilization
Moist hot pack for 10 mins/1 set/ 6 consecutive days, Ultrasound for 5 mins/1 set/ 6 consecutive days, TENS on shoulder region for 10 mins/1 set/ 6 consecutive days, Shoulder mobilization posterolateral glide for 30 secs with 30 secs rest for 5 mins.
A total of 6 consecutive sessions were given each consisting of 30 mins.
Mobilization with movement
Moist hot pack for 10 mins/1 set/ 6 consecutive days, Ultrasound for 5 mins/1 set/ 6 consecutive days, TENS on shoulder region for 10 mins/1 set/ 6 consecutive days, Shoulder mobilization with movement (MWM) 10 repetitions with 30 secs rest for 5 mins.
A total of 6 consecutive sessions were given each consisting of 30 mins.
Eligibility Criteria
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Inclusion Criteria
* Patients with impingement syndrome in acute phase.
Exclusion Criteria
* Thoracic Outlet Syndrome
* Cervical Radiculopathy
* Any Fracture or dislocation of shoulder girdle.
* Diabetic Patients.
30 Years
50 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Asghar Khan, Phd
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Max Rehab & Physical Therapy Centre G-8 Markaz
Islamabad, Fedral, Pakistan
Countries
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References
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Ajit D, Shika S. Effects of Mobilization with Movement (MWM) in Shoulder Impingement Syndrome Patients on Acromiohumeral Distance using Ultrasonography. Journal of Exercise Science & Physiotherapy. 2016;12(2).
Neelapala YR, Reddy YRS, Danait R. Effect of mulligan's posterolateral glide on shoulder rotator strength, scapular upward rotation in shoulder pain subjects-a randomized controlled trial. Journal of Musculoskeletal Research. 2016;19(03):1650014.
Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther. 2000 Mar;30(3):126-37. doi: 10.2519/jospt.2000.30.3.126.
Kachingwe AF, Phillips B, Sletten E, Plunkett SW. Comparison of manual therapy techniques with therapeutic exercise in the treatment of shoulder impingement: a randomized controlled pilot clinical trial. J Man Manip Ther. 2008;16(4):238-47. doi: 10.1179/106698108790818314.
Other Identifiers
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REC/00692 Aneela Ghafoor
Identifier Type: -
Identifier Source: org_study_id
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