Comparative Effects of Conscious Abdominal Contraction and Closed Kinetic Chain Exercises
NCT ID: NCT06106048
Last Updated: 2024-05-02
Study Results
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Basic Information
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COMPLETED
NA
28 participants
INTERVENTIONAL
2023-08-23
2024-04-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group A
Group A was treated with closed kinetic chain exercises
Closed kinetic chain exercises
Group A was treated with closed kinetic chain exercises. Group A: Group A was treated with closed kinetic chain exercises. Closed kinetic chain exercises enhance the proprioception by coordinating the mechanical receptors as well as the strength of the external shoulder rotator muscles, reduce the pain and improve the shoulder.
Closed kinetic chain exercises include:
* Push up
* Scapular push up
* Scapular dip
* Crab walk
Common Treatment:
Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280, wavelength 80.
Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.
Group B
Group B was treated with abdominal contraction exercises for periscapular activation
Abdominal contraction exercises
Group B was treated with abdominal contraction exercises for periscapular activation that includes: Wall slide, knee pushup, external rotation kneeling, Full can and External rotation with elevation and isometric low row.
Common Treatment:
Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280,wavelength 80.
Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.
Interventions
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Closed kinetic chain exercises
Group A was treated with closed kinetic chain exercises. Group A: Group A was treated with closed kinetic chain exercises. Closed kinetic chain exercises enhance the proprioception by coordinating the mechanical receptors as well as the strength of the external shoulder rotator muscles, reduce the pain and improve the shoulder.
Closed kinetic chain exercises include:
* Push up
* Scapular push up
* Scapular dip
* Crab walk
Common Treatment:
Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280, wavelength 80.
Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.
Abdominal contraction exercises
Group B was treated with abdominal contraction exercises for periscapular activation that includes: Wall slide, knee pushup, external rotation kneeling, Full can and External rotation with elevation and isometric low row.
Common Treatment:
Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280,wavelength 80.
Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.
Eligibility Criteria
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Inclusion Criteria
* Age 20 to 40 years
* Unilateral shoulder pain
* Pain with overhead activities
* Positive Hawkins Kennedy test
* Positive painful arc(60-120 degrees)
* Positive Neer impingement test
* Positive external rotation test
* Numeric pain Rating Scale NPRS value(3-7)
Exclusion Criteria
* Know shoulder instability
* Neck pain
* Radiating pain from shoulder to hand
* Receiving any intervention for shoulder injury.
* Previous history of 6 month shoulder trauma.
* Previous history of shoulder surgery.
* Taking any critical care medicine
20 Years
40 Years
MALE
No
Sponsors
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Sehat Medical Complex
OTHER
Responsible Party
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Principal Investigators
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Dr. Imran Ghafoor
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Sir Syed Sports Complex
Sargodha, , Pakistan
Countries
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References
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Park SW, Chen YT, Thompson L, Kjoenoe A, Juul-Kristensen B, Cavalheri V, McKenna L. No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis. Sci Rep. 2020 Nov 26;10(1):20611. doi: 10.1038/s41598-020-76704-z.
Saito H, Harrold ME, Cavalheri V, McKenna L. Scapular focused interventions to improve shoulder pain and function in adults with subacromial pain: A systematic review and meta-analysis. Physiother Theory Pract. 2018 Sep;34(9):653-670. doi: 10.1080/09593985.2018.1423656. Epub 2018 Jan 19.
Pieters L, Lewis J, Kuppens K, Jochems J, Bruijstens T, Joossens L, Struyf F. An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain. J Orthop Sports Phys Ther. 2020 Mar;50(3):131-141. doi: 10.2519/jospt.2020.8498. Epub 2019 Nov 15.
Pogetti LS, Nakagawa TH, Contecote GP, Camargo PR. Core stability, shoulder peak torque and function in throwing athletes with and without shoulder pain. Phys Ther Sport. 2018 Nov;34:36-42. doi: 10.1016/j.ptsp.2018.08.008. Epub 2018 Aug 17.
Overbeek CL, Kolk A, de Groot JH, Visser CPJ, van der Zwaal P, Jens A, Nagels J, Nelissen RGHH. Altered Cocontraction Patterns of Humeral Head Depressors in Patients with Subacromial Pain Syndrome: A Cross-sectional Electromyography Analysis. Clin Orthop Relat Res. 2019 Aug;477(8):1862-1868. doi: 10.1097/CORR.0000000000000745.
de Oliveira Scatolin R, Hotta GH, Cools AM, Custodio GAP, de Oliveira AS. Effect of conscious abdominal contraction on the activation of periscapular muscles in individuals with subacromial pain syndrome. Clin Biomech (Bristol). 2021 Apr;84:105349. doi: 10.1016/j.clinbiomech.2021.105349. Epub 2021 Apr 2.
Silva YA, Novaes WA, Dos Passos MHP, Nascimento VYS, Cavalcante BR, Pitangui ACR, De Araujo RC. Reliability of the Closed Kinetic Chain Upper Extremity Stability Test in young adults. Phys Ther Sport. 2019 Jul;38:17-22. doi: 10.1016/j.ptsp.2019.04.004. Epub 2019 Apr 9.
Cappato de Araujo R, Andrade da Silva H, Pereira Dos Passos MH, Alves de Oliveira VM, Rodarti Pitangui AC. Use of unstable exercises in periscapular muscle activity: A systematic review and meta-analysis of electromyographic studies. J Bodyw Mov Ther. 2021 Apr;26:318-328. doi: 10.1016/j.jbmt.2020.12.010. Epub 2020 Dec 8.
Scott R, Yang HS, James CR, Sawyer SF, Sizer PS Jr. Volitional Preemptive Abdominal Contraction and Upper Extremity Muscle Latencies During D1 Flexion and Scaption Shoulder Exercises. J Athl Train. 2018 Dec;53(12):1181-1189. doi: 10.4085/1062-6050-255-17. Epub 2018 Dec 13.
Werin M, Maenhout A, Smet S, Van Holder L, Cools A. Muscle recruitment during plyometric exercises in overhead athletes with and without shoulder pain. Phys Ther Sport. 2020 May;43:19-26. doi: 10.1016/j.ptsp.2020.01.015. Epub 2020 Feb 1.
Other Identifiers
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REC/RCRS &AHS/23/0460
Identifier Type: -
Identifier Source: org_study_id
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