Shoulder and Neck Mobilization in Patients With Subacromial Impingement 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

RECRUITING

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-07

Study Completion Date

2026-09-30

Brief Summary

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Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.

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Detailed Description

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Conditions

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Subacromial Impingement Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Conventional treatment group

Hot packs, TENS, ultrasound, and exercise

Group Type ACTIVE_COMPARATOR

Conventional Treatment

Intervention Type OTHER

Hot pack,TENS, ultrasound and exercises

Conventional treatment + shoulder mobilization group

Hot packs, TENS, ultrasound, exercise, and shoulder mobilization

Group Type EXPERIMENTAL

Conventional Treatment

Intervention Type OTHER

Hot pack,TENS, ultrasound and exercises

shoulder mobilization

Intervention Type OTHER

In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied.

Conventional treatment + shoulder mobilization + neck mobilization group

Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization

Group Type EXPERIMENTAL

Conventional Treatment

Intervention Type OTHER

Hot pack,TENS, ultrasound and exercises

shoulder mobilization

Intervention Type OTHER

In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied.

neck mobilization

Intervention Type OTHER

Bridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization.

Interventions

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Conventional Treatment

Hot pack,TENS, ultrasound and exercises

Intervention Type OTHER

shoulder mobilization

In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied.

Intervention Type OTHER

neck mobilization

Bridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being over 18 years of age
* Diagnosed with Subacromial Impingement
* Not having received any treatment for shoulder problems in the last 6 months
* The pain has been continuing for 3 months
* Initial pain must be 4 or higher on the Visual Analog Scale (VAS)

Exclusion Criteria

* History of surgery in the shoulder, cervical and thoracic region
* Having a shoulder problem such as a frozen shoulder or instability
* Full-thickness rotator cuff tear
* Having systemic musculoskeletal disease
* Having systemic rheumatic disease
* History of upper extremity fracture
* Diagnosed with scoliosis
* Have neurological problems

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No