Scapulothoracic Joint Mobilization With or Without Acromioclavicular Joint Mobilization in Sub-acromial Pain Syndrome
NCT ID: NCT07331597
Last Updated: 2026-01-12
Study Results
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Basic Information
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COMPLETED
NA
36 participants
INTERVENTIONAL
2025-01-10
2025-11-20
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
DOUBLE
Study Groups
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Group A
Scapulothoracic joint mobilization with acromioclavicular joint mobilization
Scapulothoracic joint mobilization
during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks
Acromioclavicular joint mobilization
during 1st week : Maitland grade-II mobilization for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week : Maitland grade-II, III for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval, 3 sessions a week for 4 weeks.
Standard physiotherapy treatment
Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.
Group B
Scapulothoracic joint mobilization
Scapulothoracic joint mobilization
during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks
Standard physiotherapy treatment
Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.
Interventions
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Scapulothoracic joint mobilization
during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks
Acromioclavicular joint mobilization
during 1st week : Maitland grade-II mobilization for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week : Maitland grade-II, III for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval, 3 sessions a week for 4 weeks.
Standard physiotherapy treatment
Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.
Eligibility Criteria
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Inclusion Criteria
* Patients having unilateral non-traumatic shoulder pain
* Patients having pain for ≥ 3 months
* According to Dutch Orthopedic Association Clinical Practice Guidelines 2 out of following 3 tests should be positive i.e. Hawkin's kennedy test, Painful arc test, and Infraspinatus resistance test
* Positive scapular assistance test
* Positive AC joint scarf test
Exclusion Criteria
* With positive drop arm test for supraspinatus tears
* Degenerative joint disease of shoulder
* Patients diagnosed with frozen shoulder
* Having history of shoulder fracture and dislocation
* Patients diagnosed with cervical radiculopathy (19)
* Having history of shoulder or neck surgery (19)
* Patients who had steroid injections in shoulder joint in the past 6 months
* Patients having other neurological, orthopedic and systemic problems affecting the shoulder, neck and back
\-
25 Years
40 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Saba Rafiq, MS-OMPT
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Dr.Sheharyar Tanveer Clinic Sharaq pur
Sheikhupura, Punjab Province, Pakistan
Countries
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References
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de Miguel Valtierra L, Salom Moreno J, Fernandez-de-Las-Penas C, Cleland JA, Arias-Buria JL. Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial. J Pain. 2018 Oct;19(10):1201-1210. doi: 10.1016/j.jpain.2018.04.017. Epub 2018 May 16.
Park SJ, Kim SH, Kim SH. Effects of Thoracic Mobilization and Extension Exercise on Thoracic Alignment and Shoulder Function in Patients with Subacromial Impingement Syndrome: A Randomized Controlled Pilot Study. Healthcare (Basel). 2020 Sep 2;8(3):316. doi: 10.3390/healthcare8030316.
Ekici G, Özcan Ş, Öztürk BY, Öztürk B, Ekici B. Effects of deep friction massage and dry needling therapy on night pain and shoulder internal rotation in subacromial pain syndrome: 1-year follow up of a randomised controlled trial. International Journal of Therapy And Rehabilitation. 2021;28(2):1-12.
Sharma S, Ejaz Hussain M, Sharma S. Effects of exercise therapy plus manual therapy on muscle activity, latency timing and SPADI score in shoulder impingement syndrome. Complement Ther Clin Pract. 2021 Aug;44:101390. doi: 10.1016/j.ctcp.2021.101390. Epub 2021 Apr 19.
Sharma S, Ghrouz AK, Hussain ME, Sharma S, Aldabbas M, Ansari S. Progressive Resistance Exercises plus Manual Therapy Is Effective in Improving Isometric Strength in Overhead Athletes with Shoulder Impingement Syndrome: A Randomized Controlled Trial. Biomed Res Int. 2021 Jun 30;2021:9945775. doi: 10.1155/2021/9945775. eCollection 2021.
Dunning J, Butts R, Fernandez-de-Las-Penas C, Walsh S, Goult C, Gillett B, Arias-Buria JL, Garcia J, Young IA. Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial. J Orthop Sports Phys Ther. 2021 Feb;51(2):72-81. doi: 10.2519/jospt.2021.9785. Epub 2020 Aug 28.
Lyng KD, Andersen JD, Jensen SL, Olesen JL, Arendt-Nielsen L, Madsen NK, Petersen KK. The influence of exercise on clinical pain and pain mechanisms in patients with subacromial pain syndrome. Eur J Pain. 2022 Oct;26(9):1882-1895. doi: 10.1002/ejp.2010. Epub 2022 Jul 27.
Mohammed AH, Mahmoud NA, Abd El-Naeem MA, Abd El-Azeim AS. Efficacy of the Mulligan technique on subacromial space in patients with shoulder impingement syndrome. Physiotherapy Quarterly. 2024;32(3).
Celik EB, Tuncer A. Comparing the Efficacy of Manual Therapy and Exercise to Synchronized Telerehabilitation with Self-Manual Therapy and Exercise in Treating Subacromial Pain Syndrome: A Randomized Controlled Trial. Healthcare (Basel). 2024 May 24;12(11):1074. doi: 10.3390/healthcare12111074.
Tauqeer S, Arooj A, Shakeel H. Effects of manual therapy in addition to stretching and strengthening exercises to improve scapular range of motion, functional capacity and pain in patients with shoulder impingement syndrome: a randomized controlled trial. BMC Musculoskelet Disord. 2024 Mar 2;25(1):192. doi: 10.1186/s12891-024-07294-4.
Other Identifiers
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REC/RCR & AHS/24/0185
Identifier Type: -
Identifier Source: org_study_id
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