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IRCT201111025486N2 IRCT 2012-01-17 Tehran Unversity of Medical Sceinces - Vice Chancellor for Research A comparative study of exercise therapy and physiotherapy in improving shoulder pain, posture, muscle strength, flexibility and range of motion in patients with shoulder overuse syndrome Exercise therapy & Physical modalities in shoulder overuse syndrom A comparative study of exercise therapy and physiotherapy in improving shoulder pain, posture, muscle strength, flexibility and range of motion in patients with shoulder overuse syndrome 2012-01-01 anticipated 70 Complete https://irct.ir/trial/5888 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Shoulder overuse syndrom. Intervention 1: Intervention for group II or physical therapy group consist of three days a week physical therapy during which the subjects treated with conventional TENS and ultrasound for 18 sessions (three sessions per week for 6 weeks) . Intervention 2: Exercise Therapy Group intervention : The exercise program will be done three days a week for 6 weeks. The exercise program is included strengthening exercise, stretching ,proprioceptive and scapular stabilization exercise with swiss ball and Therabands.After 20 to 30 minute warm-up exercises will begin . In training sessions, a series of stretching e xercises for the anterior muscles of the chest muscles and internal rotators of the shoulders are included. Objectives: To determine the effect of exercise therapy on pain, posture, flexibility, shoulder mobility in patients with shoulder overuse syndrome in comparison with conventional physiotherapy.<br /> <br /> Method: The study was designed as a randomized clinical trial in 69 patients with shoulder overuse syndrome who were randomly assigned in two groups of exercise therapy (ET) (n=33) and physiotherapy (PT) (n=35). All participants received 18 sessions of exercise therapy or conventional physiotherapy. Pain, shoulders' range of abduction and external rotation, shoulder protraction, scapular rotation and symmetry as well as postural assessment including the forward shoulder and head, mid thoracic curvature and Pectoralis minor length were evaluated. All measurements were done pre and post intervention.<br /> Results: Our findings indicate an increase in abduction and external rotation range, improvement the forward shoulder and increase in the shoulder flexibility of the involved shoulder in both groups but significant difference was observed in exercise therapy group. Pain reduction was showed in both groups and there was no significant difference between them. Protraction of the shoulder, forward head posture and mid thoracic curvature revealed a significant improvement in exercise therapy group.An apparent changes occurred in scapular rotation and symmetry in both groups but no significant differences were observed between them.<br /> Conclusions:The findings of this study indicated in pain reduction, increasing of abduction and external rotation range, improvement of head , shoulder, scapula and mid thoracic posture and also increasing in involved shoulder flexibility after 6 weeks exercise therapy.<br /> Keywords: Shoulder Overuse Syndromes, Posture, Exercise Therapy, Physiotherapy, Randomized Clinical Trial.<br /> <br />
public Dr Azar Moezy
Heamt Highway-Medicine school-Sports Medicine Deparment
Tehran Iran (Islamic Republic of) +98 21 8294 3424 moeziazr@sina.tums.ac.ir Tehran University of Medical Sciences scientific Dr Azar Moezy
Hemat Highway, Medicine School, Sports medicine department
Tehran Iran (Islamic Republic of) +98 21 8294 3424 moeziazr@sina.tums.ac.ir Teharn Unversity of Medical sciences Iran (Islamic Republic of) Inclusion criteria: unilateral or bilateral shoulder overuse syndrome based on patient’s history & physical exams; age between 20 to50; normal mental state; no previous history of trauma & acute injury; no previous history of shoulder surgery; no previous history of shoulder dislocation and no previous history of shoulder or arm fractures. Exclusion criteria: patient’s unwilling to continue the study; diseases that impede patient to be attended in the study and absence in treatment sessions 20 years 50 years Both M75.4 Impingement syndrome of shoulder Rehabilitation Rehabilitation Intervention for group II or physical therapy group consist of three days a week physical therapy during which the subjects treated with conventional TENS and ultrasound for 18 sessions (three sessions per week for 6 weeks) . Exercise Therapy Group intervention : The exercise program will be done three days a week for 6 weeks. The exercise program is included strengthening exercise, stretching ,proprioceptive and scapular stabilization exercise with swiss ball and Therabands.After 20 to 30 minute warm-up exercises will begin . In training sessions, a series of stretching e xercises for the anterior muscles of the chest muscles and internal rotators of the shoulders are included. Pain. Timepoint: Before intervention and six weeks after intervention. Method of measurement: Pain scale (VAS). Pectoralis minor length. Timepoint: Before intervention and six weeks after intervention. Method of measurement: Pectoralis minor length measurments. Shoulder Range of Motion. Timepoint: Before intervention and six weeks after intervention. Method of measurement: Goniometric measurement of shoulder Abduction and External rotation. Posture. Timepoint: Before intervention and six weeks after intervention. Method of measurement: Head, midthoracic, shoulder posture with measurement and calculations. Tehran Unversity of Medical Sceinces - Vice Chancellor for Research Approved 2011-12-19 Ethics committe of vice chancellor for research , TUMS Keshvarz Blvd Tehran Iran (Islamic Republic of)