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IRCT20180414039299N1 IRCT 2023-04-14 Kharazmi University The Comparison Effectiveness and Durability of 8-week Motor Control Retraining (MCR) Program with and without Feedback on the Pain, Function and Shoulder Kinematic in Patient with Shoulder Impingement Syndrome (SIS) and Scapular Dyskinesia The Comparison Effectiveness and Durability of 8-week Motor Control Retraining (MCR) Program with and without Feedback on the Pain, Function and Shoulder Kinematic in Patient with Shoulder Impingement Syndrome (SIS) and Scapular Dyskinesia 2022-10-22 anticipated 45 Complete https://irct.ir/trial/67556 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Using randomized permuted block randomization (6 blocks of size 8), the three treatment combinations are independently assigned to participants in a 1:1:1 ratio (after initial assessment). Randomized sequence listing is done by computer (Pocock SJ. Clinical Trials: A Practical Approach. Wiley; 1983) and also by website (https://www.randomizer.org). This step will be ensured by a blind evaluator, Blinding description: Outcome assessors will be blinded to group allocation. Participants will not be blinded to study and grouping, but will be blinded to the intervention they are receiving (there is an unavoidable risk of bias in this study that the intervention cannot be blinded to interventionists, patients). Before the evaluation, the necessary training will be given to the outcome evaluator in relation to how to evaluate the variables in order to prevent any questions and answers between the evaluator and the subjects. N/A shoulder impingement and scapular dyskinesia. Intervention 1: Intervention group: motor control retraining to correct the alignment and coordination of the shoulder complex, Which Includes training for the proper orientation of the shoulder in the resting state, As well as controlling the optimal orientation during active arm movements. 2- Stretching and flexibility exercises..3) Special rehabilitation exercises for the anterior trapezius and dentate muscles to strengthen the scapular muscles. at first, Changes are made by the therapist based on the following guidelines. 1. The upper inner corner of the scapula should be at the level of the second dorsal vertebra. 2. The lower angle of the scapula should be at the level of the seventh dorsal vertebra. 3. The acromion should be higher than the upper inner border of the scapula. 4. The scapular spine should rotate 15 to 30 degrees in the coronal plane. 5. The angles of the Coracoid should be symmetrical. 6. The inner edge of the scapula should be 5-6 cm away from the spines of the vertebrae. 7. The Clavicle should have a little posterior rotation in the coronal plane. The method of these orientations should be taught by the therapist by listening and also by touching the subjects. Once again the scapula is placed in the normal position, the subjects respond to the scapular orientation control during arm elevation up to 90 degrees in three planes of motion. The movements should be done slowly and calmly and the movements should be done for 2 minutes. After mastering the shoulder orientation control by the subject, movement control exercises will begin. these exercises were performed for eight weeks, Three sessions a week and one hour in each session. Intervention 2: Control group: the exercises used include rotator cuff exercises, these exercises as basic exercises. For all groups considered, In the desired protocol, The person performs exercises according to the provided program every week. Rest time between sets is 1:3 and between repetitions is 1:1. Yes - There is a plan to make this available What will be shared: Information related to the variables of pain, kinematics, performance, strength and proprioception will be recorded in the pre-test and after eight weeks of training, The information of the variables mentioned in the post-test will be recorded and the results of the changes. When: After publishing the article/articles extracted from the study To whom: The data can be displayed and shared upon the reasonable request of Iran's Clinical Trial Registration Center, journals and academic people/researchers who are conducting research and scientific activities in this field. Conditions: Data analysis and the use of documentation can only be done under the condition that their results are reported in scientific articles by academic researchers and authors. The necessary conditions for sending data and documents include: 1. Sending an email (preferably with valid university addresses) to one of the researchers of the study. 2. A brief and logical explanation related to the use of data or documents. Where to obtain: Through request from researcher Amir Letafatkaramir letafatkaramir@yahoo.com How to obtain: The applicant can request details from the researchers using the message sent by email within 7 to 10 days Comments:
public Mohsen Moradi
Iran St, NO 2
Tehran Iran (Islamic Republic of) 4519174555 +98 919 345 0353 Mohsenmoradi90@gmail.com Kharazmi University scientific Malihe Hadadnezhad
Iran St., No. 2
Tehran Iran (Islamic Republic of) 4519174555 +98 21 3625 8248 m.hadadnezhad@yahoo.com Kharazmi University Iran (Islamic Republic of) Individuals with shoulder impingement syndrome based on the clinical tests of Hawkins-Kennedy, Neer and dyskinesia based on the Kibbler test with the diagnosis of a specialist doctor 18 years 28 years Male The history of neck and arm pain in the past or present Having neck pain syndromes Having thoracolumbar syndromes M75.4 Impingement syndrome of shoulder Rehabilitation Rehabilitation Intervention group: motor control retraining to correct the alignment and coordination of the shoulder complex, Which Includes training for the proper orientation of the shoulder in the resting state, As well as controlling the optimal orientation during active arm movements. 2- Stretching and flexibility exercises..3) Special rehabilitation exercises for the anterior trapezius and dentate muscles to strengthen the scapular muscles. at first, Changes are made by the therapist based on the following guidelines. 1. The upper inner corner of the scapula should be at the level of the second dorsal vertebra. 2. The lower angle of the scapula should be at the level of the seventh dorsal vertebra. 3. The acromion should be higher than the upper inner border of the scapula. 4. The scapular spine should rotate 15 to 30 degrees in the coronal plane. 5. The angles of the Coracoid should be symmetrical. 6. The inner edge of the scapula should be 5-6 cm away from the spines of the vertebrae. 7. The Clavicle should have a little posterior rotation in the coronal plane. The method of these orientations should be taught by the therapist by listening and also by touching the subjects. Once again the scapula is placed in the normal position, the subjects respond to the scapular orientation control during arm elevation up to 90 degrees in three planes of motion. The movements should be done slowly and calmly and the movements should be done for 2 minutes. After mastering the shoulder orientation control by the subject, movement control exercises will begin. these exercises were performed for eight weeks, Three sessions a week and one hour in each session Control group: the exercises used include rotator cuff exercises, these exercises as basic exercises. For all groups considered, In the desired protocol, The person performs exercises according to the provided program every week. Rest time between sets is 1:3 and between repetitions is 1:1. Pain. Timepoint: First, Measuring the parameters of pain in the post-test, and then after eight weeks, measuring the parameter of pain in the pre-test. Method of measurement: Pressure pain ergometer device to prepare a pain map. VAS Visual Scale to Measure pain intensity. Function. Timepoint: First, measuring the parameter function in the post-test, and then after Eight weeks, Measuring the parameter of function in the pre-test. Method of measurement: Shoulder functional test with DASH questionnaire. Strength. Timepoint: First, measuring the parameter of strength in the post-test, and then after eight weeks, Measuring the parameter of strength in the pre-test. Method of measurement: Biodex model 3 isokinetic device for measuring muscle strength. Proprioception. Timepoint: First, Measuring the parameter proprioception in the post-test, and then after eight weeks, Measuring the parameter of proprioception in the pre-test. Method of measurement: Biodex model 3 isokinetic device for measuring proprioception. Scapula Kinematics. Timepoint: First, Measuring the parameters of scapular kinematics in the post-test, and Then after eight weeks, Measuring the parameter of scapular kinematics in the pre-test. Method of measurement: Inclinometer to measure two-dimensional kinematics of the shoulder. Kharazmi University Approved 2022-11-08 Ministry of health and medical education Iran St., No. 2 Tehran Tehran Iran (Islamic Republic of)