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IRCT20230722058881N1 IRCT 2023-08-14 Zahedan University of Medical Sciences Comparison the effectiveness of mobilization and mobilization with movement on range of motion and acromiohumeral distance in patients with chronic shoulder impingement syndrome Comparison the effectiveness of mobilization and mobilization with movement on range of motion and acromiohumeral distance in patients with chronic shoulder impingement syndrome 2023-09-23 anticipated 30 Complete https://irct.ir/trial/71460 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Concealed allocation will perform using a computer generated randomized table of numbers created before the start of data collection. Individual and sequentially numbered index cards with the random assignment were prepared. The index cards were folded and placed in sealed opaque envelopes. The therapist will open the envelope and proceeded with treatment according to the group assignment, Blinding description: In this research, a single blind method is used so that the technician of recording the results, will not be aware of the intended intervention. N/A chronic shoulder impingement syndrome. Intervention 1: first intervention group: In this research, both groups will receive routine physiotherapy consists of: 1- lifestyle correction 2- Pectoral muscles stretching 3-posterior capsule stretching 4-Glenohumeral joint elastic band exercises (3 times, 10 repeats, once a day) 5-Scaulothorasic exercises (3 sets, 10 repeats, once a day) 6-push the wall in standing position 7- Scaption ( 3 times a week, 3 sets, 10 repeats). In the mobilization group, we will apply 4 individual techniques consists of anterior glide, posterior glide, inferior glide and long axis traction. Each technique will apply twice to 4 times and will continue 30 seconds. Intervention 2: Second intervention group: In this research, both groups will receive routine physiotherapy consists of: 1- lifestyle correction 2- Pectoral muscles stretching 3-posterior capsule stretching 4-Glenohumeral joint elastic band exercises (3 times, 10 repeats, once a day) 5-Scaulothorasic exercises (3 sets, 10 repeats, once a day) 6-push the wall in standing position 7- Scaption ( 3 times a week, 3 sets, 10 repeats).In mobilization with movement group, the therapist will apply posterolateral glide and the patient will do scaption at the same time.3 sets at each session with 10 seconds rest between each set will be done.This treatment will preform 4 sessions in two weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Its release schedule is not yet known.
public Dr. Ahmadreza Askari Ashtiani
Dr. Hesabi square
Zahedan Iran (Islamic Republic of) 9816743463 +98 54 3329 5836 ahmadaskary@gmail.com Zahedan University of Medical Sciences scientific Dr. Ahmadreza Askary Ashtiani
ِDr.Hesabi square
Zahedan Iran (Islamic Republic of) 9816743463 +98 54 3329 5836 ahmadaskary@gmail.com Zahedan University of Medical Sciences Iran (Islamic Republic of) 1-Unilateral shoulder pain more than 6 months 2-No history of systemic illness 3-Not using NSIDs and anti-inflamatory drugs before and after assessment 4-No history of cortico-steroid injection on shoulder region in the past year 5-No history of fracture and surgery on neck and shoulder 6-No history of physical therapy in for the neck and shoulder in the past three months 7-Positive one sub acromial impingent tests including: neer test-hawkins kennedy test-jobe test 18 years 65 years Both Failure to complete physiotherapy sessions by patients Non participation of patients in physiotherapy sessions The occurrence of unforeseen events for each of the participants in the study Increased pain or other symptoms of patients M65.80 Other synovitis and tenosynovitis, unspecified site Rehabilitation Rehabilitation first intervention group: In this research, both groups will receive routine physiotherapy consists of: 1- lifestyle correction 2- Pectoral muscles stretching 3-posterior capsule stretching 4-Glenohumeral joint elastic band exercises (3 times, 10 repeats, once a day) 5-Scaulothorasic exercises (3 sets, 10 repeats, once a day) 6-push the wall in standing position 7- Scaption ( 3 times a week, 3 sets, 10 repeats). In the mobilization group, we will apply 4 individual techniques consists of anterior glide, posterior glide, inferior glide and long axis traction. Each technique will apply twice to 4 times and will continue 30 seconds. Second intervention group: In this research, both groups will receive routine physiotherapy consists of: 1- lifestyle correction 2- Pectoral muscles stretching 3-posterior capsule stretching 4-Glenohumeral joint elastic band exercises (3 times, 10 repeats, once a day) 5-Scaulothorasic exercises (3 sets, 10 repeats, once a day) 6-push the wall in standing position 7- Scaption ( 3 times a week, 3 sets, 10 repeats).In mobilization with movement group, the therapist will apply posterolateral glide and the patient will do scaption at the same time.3 sets at each session with 10 seconds rest between each set will be done.This treatment will preform 4 sessions in two weeks. Acromiohumeral distance. Timepoint: before physical therapy sessions-after physical therapy sessions. Method of measurement: ultrasonography. Pain intensity. Timepoint: before and after physical therapy sessions. Method of measurement: VAS. Upper limb function. Timepoint: before and after treatment period. Method of measurement: DASH questionare. Range of motion. Timepoint: before and after treatment period. Method of measurement: electrogoniometer. Zahedan University of Medical Sciences Approved 2023-07-18 Ethical committee Zahedan university of medical sciences Dr Hesabi square Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)