The objective of this protocol is to compare degree of improvement can be achieved in patients with shoulder pain by treatment with Manipulative Techniques for the cervicothoracic spine versus home exercises.
Design: Randomized Clinical Trial. Objective: to determine the effects of manipulative techniques for the ervicothoracic spine versus home exercises on pain, disability, and range of movement in patients with unilateral shoulder inmingement syndrome. Methods and Measures: ninety-two subjects will be randomly assigned to one of two groups. Intervention: For 5-weeks, the groups 1 will undergo tratment comprising manipulative protocol techniques for the cervicothoracic spine (2/week) and the group 2 will develop a home exercise (2/week). Main Outcome Measures: Intensity of pain, disability, and range of motion data will be collected at baseline, and 24hr after the last therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome measure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
92
Universidad de Almeria
Almería, Almería, Spain
Disability Questionnaire Arm, Shoulder and Hand (DASHe)
This questionnaire asks about the symptoms as well as your ability to perform certain activities. This questionnaire has 30 items, and the results are clasified in: no difficulty, mild difficulty, moderate dificulty, severe dificulty and unable
Time frame: At baseline and 5 weeks
Shoulder Disability Questionnaire
Shoulder Disability Questionnaire is a mesure covering 16 items designed to evaluate functional status limitation in patients with shoulder disorders.
Time frame: At baseline and 5 weeks
Hawkins-Kennedy Test
The Hawkins and Kennedy test was interpreted as indicative of impingement between the greater tuberosity of the humerus against the coraco- humeral ligament, trapping all those structures which intervene. It has been reported as less reliable than the Neer impingement test.
Time frame: At baseline and 5 weeks
Neer Test.
Neer's Test assesses for possible rotator cuff impingement. Stabilize the scapula and with the thumb pointing down and passively flex the arm. Pain is a positive test.
Time frame: At baseline and 5 weeks
Range of Motion
The range of motion will be evaluated in flexion, extension, rotation, adduction, and abduction.
Time frame: At baseline and 5 weeks
Visual Analogue Scale
A 10-point numerical pain scale (0:no pain, 10: maximum pain) assesses the intensity of pain.
Time frame: At baseline and 5 weeks
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