Effect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome

Cairo University30 enrolled

Overview

the aim of this study is to investigate the Effect of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome

Shoulder Impingement Syndrome (SIS) is defined as the mechanical entrapment of the rotator cuff (mainly the supraspinatus tendon) or the sub-acromial bursa in the sub-acromial space between the humeral head and the acromion or coracohumeral ligament .It is typically exacerbate when the arm is elevated or when overhead throwing activities are performed . Mulligan technique is a type of manual therapy with hypoalgesic effects, increases joint ROM, enhances muscle function and treats specific pathologies. Mobilization with movement (MWM) can be defined as the application of a sustained passive accessory force / glide to a joint while the patient actively performs a task that was previously identified as being problem.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Shoulder Impingement

Interventions

mulligan techniqueOTHER

The patient will be in sitting and the therapist stands on the contralateral side of pain, stabilizing the scapula posteriorly with one hand. The head of the humerus is translated posteriorly and laterally with the other hand, along the plane of the glenoid fossa. While the glide is sustained, the patient actively elevates their arm through the plane of abduction or scaption (elevation). Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session the perform mobilization on acromioclavicular and sternoclavicular joint

conventional therapyOTHER

1. Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine. 2. Strengthen the rotator cuff and scapular stabilizers. 3. Improve upper-quarter postural awareness

Eligibility

Sex: ALLMin age: 30 YearsMax age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: age of patients from 30- 55 years old . Both Male and female. Shoulder pain and two out of four specified objective signs and symptoms: Positive Neer impingement test. Positive Hawkins-Kennedy impingement test. Painful or limitation of active shoulder elevation (flexion, abduction, scaption). Pain or limitation with the functional movement patterns of hand-behind-back or hand-behind-head. Exclusion Criteria: Systemic or neurological disorder. Adhesive capsulitis. Cervical radiculopathy. History of shoulder surgery. Corticosteroid injection within the past month Subjects who had received physical therapy treatment for their shoulder within the past three months.

Locations (1)

Deraya university

Cairo, Egypt

Outcomes

Primary Outcomes

sub-acromial space

sub-acromial space will be measured by ultrasonography

Time frame: up to two weeks

Secondary Outcomes

shoulder range of movement

shoulder range of motion will be measured by digital goniometer

Time frame: up to two weeks

Central Contacts

alshaymaa sh abd el-azeim, lecturer

CONTACT

01033771553 alshaymaa.shaaban@pt.cu.edu.eg

Data from ClinicalTrials.gov

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