Effect of High Intensity Exercises in Treatment of Patients With Shoulder Impingement Syndrome

Cairo University32 enrolled

Overview

Purposes of the study To investigate the effect of adding High-Intensity Exercises to conventional physical therapy in patients with Shoulder Impingement Syndrome

Patients will be randomized into either High-intensity shoulder exercise group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Shoulder Impingement Syndrome

Interventions

High intensity shoulder exerciseOTHER

Exercises that target the rotator cuff muscles using 90% of one repetition maximum only for 5 repetitions

Conventional physical therapyOTHER

Conventional physical therapy consisting of scapular stabilization exercises, posterior capsule stretch, and rotator cuff activation exercises

Eligibility

Sex: ALLMin age: 18 YearsMax age: 35 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Athletic patients 2. Age of the patients between 18 - 35 years 3. Unilateral shoulder pain more than 3 months. 4. Positive Hawkins test. 5. Positive empty or full cane test. 6. Pain at night or incapable of lying on the shoulder. 7. Pain with active shoulder elevation in the scapular plane. 8. History of pain in the C5-C6 dermatome. 9. Pain with palpation of the rotator cuff tendons. 10. The patient had pain with resisted isometric abduction Exclusion Criteria: 1. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation). 2. Clinical sign of cervical radiculopathy. 3. History of acromio -clavicular pain. 4. Rheumatoid Arthritis. 5. Adhesive capsulitis. 6. Tumors 7. Labrum lesions 8. Capsular or ligamentous tears or avulsions 9. Cartilage lesions

Locations (1)

facult of physical therapy,MTI

Cairo, Egypt

Outcomes

Primary Outcomes

pain and function

Shoulder pain and disability index (SPADI)

Time frame: Change from Baseline pain and function at 6 weaks

Supraspinatus muscle thickness

Diagnostic Ultrasound

Time frame: Change from Baseline Supraspinatus muscle thickness at 6 weaks

Secondary Outcomes

Sub acromial space (Acromiohumeral distance).

Diagnostic Ultrasound

Time frame: Change from Baseline Sub acromial space at 6 weaks

External and internal rotators muscle strength.

Hand-held dynamometer

Time frame: Change from Baseline External and internal rotators muscle strength at 6 weaks

supuraspinatus muscle strength

Hand-held dynamometer

Time frame: Change from Baseline supuraspinatus muscle strength at 6 weaks

shoulder performance

Timed push up test

Time frame: Change from Baseline shoulder performance at 6 weaks

Data from ClinicalTrials.gov

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