Impact of Visceral Manipulation Versus Integrated Neuromuscular Inhibition Technique in Shoulder Impingement Syndrome

Noha Elserty75 enrolled

Overview

This study will be conducted To evaluate the effect of Visceral Manipulation versus Integrated Neuromuscular Inhibition Technique on the upper fiber of trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome

HYPOTHESES It will be hypothesized that: 1. There will be no statistically significant effect of Visceral Manipulation on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, or function in shoulder impingement syndrome 2. There will be no statistically significant effect of the Integrated Neuromuscular Inhibition Technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, or function in shoulder impingement syndrome. 3. There will be no statistically significant difference in the effect of visceral manipulation versus the integrated neuromuscular inhibition technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome. This study will be conducted to answer the following questions: Is there an effect of Visceral Manipulation versus Integrated Neuromuscular Inhibition Technique on the upper fiber of the trapezius on pain intensity, pain threshold, shoulder range of motion, and function in shoulder impingement syndrome?

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Shoulder Impingement

Interventions

visceral manipulationOTHER

visceral manipulation: A palpation technique will be applied till the barrier is felt and it will be applied until release is felt. integrated neuromuscular inhibition: ischemic compression will be applied to trigger point of upper trapezius

integrated neuromuscular inhibitionOTHER

It involves applying direct sustained digital pressure to the TrP with sufficient force over dedicated time duration, to slow down the blood supply and relieve the tension within the involved muscle. The pressure is gradually applied, maintained and the gradually released

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * -active myofascial trigger points in the upper trapezius muscle, and chronic Pain lasting more than 12 weeks * BMI between 25 and 30 Kg/m². Exclusion Criteria: * a previous fracture in the cervical spine or shoulder surgery * acute inflammatory condition. * Malignant tumor. * Multiple osteophytes. * Cervical posture abnormalities. * Osteoporosis.

Outcomes

Primary Outcomes

pain intensity

pain intensity will be measured by a visual analog scale, the scale is marked from 0 to 10 while 0 represents no pain and 10 represents intolerable pain

Time frame: pre treatment and after 4 weeks

pain pressure threshold

pressure threshold measured by pressure algometer

Time frame: pre treatment and after 4 weeks

shoulder range of motion

shoulder flexion and abduction range of motion will be measured by inclinometer

Time frame: pre treatment and after 4 weeks

shoulder functional level

The functional level of the shoulder will be measured by shoulder pain and disability index. the index consists of subscales that measure how much shoulder pain interferes with the functional activity of daily living

Time frame: pre treatment and after 4 weeks

Data from ClinicalTrials.gov

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