The aim of the study is to determine the effect of mulligan's mobilization on shoulder range of motion and subacromial joint space in paraplegic patients with subacromial impingement so, thirty patients will be randomly assigned to two groups group (A) and Group (B)
30 patients will be randomly assigned to two groups Group (A): will receive Mulligan's mobilization plus steroid injection for rotator cuff tendinopathy Group (B): will receive Steroid injection for rotator cuff tendinopathy only Outcome measures will be: * shoulder joint range of motion will be measured by laser goniometer * Subacromial joint space will be measured by 3D ultrasonography
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
30
Mulligan mobilization isthe concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end range applied by the patient.
corticosteroid injection for rotator cuff helps resolving inflammation which occur for paraplegic patients from overuse of the crutches
Modern University for Technology and Information
Cairo, Egypt
Shoulder joint range of motion
Shoulder joint ROM ( flexion - abduction- external and internal rotation will be measured by The laser goniometer HALO
Time frame: Two months
Subacromial joint space
3D Ultrasonography enables the identification of common shoulder pathologies, and it will be utilized to assess the subacromial space as a kinematic indication of the shoulder.
Time frame: Two months
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