The Relationship of Critical Shoulder Angle With Proprioception and Disability

Lokman Hekim University101 enrolled

Overview

With this study it will determined that the effect of critical shoulder angle which will be obtained from the MRI images of patients with Subacromial Impingement Syndrome on proprioception and disability level.

Critical shoulder angle (CSA) is defined as the intersection angle between two lines which are drawn from inferior border of glenoid cavity to superior border of glenoid cavity and from inferior border of glenoid cavity to inferolateral border of acromion. Higher CSA is accepted a predisposing factor for degenerative shoulder diseases. Increase in CSA means more shear forces reflects on shoulder joint which also causes overload on the RC tendon. Increase of degeneration in shoulder joint may cause decreased proprioception. As a result of degeneration, the level of disability will be increased. At the end of this study, the relationship among critical shoulder angle, proprioception and disability could be more clearly interpreted.

Study Type

OBSERVATIONAL

Enrollment

101

Conditions

Rotator Cuff Impingement Syndrome Shoulder Impingement Syndrome Subacromial Impingement Syndrome

Interventions

Correlation StudyOTHER

Assessment of correlation

Eligibility

Sex: ALLMin age: 25 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Being between 25-70 years of age, * Diagnosis of SIS based on physical examination (at least three positive results from the Neer, Jobe, Hawkins/Kennedy Impingement, and/or Painful Arc tests), * Being Level I-II Subacromial Impingement (radiologic examination (MRI)), * having painful arc between 60° and 120° during active shoulder elevation * Having shoulder pain for 3 months. Exclusion Criteria: * Having a shoulder operation before. * Having Cardiovascular, Rheumatological or Neurological Disease * Having Cervical Spine Disease * Having Physiotherapy Treatment in last 6 months. * Having a trauma, fracture, total Rotator Cuff rupture, Frozen Shoulder on shoulder joint

Locations (1)

Lokman Hekim University

Ankara, Cankaya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Critical Shoulder Angle

Critical Shoulder Angle is the intersection angle between two lines which are drawn from inferior border of glenoid cavity to superior border of glenoid cavity and from inferior border of glenoid cavity to inferolateral border of acromion. That will be measured from the MRI images of patients.

Time frame: Baseline (The evaluation will be conducted only once)

Secondary Outcomes

Shoulder Proprioception

Shoulder proprioception will be evaluated 60° ve 90° ve 120° degrees of shoulder joint active-active, active-passive and passive-active manner. The Shoulder proprioception will be assessed using a bubble inclinometer.

Time frame: Baseline (The evaluation will be conducted only once)

Disability

The disability will be assessed by using SPADI (Shoulder Pain and disability Index). First part includes 5 questions inquiring pain status. Second part includes 8 questions inquiring activity participation status. Total score ranges between 0-100. Increase of scores reflects higher disability.

Time frame: Baseline (The evaluation will be conducted only once)

Data from ClinicalTrials.gov

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