the study was conducted to find out the effects of scapulothoracic joint mobilization with or without acromioclavicular joint mobilization in patients with sub-acromial pain syndrome.
the study was conducted to determine the effects on the pain, range of motion of shoulder joint and the SPADI score in patients with sub-acromial pain syndrome post intervention including scapulothoracic upward rotation, posterior tilting and outward rotation glide with or without combination of acromioclavicular inferior glide.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
36
during 1st week of treatment, patients received Maitland grade-II mobilization for upward rotation, posterior tilting and external rotation glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week, patients received grade- II and III Maitland mobilization for upward rotation, posterior tilting and external rotation glide, 3 sessions a week for 4 weeks
during 1st week : Maitland grade-II mobilization for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval. during 2nd, 3rd and 4rth week : Maitland grade-II, III for AC joint inferior glide, 5-10 oscillations per minute, 3 sets with 10 repetitions with 30 seconds rest interval, 3 sessions a week for 4 weeks.
Dr.Sheharyar Tanveer Clinic Sharaq pur
Sheikhupura, Punjab Province, Pakistan
Numeric Pain Rating scale
this scale is used to evaluate pain. it consists of 11 points from 0 to 10, where 0 represents no pain, 1-3 represents mild pain, 4-6 moderate pain and 7-10 represents severe pain.
Time frame: from enrolment to the end of 4 weeks of treatment
Shoulder Pain and Disability Index SPADI
this questionnaire consisting of 13 items is used to assess the severity of pain and difficulty while performing daily life activities. two subscales for pain and disability. uses a visual Analog scale or Numeric rating scale for each item, resulting in scores from 0-100 for each sub-scale, with higher scores indicating more pain or disability.
Time frame: from enrolment to the end of 4 weeks treatment
goniometer for shoulder flexion ROM
changes in shoulder flexion range of motion was measured at baseline and after 4 weeks of treatment sessions using goniometer
Time frame: from enrolment to the end of 4 weeks treatment
Goniometer for shoulder extension ROM
changes in the shoulder extension range of motion were measured at baseline and at the end of 4 weeks of treatment sessions using goniometer
Time frame: from enrolment to the end of 4 weeks of treatment
Goniometer for shoulder abduction ROM
changes in the shoulder abduction range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer
Time frame: from enrolment to the end of 4 weeks treatment sessions
Goniometer for shoulder adduction ROM
changes in shoulder adduction range of motion were measured at baseline and at the end of 4 weeks treatment sessions by using goniometer
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Moist hot pack for 10-15 minutes on shoulder region in supine lying position. TENS modulated mode for 10 minutes. Scapular stabilization exercises including: scapular protraction and retraction, shoulder extension, shoulder external rotation, standing snow angels, standing weight shift, ball stabilization exercise, serratus anterior punch. 3 sets with 10 repetitions, 3 sessions a week for 4 weeks.
Time frame: from enrolment to the end of 4 weeks of treatment
Goniometer for shoulder external rotation ROM
changes in shoulder external rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer
Time frame: from enrolment to the end of 4 weeks of treatment
goniometer for shoulder internal rotation ROM
changes in the shoulder internal rotation range of motion were measured at baseline and at the end of 4 weeks of treatment sessions by using goniometer
Time frame: from enrolment to the end of 4 weeks treatment