SUMMARY : Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint). Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome. Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
38
1. Abdominal drawing-in with alternating upper extremity movement, 2. Abdominal drawing-in with alternating lower extremity movement, 3. Abdominal drawing-in with alternating upper and lower extremity movement, 4. Opposite arm leg raises in prone position, 5. Bridge exercise
The participants in conventional group will only receive shoulder exercises that will include Wall climbing, Wand exercises, Shoulder ROMS, Prone arm elevation, Cross-Chest Stretch Pendulum Exercises
Suyperior Univeristy
Lahore, Punjab Province, Pakistan
NPRS
It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain.
Time frame: The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks
Shoulder Pain and Disability Index
SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points.
Time frame: The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks
Goniometry
Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer.
Time frame: Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks.
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