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Effects of Thoracic Mobilization on Shoulder Range of Motion

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Creighton University
ClinicalTrials.gov Identifier:
NCT01518504
First received: December 1, 2011
Last updated: November 19, 2012
Last verified: November 2012

December 1, 2011
November 19, 2012
December 2011
June 2012   (final data collection date for primary outcome measure)
Changes in Shoulder Range of motion [ Time Frame: Single Study Visit ] [ Designated as safety issue: No ]

To determine changes in shoulder active and passive range of motion following one of two intervention protocols. Changes will be measured by examining shoulder range of motion in three directions: Shoulder flexion, internal rotation and external rotation.

We hypothesize that the use of a thoracic spine joint manipulation will increase shoulder range of motion in flexion (elevation) as well as external and internal rotation to a greater degree than a sham mobilization.

Same as current
Complete list of historical versions of study NCT01518504 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Effects of Thoracic Mobilization on Shoulder Range of Motion
Effects of Thoracic Mobilization on Shoulder Range of Motion

The purpose of this study is to investigate the effect of thoracic spine joint manipulation versus a sham intervention on active and passive shoulder flexion (elevation), external rotation, and internal rotation range of motion.

Many individuals who have a primary complaint of shoulder pain often demonstrate deficits in glenohumeral and scapulothoracic mobility. Typically individuals will have limitations in shoulder range of motion, specifically, flexion (elevation) as well as external and internal rotation. Although the glenohumeral joint is the primary joint for shoulder motion adjacent joints such as the sternoclavicular, acromioclavicular, scapulothoracic, and thoracic spine also contribute to maximal shoulder motion. Limited shoulder motion may be a result of joint hypomobility, muscle inhibition, or pain. Typically interventions such as stretching and joint mobilization/manipulation are directed at the glenohumeral joint to improve shoulder motion, but little is known about interventions targeting adjacent sites which may also improve shoulder range of motion. This study will evaluate the effect of thoracic spine joint manipulation on active and passive shoulder range of motion.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Treatment
Shoulder Range of Motion in Healthy Individuals
  • Other: Thoracic Mobilization
    The subject will be in a prone position and the physical therapist will first identify the upper thoracic spine region. The physical therapist will then cross his or her hands and place them on opposite sides of the spinous processes using the pisiforms as the contact area. The subject will be asked to exhale and upon exhalation the physical therapist will apply a small amplitude, quick thrust at end of range.
    Other Names:
    • manipulation
    • Grade V joint mobilization
    • small amplitude, quick thrust mobilization/manipulation
  • Other: Sham
    The subject will be in a prone position and the physical therapist will first identify the upper thoracic spine region. The physical therapist will then cross his or her hands and place them on opposite sides of the spinous processes using the pisiforms as the contact area. The subject will be asked to exhale and upon exhalation the physical therapist will not apply any other force than light hand contact.
  • Experimental: Thoracic Mobilization
    The subject will be in a prone position and the physical therapist will first identify the upper thoracic spine region. The physical therapist will then cross his or her hands and place them on opposite sides of the spinous processes using the pisiforms as the contact area. The subject will be asked to exhale and upon exhalation the physical therapist will apply a small amplitude, quick thrust at end of range.
    Intervention: Other: Thoracic Mobilization
  • Sham Comparator: Sham
    The subject will be in a prone position and the physical therapist will first identify the upper thoracic spine region. The physical therapist will then cross his or her hands and place them on opposite sides of the spinous processes using the pisiforms as the contact area. The subject will be asked to exhale and upon exhalation the physical therapist will not apply any other force than light hand contact.
    Intervention: Other: Sham
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
June 2012
June 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Adults 19-45 years

Exclusion Criteria:

  • Individuals who are pregnant
  • History of cervical or thoracic surgery
  • Bone or joint disease
  • Current infection or tumor
  • Osteopenia/osteoporosis
  • Spinal fracture
  • Rheumatologic pathologies
Both
19 Years to 45 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01518504
11-16286
No
Creighton University
Creighton University
Not Provided
Principal Investigator: Terry L Grindstaff, PHD,PT,ATC Creighton University
Creighton University
November 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP