Flexibility, Range of Motion and Strength Among Patients With Differing Response to the Scapular and Humeral Assistance Tests

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01956968
Recruitment Status : Unknown
Verified April 2014 by Meir Medical Center.
Recruitment status was:  Recruiting
First Posted : October 8, 2013
Last Update Posted : April 25, 2014
Information provided by (Responsible Party):
Meir Medical Center

Brief Summary:
Shoulder pain may result from abnormal arm or shoulder blade (scapular) movement. These abnormal movements may result from a variety of flexibilty, motion or strength impairments. Therefore identifying any abnormal arm or scapular movement, as well as any impairments that are associated with them can help clinicians plan a proper management strategy for patients presenting with shoulder disorders. Our hypothesis is that specific impairments will be associated with abnormal arm movement, while other impairments will be associated with abnormal scapular movement among patients with shoulder pain.

Condition or disease
Shoulder Pain

Study Type : Observational
Estimated Enrollment : 130 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Study Start Date : October 2013
Estimated Primary Completion Date : December 2015
Estimated Study Completion Date : December 2015

Primary Outcome Measures :
  1. Shoulder internal rotation range of motion [ Time Frame: Baseline ]
    Measurement of supine glenohumeral internal rotation range of motion.

  2. Posterior capsule flexibility [ Time Frame: Baseline ]
    Measurement of sidelying glenohumeral horizontal adduction

  3. Pectoralis minor resting length [ Time Frame: Baseline ]
    Distance from coracoid process to 4th rib attachment onto sternum

  4. Scapular dyskinesis [ Time Frame: Baseline ]
    Visual assessment and classification of scapular movement pattern

  5. Scapular upward rotation range of motion [ Time Frame: Baseline ]
    Measured by the use of an inclinometer placed on top of scapular spine during various degrees of glenohumeral elevation angles.

  6. Shoulder elevation torque [ Time Frame: Baseline ]
    Measured with a hand-held dynamometer

  7. Shoulder external rotator torque [ Time Frame: Baseline ]
    Measured with a hand-held dynamometer

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
130 subjects referred to physical therapy due to shoulder pain.

Inclusion Criteria:

  • Age 18 years or older, main complaint of shoulder pain, ability to elevate arm in the scapular plane to at least 135 degrees, pain during scapular plane elevation, can read Hebrew.

Exclusion Criteria:

  • Signs or symptoms suggesting cervical spine origin, previous fracture around shoulder complex, traumatic onset of shoulder pain, Fibromyalgia, Rheumatiod arthritis, previous shoulder surgery, loss of 50% or more of passive range of motion in 2 or more planes of motion, positive lag signs, positive apprehension test, pregnancy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01956968

Contact: Alon Rabin, PhD 011-972-54-7766395
Contact: Anat Shashua, BPT 011-972-50-8803223

Bat-Yamon Physical Therapy Clinic - Clalit Health Services Recruiting
Bat-Yam, Israel
Sponsors and Collaborators
Meir Medical Center
Study Director: Alon Rabin, PhD Ariel University

Responsible Party: Meir Medical Center Identifier: NCT01956968     History of Changes
Other Study ID Numbers: MMC13028-13KCTIL
First Posted: October 8, 2013    Key Record Dates
Last Update Posted: April 25, 2014
Last Verified: April 2014

Keywords provided by Meir Medical Center:
Shoulder pain, Scapular dyskinesia, Physical examination

Additional relevant MeSH terms:
Shoulder Pain
Joint Diseases
Musculoskeletal Diseases
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms