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Study of the Effect of Neck Treatment on Shoulder Impingement

This study has been terminated.
(PI left institution)
Information provided by:
CAMC Health System Identifier:
First received: October 1, 2008
Last updated: October 3, 2016
Last verified: July 2009
October 1, 2008
October 3, 2016
May 2008
May 2008   (Final data collection date for primary outcome measure)
Active Shoulder Scaption range of motion [ Time Frame: 3 weeks, 6 weeks ]
Same as current
Complete list of historical versions of study NCT00764764 on Archive Site
DASH Functional Questionaire [ Time Frame: 3 weeks, 6 weeks ]
Same as current
Not Provided
Not Provided
Study of the Effect of Neck Treatment on Shoulder Impingement
Shoulder Impingement: A By-Product of Cervical Spine Dysfunction?

The purpose of this pilot study is to conduct research to determine the most effective physical therapy treatment for a condition called shoulder impingement. This condition occurs when tissue in the shoulder is caught between the humerus (arm bone) and the scapula (shoulder blade). This causes pain when one tries to reach overhead or behind the back.

Two treatment methods will be used in the study. The first method uses the traditional treatments of hands-on shoulder stretching, shoulder exercise, posture, and education. The second method will use the traditional methods of shoulder treatment in addition to treatment of the cervical spine.

It is hypothesized that a group of patients between 40 and 70 years of age with signs and symptoms of shoulder impingement who receive physical therapy to the cervical spine and shoulder will report a higher level of functioning, will report less pain, and will gain more range of motion than a group of patients receiving physical therapy solely to the shoulder.

Not Provided
Phase 1
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
  • Shoulder Impingement
  • Shoulder Pain
  • Rotator Cuff Tendinitis
  • Cervical Degenerative Joint Disease
  • Procedure: shoulder treatment
    shoulder exercise, joint mobilization, home program, posture
  • Procedure: Shoulder AND cervical treatment
    Cervical and shoulder joint mobilization, exercise, posture, and home program
  • Active Comparator: I
    Group I - Shoulder treatment only
    Intervention: Procedure: shoulder treatment
  • Experimental: II
    Cervical and shoulder treatment
    Intervention: Procedure: Shoulder AND cervical treatment
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Not Provided
May 2008   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  1. the complaint of pain in either the anterior, lateral, or posterior aspect of the upper arm in an area extending from the acromion to the deltoid tubercle or to a point equally distal on the humerus.
  2. production or increase in pain in any of the area(s) above with one of the following:

    1. active shoulder flexion or scaption (elevation in the scapular plane)
    2. impingement sign as described by Neer (1983)
    3. Hawkins-Kennedy impingement test (1980)
    4. resisted supraspinatus, shoulder internal or external strength testing
  3. patient is between 40 and 70 years of age

Exclusion Criteria:

  1. Any previous history of surgery or fracture in the cervical spine, upper thoracic spine, humerus, scapula, or clavicle
  2. Any previous or current history of psychiatric or psychological treatment
  3. Any medical condition that predisposes patients to shoulder pain such as past or current history of diabetes mellitus, fibromyalgia, adhesive capsulitis, rheumatoid arthritis, shoulder osteoarthritis, osteoporosis, ankylosing spondylitis, vertebrobasilar artery insufficiency, pregnancy, or shoulder instability
  4. Any prolonged exposure to blood thinners or steroids
  5. Constant lateral humeral pain that does not alter with movement, time of day, or position for the last 60 days
  6. Subjects with an active worker's compensation claim related to the cervical spine, shoulder, or upper thoracic spine, or subjects with any impending or current litigation related to the same areas
  7. A score of 11 or higher in the sensory plus affective dimensions of pain with the short-form of the McGill Pain Questionnaire
  8. Any injections in the shoulder, cervical spine or upper thoracic spines in the last 6 months
  9. Pain in the posterior shoulder, mid- and lower cervical spine, or upper thoracic spine that the patient wants treated
  10. Onset of symptoms associated with trauma or trauma to the neck/shoulder area in the last 60 days
Sexes Eligible for Study: All
40 Years to 70 Years   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Not Provided
Clark Vaughan, CAMC
CAMC Health System
Not Provided
Principal Investigator: Clark K Vaughan, MHSc, PT CAMC Health System
CAMC Health System
July 2009

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