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Mobilization With Movement for Shoulder Impingement

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ClinicalTrials.gov Identifier: NCT02172079
Recruitment Status : Completed
First Posted : June 24, 2014
Last Update Posted : June 24, 2014
Sponsor:
Collaborator:
University of Salamanca
Information provided by (Responsible Party):
César Fernández-de-las-Peñas, Universidad Rey Juan Carlos

Brief Summary:
Controversy exists regarding the effectiveness of manual therapy techniques for the management of impingement syndrome. However, no adequately powered clinical trials have examined the effects of mobilization-with-movement. The purpose of the current study was to perform a randomized controlled trial comparing the effects of real MWM to a group receiving a sham intervention on shoulder pain at different moments and active shoulder range of motion in an adequately powered sample of patients with shoulder impingement syndrome.

Condition or disease Intervention/treatment Phase
Shoulder Impingement Syndrome Other: Real mobilization-with-movement (MWM) Other: Sham mobilization-with-movement (MWM) Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effects of Mobilization-with-Movement on Pain and Range of Motion in Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial
Study Start Date : January 2013
Actual Primary Completion Date : January 2014
Actual Study Completion Date : January 2014

Arm Intervention/treatment
Experimental: Real mobilization-with-movement (MWM)
For the MWM group, an accessory posterior-lateral gliding movement in the humeral head combined with a movement of active shoulder flexion will be applied. One hand will be placed over the scapula posteriorly while the thenar eminence of the other hand will be placed over the anterior aspect of the head of the humerus
Other: Real mobilization-with-movement (MWM)
Sham Comparator: Sham mobilization-with-movement (MWM)
The sham condition will replicate the treatment condition except for the hand positioning. The therapist locates one hand over the belly of the pectoralis major muscle and the other over scapula without applying any pressure. The patient will be asked to move the arm in a similar manner as in the MWM group
Other: Sham mobilization-with-movement (MWM)



Primary Outcome Measures :
  1. Changes in the intensity of shoulder pain before and after the treatment [ Time Frame: Baseline and one week after intervention ]
    Participants were asked to rate the intensity of their pain using an 11-point numerical pain rating scale (NPRS; 0: no pain; 10: maximum pain) for 3 scores of perceived pain: 1, the intensity of shoulder pain experienced in the last 24h; 2, the intensity of shoulder pain at night; 3, the intensity of shoulder pain during shoulder flexion.


Secondary Outcome Measures :
  1. Changes in shoulder range of motion before and after the treatment [ Time Frame: Baseline and one week after the intervention ]

    A universal goniometer was used to assess the participant's shoulder range of motion in the following motions:

    • Pain-free and maximum (painful) range of motion in shoulder flexion
    • Pain-free range of motion in shoulder extension
    • Pain-free range of motion in shoulder abduction
    • Pain-free range of motion in shoulder external rotation
    • Pain-free range of motion in shoulder medial (internal) rotation



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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • history of shoulder pain of > 3months duration
  • pain localized at the proximal anterolateral shoulder region
  • medical diagnosis of shoulder impingement syndrome
  • at least 2 positive impingement tests including Neer, Hawking, or Jobe test

Exclusion Criteria:

  • diagnosis of fibromyalgia
  • pregnancy
  • a history of traumatic onset of shoulder pain
  • other histories of shoulder injury
  • ligamentous laxity based on a positive Sulcus test and apprehension test
  • numbness or tingling in the upper extremity
  • previous shoulder or cervical spine surgery
  • corticosteroid injection on the shoulder within 1 year of the study
  • physical therapy 6 months prior to the study

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 ClinicalTrials.gov identifier (NCT number): NCT02172079


Locations
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Spain
Francisco Alburquerque Sendín
Salamanca, Spain, 37008
Sponsors and Collaborators
César Fernández-de-las-Peñas
University of Salamanca
Investigators
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Principal Investigator: Francisco Alburquerque Sendín, PT, PhD University of Salamanca
Study Chair: César Fernández de las Peñas, PT, PhD Universidad Rey Juan Carlos

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Responsible Party: César Fernández-de-las-Peñas, Proffesor, Universidad Rey Juan Carlos
ClinicalTrials.gov Identifier: NCT02172079     History of Changes
Other Study ID Numbers: USAL201000048540
First Posted: June 24, 2014    Key Record Dates
Last Update Posted: June 24, 2014
Last Verified: June 2014
Keywords provided by César Fernández-de-las-Peñas, Universidad Rey Juan Carlos:
shoulder impingement, manual therapy, pain, motion.
Additional relevant MeSH terms:
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Shoulder Impingement Syndrome
Syndrome
Rotator Cuff Injuries
Disease
Pathologic Processes
Rupture
Wounds and Injuries
Shoulder Injuries
Tendon Injuries
Joint Diseases
Musculoskeletal Diseases