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IRCT20190904044693N1 IRCT 2022-08-06 Muhammad Institute of Medical and Allied Sciences, Multan Effectiveness of muscle energy technique and posterior shoulder mobilization with movement in patients with subacromial pain syndrome Effectiveness of muscle energy technique and posterior shoulder mobilization with movement in patients with subacromial pain syndrome 2022-04-22 anticipated 56 Complete https://irct.ir/trial/65084 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The 56 patients diagnosed with shoulder pain syndrome referred by the orthopedic surgeons will be screened for eligibility. The 40 patients meeting the eligibility criteria will be randomized into two equal groups. The patients will be randomly allocated (20/group) through online computer generated random number table. Every subject will be assigned a random number from the table on recruitment. Online table will be generated by using this site: https://www.random.org/sequences/?mode=advanced Smallest value: 1 Largest value: 40 The format in Column: 2 The sequence of numbers 20 will be randomly allocated in column 1, and 20 will be allocated in column 2, Blinding description: The outcome assessor will be the consultant physical therapist of setting department of physical therapy, Bakhtawar Amin Trust and Teaching Hospital, Multan. Outcomes will be measured at baseline before starting treatment and end of treatment after 6 week. Outcome assessor will be unaware about treatment given to any particular subject. Data will be analysed by statistician without knowing the treatment regime received both groups. N/A Subacromial Pain Syndrome. Intervention 1: Muscle Energy Technique: Post isometric muscle relaxation technique of METs will be used to improve outcome measures in patients with subacromial pain syndrome. Patient will be in supine lying position and will be asked for 7-10 seconds sustained contraction of muscle against the therapist hold by using 20-30% force of body. Then therapist will move the limb passively in shoulder range until new barrier will be found and same procedure will be repeated to eliminate the barrier. Patients will be treated on alternative days for 6 weeks. Intervention 2: Posterior shoulder mobilization with movement: One hand of the physical therapist stabilizes the patients shoulder girdle. While other hand will perform a posterior-lateral glide of the humeral head. Patients will be asked to raise the affected arm to find the new point of pain onset and therapist will sustain the gliding force. The therapist will maintain the gliding at right angle of movement throughout the entire active range performed by patients. The entire procedure of mobilization will be pain free and patients will be instructed to report any pain and discomfort. Yes - There is a plan to make this available What will be shared: Effectiveness of muscle energy technique and posterior shoulder mobilization with movement in patients with subacromial pain syndrome When: The data will be available after publication of this research study To whom: Data document will be available to corresponding author Conditions: Data could be used only for research purpose Where to obtain: Data will be obtainable on request to corresponding author How to obtain: Through email to shahidishaq53@gmail.com Comments:
public Shahid Ishaq
Southren ByPass, Multan
Multan Pakistan 60000 +92 305 2032722 shahidishaq53@gmail.com Bakhtawar Amin College of Rehabilitation Sciences scientific Shahid Ishaq
Southern bypass, Multan
Multan Pakistan 60000 +92 305 2032722 shahidishaq53@gmail.com Bkhtawar Amin College of Rehabilitation Sciences Pakistan Patient diagnosed with subacromial pain syndrome by orthopedic surgeon History of unilateral subacromial pain for minimum of 3 months Painful arc in shoulder abduction range 70° -120° Pain aggravates upon resisted muscle testing in abduction and lateral rotation At least three positive physical tests from followings Neer impingement test, Hawkins kneddy test, Drop arm test, relocation test Positive shoulder abduction stress test 30 years 60 years Both Patients potentially not willing to participate in study Patients with recent history of fall, upper limb fracture and shoulder surgery Degenerative joint disease of affected shoulder Cervical radiculopathy Frozen shoulder shoulder bursitis Associated systemic disease Subacromial Pain Disease Rehabilitation Rehabilitation Muscle Energy Technique: Post isometric muscle relaxation technique of METs will be used to improve outcome measures in patients with subacromial pain syndrome. Patient will be in supine lying position and will be asked for 7-10 seconds sustained contraction of muscle against the therapist hold by using 20-30% force of body. Then therapist will move the limb passively in shoulder range until new barrier will be found and same procedure will be repeated to eliminate the barrier. Patients will be treated on alternative days for 6 weeks. Posterior shoulder mobilization with movement: One hand of the physical therapist stabilizes the patients shoulder girdle. While other hand will perform a posterior-lateral glide of the humeral head. Patients will be asked to raise the affected arm to find the new point of pain onset and therapist will sustain the gliding force. The therapist will maintain the gliding at right angle of movement throughout the entire active range performed by patients. The entire procedure of mobilization will be pain free and patients will be instructed to report any pain and discomfort. Shoulder pain severity. Timepoint: Before and after 6 week successful completion of follow ups. Method of measurement: Numeric Pain Rating Scale (NPRS). Shoulder physical disability. Timepoint: Before and after 6 week successful completion of follow ups. Method of measurement: Shoulder pain and Disability Index (SPADI). Shoulder range of motion (ROM). Timepoint: Before and after 6 week successful completion of follow ups. Method of measurement: Universal goniometer. Nill Approved 2022-04-10 Research ethics committee of Muhammad Institute of Medical and Allied Sciences HBL Street, Near Sabzazar Metro Station, Bosan Raod Multan Multan Punjab Pakistan