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IRCT20240614062130N1 IRCT 2024-07-20 Tehran University of Medical Sciences The effect of motor chain exercises with scapular stability exercises on scapular resting state, pain and shoulder function in overhead athletes with shoulder impingement syndrome Comparison of kinetic chain exercises and scapula stabilization exercises on rest position of scapula, pain and function of shoulder in overhead athletes with impingement syndrome 2024-07-20 anticipated 24 Complete https://irct.ir/trial/77610 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In the first assessment session, the names of groups 1 (scapular stability exercises - control group) and 2 (scapular stability exercises with the addition of chain movement exercises - intervention group) are written on 12 sheets for each group and placed inside a sealed envelope. In this way, there will be 24 envelopes (12 envelopes containing the number 1 and 12 envelopes containing the number 2). Participants randomly pick one of the envelopes and give it to the therapist, Blinding description: None of the referring people were aware of the existence of two treatment groups and the people were informed that during this research, the process of therapeutic exercise will be applied to them in order to reduce pain. The evaluation will be done by a person who does not know the contents of the envelopes and the grouping of patients. N/A Impingement syndrome of shoulder. Intervention 1: Control group: performing 12 sessions of shoulder stabilization exercises as follows: Serratus anterior punch/Scapular retraction/Scapular retraction with adduction hold/Wall slide with Thera-band-at-wrist/D2-PNF pattern/Sleeper Stretch/Modified Cross body stretch/ Corner Stretch. Intervention 2: Intervention group: performing 12 sessions of scapular stability exercises with the addition of movement chain components as follows: Forward Punch Plus with forward step/Fencing/Scapular retraction with adduction plus contralateral one leg squat/Wall slide with Thera-band-at-wrist plus squat /Reverse throw/Sleeper Stretch/Modified Cross body stretch/Corner Stretch. Yes - There is a plan to make this available What will be shared: The data of this study will be placed in the form of 24 separate participants, each of which has 30 variables. 15 of the variables are related to the first stage of evaluation and 15 are related to the second stage of evaluation, after the interventions. When: Access will be provided after printing the results To whom: People who are active in the field of physical therapy and sports and other aspiring researchers Conditions: The use of data is unhindered by mentioning the source. Where to obtain: email address: sayeh_moosavi183@yahoo.com How to obtain: email address: sayeh_moosavi183@yahoo.com Comments:
public Seyede Sayeh Moosavi Chavoshi
No.12, Ghazavi Ave., Hoghughi St., Wooden Bridge
Tehran Iran (Islamic Republic of) 1611866814 +98 21 7760 0274 sayeh_moosavi183@yahoo.com Tehran University of Medical Sciences scientific Seyede Sayeh Moosavi Chavoshi
No.12, Ghazavi Ave., Hoghughi St., Wooden Bridge
Tehran Iran (Islamic Republic of) 1611866814 +98 21 7760 0274 sayeh_moosavi183@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Amateur male and female athletes in overhead sports (volleyball, basketball, handball, badminton, tennis) with shoulder impingement syndrome (Neer classification stage 1 and 2) The patient's chief complaint in the glenohumeral area or the proximal part of the arm for at least 4 weeks Positive at least 3 tests from Neer, Job, Hawkins, resisted external rotation and painful arch tests Shoulder pain with intensity between 3 and 7 based on VAS in one of the resistance tests of internal rotation, external rotation, flexion or abduction Absence of movement limitation of more than one third of the healthy side in raising the shoulder or at least a range of 150 degrees of elevation 17 years 45 years Both Presence of neurological problems/pains originating from the cervical spine, systemic and rheumatological problems Receiving other treatments (such as corticosteroid injections) in at least one last month Adhesive capsulitis of the shoulder Type 3 Acromion The presence of grade 3 tears in the rotator cuff muscles Having a history of surgery, fracture, dislocation in the shoulder area in the last 12 months M75.4 Impingement syndrome of shoulder Rehabilitation Rehabilitation Control group: performing 12 sessions of shoulder stabilization exercises as follows: Serratus anterior punch/Scapular retraction/Scapular retraction with adduction hold/Wall slide with Thera-band-at-wrist/D2-PNF pattern/Sleeper Stretch/Modified Cross body stretch/ Corner Stretch Intervention group: performing 12 sessions of scapular stability exercises with the addition of movement chain components as follows: Forward Punch Plus with forward step/Fencing/Scapular retraction with adduction plus contralateral one leg squat/Wall slide with Thera-band-at-wrist plus squat /Reverse throw/Sleeper Stretch/Modified Cross body stretch/Corner Stretch "Pain intensity" using a visual analog scale. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Pain intensity will be evaluated using a visual analog scale at rest, in active abduction and flexion movements. Functional disability of the upper limb by the Persian version of Disabilities of the Arm, Shoulder and Hand questionnaire. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: The score of the Persian version of the questionnaire related to the degree of disability of the shoulder (Disabilities of the Arm, Shoulder and Hand). Evaluation of the performance related to the upper limb closed movement chain by the average number of contacts in Closed Kinetic Chain Upper Extremity Stability Test. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Counting the average number of contacts in 15 seconds in Closed Kinetic Chain Upper Extremity Stability Test. Evaluation of the performance of the closed movement chain in the upper limb by reaching distance in Upper Quarter Y-Balance Test in medial, superior-lateral and inferior-lateral directions. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Upper Quarter Y-Balance Test. Upward/downward rotation angles of the scapula. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Gravity reference inclinometer. Angle of Anterior/Posterior inclination of the scapula. Timepoint: At the beginning of the study and after completing 12 training sessions. Method of measurement: Gravity reference inclinometer. The distance between the inferior angle of the scapula and the spinous process of the closest adjacent vertebra, in three positions: in neutral position, at 40-45 degrees of shoulder abduction in the frontal plane and also at 90 degrees of shoulder abduction while the arm is in full internal rotation. . Timepoint: At the beginning of the study and after the completion of 12 training sessions. Method of measurement: Using a tape measure in the Lateral Scapular Slide Test. Tehran University of Medical Sciences Approved 2023-07-18 Research Ethics Committees of School of Nursing and Midwifery & Rehabilitation - Tehran University o No.12, Ghazavi Ave., Hoghughi St., Wooden Bridge Tehran Tehran Iran (Islamic Republic of)