The Effect of Lower Limb Kinetic Chain Exercise in Shoulder Impingement
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: exercise.
- Who it may be relevant to
- Registry conditions: Shoulder Impingement Syndrome. Basic parameters: 20 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Lower Limb Kinetic Chain Exercise to Shoulder Rehabilitation Program in Patients With Shoulder Impingement Syndrome
Overview
The goal of this clinical trial study is to investigate the effect of performing lower limb kinetic chain exercise on muscle activation of scapular muscle strength ratio in patients with shoulder impingement. the main question it aims to answer is: Does the addition of lower limb kinetic chain exercise to a shoulder exercise program improve scapular muscles strength ratio in patients with shoulder impingement? participants will be devided into two groups to be compared: The first group will be given a rehabilitation program consisting of strengthening exercises (for scapular stabilizers and rotator cuff) and stretching exercises (for pectoralis major, pectoralis minor, latissimus dorsi, levator scapula) The second group will be given the same exercises in addition to lower limb kinetic chain exercise
Detailed description
The term "kinetic chain" (KC) describes the sequential activation of body segments during functional movement patterns (Wilk et al., 2016). An effective KC will produce, summate, and enable effective mechanical energy transmission along the entire chain, which will support function. Any link in the KC that is inefficient has the potential to adversely affect force transfer to nearby segments (Ben kibler et al., 2000 \& Martic et al., 2014). Consequently, therapists usually recommend incorporating trunk and lower extremity movements into shoulder rehabilitation programs in order to maximize efficient energy transfer throughout the entire KC (Sciascia et al., 2012 \& Magarey et al., 2003). Thus, the investigators hypothesize that adding a lower limb (LL) kinetic chain exercise to a shoulder exercise program will improve scapular muscles strength ratio.
Interventions
- Other exercise
Exercises done 3 times per weeks, 3 repetitions per exercise for 3 months
Primary outcome measures
- Electromyography to evaluate the activation patterns, timing and ratio of scapular muscles during movement [Time frame: baseline]
Secondary outcome measures (1)
- Shoulder pain and disability Index [Time frame: baseline]
Eligibility criteria
Inclusion criteria
- Age ranges between 20 and 45 years old
- Unilateral shoulder pain lasting more than 6 weeks
- At least one positive finding in each of these categories:
- Painful arc of movement during flexion or abduction
- Positive Neer or Hawkins-Kennedy impingement signs
- Pain on resisted lateral rotation, abduction or Jobe test
Exclusion criteria
- History of surgery
- History of fracture or dislocation
- Type III acromion
- Rotator cuff tear
- Long head of biceps tendon tear
- Cervical radiculopathy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Outpatient physical therapy, Faculty of physical therapy — Giza
Publications
- Wilk KE, Arrigo CA, Hooks TR, Andrews JR. Rehabilitation of the Overhead Throwing Athlete: There Is More to It Than Just External Rotation/Internal Rotation Strengthening. PM R. 2016 Mar;8(3 Suppl):S78-90. doi: 10.1016/j.pmrj.2015.12.005. PMID 26972270
- Sciascia A, Thigpen C, Namdari S, Baldwin K. Kinetic chain abnormalities in the athletic shoulder. Sports Med Arthrosc Rev. 2012 Mar;20(1):16-21. doi: 10.1097/JSA.0b013e31823a021f. PMID 22311288
Identifiers
NCT: NCT06195956 · kinetic chain exercise