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Recruiting NCT06473142

RELATION BETWEEN BODY POSTURE AND SHOULDER DYSFUNCTION

— Observational Subacromial Impingement Syndrome Frontal Plane Postural

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
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Subacromial Impingement Syndrome, Frontal Plane Postural. Basic parameters: 20 years — 40 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 →

Unsure about the terms? Read our patient guide →

Official title

CORRELATION BETWEEN SHOULDER DYSFUNCTION AND FRONTAL PLANE POSTURE IN SUBACROMIAL IMPINGEMENT SYNDROME

Overview

The purpose of this study will be to investigate if there is any correlation between shoulder dysfunction and the lateral alignment of the spine, scapular dyskinesia, pelvic tilting angle, Shoulder height angle, and trunk side bending (strength and mobility) in the frontal plane in patients with unilateral SIS.

Detailed description

This study will be conducted to answer the following question:

Is there any correlation between shoulder dysfunction and the lateral alignment of the spine, scapular dyskinesia, pelvic tilting angle, Shoulder height angle, and trunk side bending (strength and mobility) in the frontal plane in patients with unilateral SIS?

This study will be limited to:

1. Thirty four (34) patients with unilateral SIS. 2. Male and female subjects will be included between 20 and 40 years of age . 3. Shoulder pain and disability level will be measured using the Arabic version of shoulder pain and disability index (SPADI). 4. Thoracolumbar lateral deviation will be measured using a scoliometer. 5. Scapular dyskinesia will be measured using lateral scapular slide test (LSST). 6. The pelvic tilting angle and shoulder height angle will be evaluated using Kinovea software. 7. Trunk side bending ROM will be evaluated using a bubble inclinometer . 8. Trunk side bending strength will be evaluated using a handheld dynamometer.

Assumptions:

It will be assumed that:

1. The instructions given to all individuals will be clear with satisfying explanations for all assessment methods. 2. All individuals will follow the instructions.

Hypotheses:

It will be hypothesized that:

1. There will be no significant correlation between pain score and measured variables in patients with unilateral SIS:

1. lateral spinal deviation 2. scapular dyskinesia 3. pelvic tilting angle in the frontal plane 4. shoulder height angle in the frontal plane 5. ipsilateral trunk lateral side bending ROM 6. contralateral trunk lateral side bending ROM 7. ipsilateral trunk lateral side bending strength 8. contralateral trunk lateral side bending strength 2. There will be no significant correlation between disability score and measured variables in patients with unilateral SIS:

1. lateral spinal deviation 2. scapular dyskinesia 3. pelvic tilting angle in the frontal plane 4. shoulder height angle in the frontal plane 5. ipsilateral trunk lateral side bending ROM 6. contralateral trunk lateral side bending ROM 7. ipsilateral trunk lateral side bending strength 8. contralateral trunk lateral side bending strength

Primary outcome measures

  • Thoracolumbar lateral deviation [Time frame: 2 MONTHES]
  • Scapular dyskinesia [Time frame: 2 monthes]
  • The pelvic tilting angle and shoulder height angle [Time frame: 2 monthes]
  • Trunk side bending ROM [Time frame: 2 Monthes]
  • Trunk side bending strength [Time frame: 2 monthes]
  • Shoulder pain and disability level [Time frame: 2 monthes]

Eligibility criteria

Inclusion criteria

  • Non-athletic patients of both sexes.
  • referred by an orthopedic surgeon with a diagnosis of unilateral SIS (Stage I, or II).
  • Patients aged between 20 to 40 years.
  • BMI between 18.5 to 29.9 kg/m2.
  • having four or more of the following findings:
  • Shoulder pain that is located either anteriorly or laterally to the acromion process
  • Pain worsening by shoulder flexion and/or abduction
  • A painful movement arc ranging from 60° to 120°
  • A palpably painful greater tuberosity of the humerus
  • The pain is replicated using the supraspinatus empty-can test, A positive Neer impingement sign, external rotation resistance test, and a positive Hawkins sign.

Exclusion criteria

  • Systematic illnesses
  • Pregnancy
  • Any degenerative disorder or disc lesion affection of the spine
  • A history of upper limb or spinal surgery
  • Previous upper limb or spinal fractures
  • Post-traumatic shoulder pain
  • History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation)
  • Clinical signs of cervical radiculopathy (pain related to cervical movements)
  • Adhesive capsulitis
  • Tumors
  • Shoulder labral or cartilage lesions
  • Capsular or ligamentous tears or avulsions
  • any apparent deformity in the lower limbs including leg length discrepancy.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Other

Study locations

Egypt · 1 center
  • faculty of physical therapy Cairo university — Cairo

Publications

  • Bhattacharyya R, Edwards K, Wallace AW. Does arthroscopic sub-acromial decompression really work for sub-acromial impingement syndrome: a cohort study. BMC Musculoskelet Disord. 2014 Sep 29;15:324. doi: 10.1186/1471-2474-15-324. PMID 25266967

Identifiers

NCT: NCT06473142 · P.T.REC/012/005179

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗