Shoulder and Neck Mobilization in Patients With Subacromial Impingement Syndrome
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: Conventional Treatment, shoulder mobilization, neck mobilization.
- Who it may be relevant to
- Registry conditions: Subacromial Impingement Syndrome. Basic parameters: from 18 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
- Turkey (Türkiye)
- 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
Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome
Overview
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.
Interventions
- Other Conventional Treatment
Hot pack,TENS, ultrasound and exercises - Other shoulder mobilization
In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied. - Other neck mobilization
Bridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization.
Primary outcome measures
- Pain intensity [Time frame: through study completion, an average of 1 year]
Secondary outcome measures (5)
- The Arm, Shoulder and Hand Problems (DASH) Questionnaire [Time frame: through study completion, an average of 1 year]
- Painful arch assessment [Time frame: through study completion, an average of 1 year]
- Painless range of motion assessment [Time frame: through study completion, an average of 1 year]
- Pressure-pain Threshold Assessment [Time frame: through study completion, an average of 1 year]
- Evaluation of Tactile Sensory Acuity [Time frame: through study completion, an average of 1 year]
Eligibility criteria
Inclusion criteria
- Being over 18 years of age
- Diagnosed with Subacromial Impingement
- Not having received any treatment for shoulder problems in the last 6 months
- The pain has been continuing for 3 months
- Initial pain must be 4 or higher on the Visual Analog Scale (VAS)
Exclusion criteria
- History of surgery in the shoulder, cervical and thoracic region
- Having a shoulder problem such as a frozen shoulder or instability
- Full-thickness rotator cuff tear
- Having systemic musculoskeletal disease
- Having systemic rheumatic disease
- History of upper extremity fracture
- Diagnosed with scoliosis
- Have neurological problems
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
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Kutahya Health Sciences University — Kütahya
Publications
- Uzer O, Isintas M. Does adding cervical mobilization to shoulder mobilization improve pain, sensation, and function in subacromial impingement syndrome? A three-arm randomized controlled trial. BMC Musculoskelet Disord. 2026 Jun 2. doi: 10.1186/s12891-026-10000-1. Online ahead of print. PMID 42231228
Identifiers
NCT: NCT06602206 · 2024/06-29