ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL
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: Upper Quadrant Core Strengthening protocol, Mobilization with movement.
- Who it may be relevant to
- Registry conditions: Rotator Cuff Syndrome. Basic parameters: 18 years — 65 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
- Pakistan
- 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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Overview
This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain .
Detailed description
The purpose of this study is to determine the effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related shoulder pain on A. Pain B. Range of motion C. Propioception D. Kinesiophobia
Data collection procedure: Participants of interest would be approached and explained about the research. Informed written consent will be taken. Recruited participants will be allocated to either of the groups through a sealed opaque envelope method.
Interventions
- Procedure Upper Quadrant Core Strengthening protocol
Upper Quadrant Core Strengthening protocol Core strengthening protocol will comprise of following four week protocol. 1. Week one Scapular postural correction and shoulder shrugging exercises 2. Week two External rotation at 0 degree 3. Week three Internal rotation at 0 degree 4. Week four Standing row at 45 and 90 degree , Anterior shoulder stretch and Thoracic exercise in sitting - Procedure Mobilization with movement
In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)
Primary outcome measures
- Pain intensity [Time frame: 4 weeks]
- Range of motion [Time frame: 4 weeks]
- Proprioception [Time frame: 4 weeks]
- Kinesiophobia [Time frame: 4 Weeks]
Eligibility criteria
Inclusion criteria
- Age 18-65 years
- Both genders
- Unilateral shoulder pain of traumatic origin
- Scoring should be less than 8 on numeric pain rating scale
- Symptoms lasting more than 6 weeks
- Pain on active shoulder movement
- Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
- Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain
Exclusion criteria
- History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
- Adhesive capsulitis
- History of dislocation
- Glenohumeral osteoarthritis
- Cancer
- Auto-immune inflammatory conditions and infection
- Positive joint integrity tests ( Ant. and Post. Drawer tests)
- Hill sachs lesions
- Bankarts lesions
- Cervical rib
- Previous shoulder or neck surgery or fracture
- Familiar pain provoked by neck movements
- Presence of radicular sign
- Diagnosis of fibromyalgia
- Clinical depression
- Rheumatoid arthritis
- Poor bone quality ( osteoporosis)
- Vertobrobasilar insufficiency test
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
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physical Therapy — Rawalpindi
Identifiers
NCT: NCT06723730 · FUI/CTR/2024/57