The Immediate Effects of First Rib Mobilization on Pain and Range of Motion in Patients With Shoulder Pain

Обзор

The purpose of this clinical trial is to examine whether one session of a specific manual physical therapy technique, known as first rib mobilization, can lead to immediate improvements in pain and movement in individuals with shoulder pain. We hypothesize that this single treatment will result in reduced pain and increased ability to move the shoulder and neck. Researchers will compare first rib mobilization to a sham mobilization (a look-alike hands-on position that does not mobilize the first rib) to see if first rib mobilization works to immediately reduce pain and improve movement in patients with shoulder pain. Participants will receive first rib mobilization or a sham mobilization during a single session of physical therapy and will receive pre and post intervention measurements of their pain levels and neck and shoulder range of motion.

Вмешательства

• Другое First Rib Mobilization
  Participants in the mobilization group will receive either a seated or supine three stage progressive muscle energy technique (MET) plus a singular high-velocity, low-amplitude thrust (HVLAT) mobilization technique directed to their first rib on their symptomatic side based on the discretion of the treating physical therapist.
• Другое Sham Comparator
  Participants in the sham mobilization (control) group will be placed in a supine, hook-lying position identical to the mobilization group; however, they will be instructed to inhale and exhale 3 times using diaphragmatic breathing (avoiding upper chest recruitment) as the physical therapist gently rests his or her hand over the area of the upper trapezius muscle just proximal to the first rib to simulate a sham mobilization hand placement. Therefore, physical therapists will not use any signific

Первичные конечные точки

• Range of motion [Срок оценки: Cervical and shoulder active range of motion will be assessed in participants in both groups at baseline and immediately following the intervention]
• Pain Intensity [Срок оценки: Change in pain intensity from baseline to immediately following intervention in both groups]

Вторичные конечные точки (1)

• Global Rating of Change [Срок оценки: This will be administered to participants in both groups immediately after intervention]

Критерии участия

Критерии включения

• Men and Women
• Ages 18-75 years old
• Attending physical therapy
• Primary complaint of shoulder pain
• Pain intensity >3/10 on the Numeric Pain Rating Scale (NPRS)
• A Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick DASH) score greater than 16% impaired

Критерии исключения

• Previous shoulder or neck surgery
• Clinical signs of a full rotator cuff tear (positive drop arm test)
• Having positive MRI findings of a complete rotator cuff tear
• Having a positive Spurling's test
• Having a steroid injection in the cervical spine and/or shoulder in the last two months
• Having any red flags (history of cancer, upper motor neuron disorder, fractures, osteoporosis, acute inflammatory process)
• Expressing fear/anxiety related to receiving manual therapy treatment

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Lebanon Valley College — Annville

Идентификаторы

NCT: NCT07064772 · 25-095

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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