Virtual Reality Based Exercise Training Versus Mulligan Mobilization on Shoulder Posture and Function in Subacromial Impingement Syndrome

Обзор

The study will compare the effect of virtual reality based exercise training versus Mulligan mobilization in addition to exercise therapy added to both groups on shoulder posture and function in subacromial impingement syndrome.

Вмешательства

• Другое Virtual Reality
  Fully immersive virtual reality mounted headset will be used
• Другое Mulligan mobilization
  posterolateral shoulder Mulligan mobilization with movement (MWM) will be used

Первичные конечные точки

• Pain intensity during shoulder elevation [Срок оценки: pain intensity at the start of session 1 to the end of 1 month of treatment]
• Shoulder function [Срок оценки: shoulder function at the start of session 1 to the end of 1 month of treatment]
• Shoulder flexion range of motion [Срок оценки: shoulder flexion at the start of session 1 to the end of 1 month of treatment]
• Shoulder abduction range of motion [Срок оценки: shoulder abduction at the start of session 1 to the end of 1 month of treatment]
• shoulder posture [Срок оценки: shoulder posture at the start of session 1 to the end of 1 month of treatment]

Вторичные конечные точки (2)

• Patients' enjoyment [Срок оценки: It will be evaluated at the end of the last session (after 1 month)]
• patients' adherence to treatment sessions [Срок оценки: patients' adherence at the start of session 1 to the end of 1 month of treatment]

Критерии участия

Критерии включения

• Patients will be referred from the orthopedic surgeon with a diagnosis of stage II SIS with the following criteria:

• Participants ranged in age from 30-50 years old.
• Participants are from non-athletes from the general population.
• Unilateral shoulder pain that is localized either anteriorly or laterally to the acromion. Pain that occurs or worsens when the affected shoulder is in flexion and/or abduction.
• Four of the following should be present in the included patients: Neer impingement test, Hawkins' test, Pain was replicated in the supraspinatus empty-can test, a painful arc of movement from 70° to 120°, and painful greater tuberosity of the humerus.
• BMI range 18.5- 29.9 Kg/m².

Критерии исключения

• 1\) Patients who, during the previous three months, underwent shoulder physical treatment and/or an acute pain flare.

2\) Patients who have undergone surgeries for tendon repair. 3) Malignancy, epilepsy, pregnant women, and/or systemic conditions like chronic renal or liver failure.

4\) Mini-Mental State Examination test (MMSE) (< 24/30) to exclude cognitive impairment and/or significant vision impairment (if they couldn't read the introduction while wearing the Head Mounted Device (HMD).

5\) Corticosteroid injection during the last three months or used steroids chronically.

6\) Adhesive capsulitis, glenohumeral joint instability, Numbness or tingling of the upper limb, and/or full-thickness tear of the rotator cuff.

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

Египет · 1 центр

• Faculty of Physical Therapy, Cairo University — Giza

Публикации

• Steiner B, Elgert L, Saalfeld B, Wolf KH. Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review. JMIR Serious Games. 2020 Aug 25;8(3):e19914. doi: 10.2196/19914. PMID 32840488
• Alvarez de la Campa Crespo M, Donegan T, Amestoy-Alonso B, Just A, Combalia A, Sanchez-Vives MV. Virtual embodiment for improving range of motion in patients with movement-related shoulder pain: an experimental study. J Orthop Surg Res. 2023 Sep 26;18(1):729. doi: 10.1186/s13018-023-04158-w. PMID 37752613
• Lin HT, Li YI, Hu WP, Huang CC, Du YC. A Scoping Review of The Efficacy of Virtual Reality and Exergaming on Patients of Musculoskeletal System Disorder. J Clin Med. 2019 Jun 4;8(6):791. doi: 10.3390/jcm8060791. PMID 31167435
• Hoyek N, Di Rienzo F, Collet C, Hoyek F, Guillot A. The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome. Disabil Rehabil. 2014;36(13):1113-9. doi: 10.3109/09638288.2013.833309. Epub 2014 Feb 28. PMID 24575717
• Consigliere P, Haddo O, Levy O, Sforza G. Subacromial impingement syndrome: management challenges. Orthop Res Rev. 2018 Oct 23;10:83-91. doi: 10.2147/ORR.S157864. eCollection 2018. PMID 30774463
• Coja, D. M., Onu, I., Onu, A., Iordan, D. A., Gheorghiu, G., Ene-Voiculescu, V., & Talaghir, L. G. (2024). The Use of Virtual Reality-Assisted Therapy to Improve Shoulder function in Subacromial Impingement Syndrome: a Randomised Controlled Trial. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 15(4), 11-26. http://dx.doi.org/10.70594/brain/15.4/2
• Chaplin E, Karatzios C, Benaim C. Clinical Applications of Virtual Reality in Musculoskeletal Rehabilitation: A Scoping Review. Healthcare (Basel). 2023 Dec 15;11(24):3178. doi: 10.3390/healthcare11243178. PMID 38132067
• Ozlu A, Ustundag S, Bulut Ozkaya D, Menekseoglu AK. Effect of Exergame on Pain, Function, and Quality of Life in Shoulder Impingement Syndrome: A Prospective Randomized Controlled Study. Games Health J. 2024 Apr;13(2):109-119. doi: 10.1089/g4h.2023.0108. Epub 2024 Feb 23. PMID 38394299

Идентификаторы

NCT: NCT07369934 · Virtual reality and Mulligan M

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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