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Exercises Associated or Not With Manual Therapy Shoulder Impingement

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02035618
Recruitment Status : Completed
First Posted : January 14, 2014
Last Update Posted : January 15, 2014
Information provided by (Responsible Party):
Paula Rezende Camargo, Universidade Federal de Sao Carlos

Brief Summary:
Manual therapy combined with a protocol of therapeutic exercises will increase the beneficial effects on scapular kinematics, myofascial pain and function in subjects with shoulder impingement when compared to exercises only.

Condition or disease Intervention/treatment Phase
Shoulder Impingement Other: Exercises Other: Exercises + Manual Therapy Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 46 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Study Start Date : September 2010
Actual Primary Completion Date : July 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Exercises and manual therapy Other: Exercises
Strengthening and stretching

Other: Exercises + Manual Therapy
Mobilization; massage; post-isometric relaxation; strengthening; stretching

Active Comparator: Exercises Other: Exercises
Strengthening and stretching

Primary Outcome Measures :
  1. Scapular kinematics [ Time Frame: up to 3 months from the initial interview ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • history of non-traumatic onset of shoulder pain;
  • painful arc during active elevation of the arm;
  • one or more positive shoulder impingement tests (Neer, Hawkins and Jobe), or pain during passive or resisted external rotation of the arm at 90° of abduction;
  • pain with palpation of the rotator cuff tendons;
  • all subjects need also to be able to reach 150° of arm elevation as evaluated by visual observation.

Exclusion Criteria:

  • limitation of glenohumeral internal and external rotation as indicative of adhesive capsulitis;
  • body mass index > 28kg/m2 as the amount of subcutaneous tissue can compromise the quality of the signal increasing soft tissue artifact;
  • numbness or tingling of the upper limb reproduced by cervical compression test;
  • history of clavicle, scapula or humerus fracture;
  • history of rotator cuff surgery;
  • systemic illnesses;
  • positive sulcus or apprehension tests as indicative of instability;
  • positive drop arm test as indicative of full thickness tear;
  • corticosteroid injection within 3 months prior to intervention, or physiotherapy within 6 months prior to intervention;
  • depressive symptoms as evaluated by the Beck Depression Inventory score ( > 9 points) due to its influence on myofascial pain;
  • allergy to tape.
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Paula Rezende Camargo, PT, PhD, Universidade Federal de Sao Carlos Identifier: NCT02035618    
Other Study ID Numbers: UFSCar/CEP 270/2010
First Posted: January 14, 2014    Key Record Dates
Last Update Posted: January 15, 2014
Last Verified: January 2014
Additional relevant MeSH terms:
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Shoulder Impingement Syndrome
Joint Diseases
Musculoskeletal Diseases
Shoulder Injuries
Wounds and Injuries