The effectiveness of routine physiotherapy with and without neuromobilization on pain and functional disability in patients with shoulder impingement syndrome; a randomized control clinical trial

Abstract Background The objective of the study was to compare the effects of neuromobilization (NM) techniques and routine physiotherapy on pain and functional disability in patients having shoulder impingement syndrome (SIS). Present study was aimed to discover evidence based conservative and cost effective remedy on pain and functional disability. Study design Single blinded randomized control clinical trial. Methods A total of 80 patients with SIS were randomly assigned into care and experimental groups (40 in each group). After the baseline assessment routine physiotherapy was executed on both groups, while NM was applied additionally to experimental group. Pain and functional disability score were evaluated by Visual Analogue Scale and University of California at Los Angeles rating score at baseline, 5th and 11th week. Differences in outcome between groups were evaluated with clinical improvement. Results The experimental group compared with care group at 11th week had lower mean pain score 2.15(1.66–2.64) vs 4.90(4.41–5.40); between group difference, 1.82; 95% (CI), − 2.38 to − 1.25; P < 0.001 and Partial ƞ2 = 0.33, similarly functional disability score 28.58(27.32–29.83) vs 20.10(18.84–21.36); between group difference,5.62; 95%CI, (4.32–6.92); P< 0.001 and Partial ƞ2 = 0.49 respectively. In experimental group NM was a more effective technique to reduce the pain severity and disability in SIS patients as compare to care group. Conclusion Neuromobilization techniques in addition to routine physiotherapy were significantly effective for the treatment of SIS. Trial registration IRCT20190121042445N1, Registered 19 February 2019.

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The Effectiveness Of Routine Physiotherapy With And Without Neuromobilization In Patients With Shoulder Impingement Syndrome On Pain And Functional Disability; A Randomized Control Clinical Trial

10.21203/rs.2.17627/v1 ◽

2019 ◽

Author(s):

Muhammad Akhtar ◽

Hossein Kirimi ◽

Syed Amir Gilani ◽

Ashfaq Ahmad ◽

Asim Raza

Keyword(s):

Functional Disability ◽

Control Clinical Trial ◽

Impingement Syndrome ◽

Control Group ◽

Shoulder Impingement Syndrome ◽

Disability Score ◽

Shoulder Impingement ◽

Randomized Control ◽

Experimental Group

Abstract Background: Neuromobilization (NM) includes neurophysiological parameters that vary between clinicians. This randomized controlled trial aimed to investigate the NM on the outcomes of participants with shoulder impingement syndrome (SIS) following treatment sessions (base line to follow up). Study design: Single blinded randomized control clinical trial. Methods: Patients (80) with shoulder impingement syndrome (SIS) were asked to participate in this trial. At the first session, participants were randomly assigned to either control group (40) or experimental group (40). After the baseline assessment routine physiotherapy was executed for both groups, while NM was provided to experimental group. Pain and functional disability score were evaluated on baseline, post treatment and after follow up. Pain was considered as primary out come and functional disability score as secondary outcome. Improvement was evaluated at post treatment and follow up. Differences in outcome between groups were evaluated with clinical improvement. Results: The experimental group compared with control group at 11th week had lower mean pain score 2.15(1.66-2.64) vs 4.90(4.41-5.40); between group difference, 1.82; 95% (CI), -2.38 to -1.25; P ˂ 0.001 and Partial ƞ2=0.33, similarly functional disability score 28.58(27.32-29.83) vs 20.10(18.84-21.36); between group difference ,5.62; 95%CI,(4.32-6.92); P˂ 0.001 and Partial ƞ2=0.49. Over all pain and functional disability score were improved among experimental group relative to control group at 11th week. Conclusion: In an experimental setting, the delivery of neuromobilization leads to significantly different outcomes in participants than in control group. Studies are still required to explore the mechanisms underlying neuromobilization effects. Trial registration: IRCT20190121042445N1, Registered 19 February 2019. Key words: shoulder impingement, neuromobilization, functional disability.

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The effectiveness of routine physiotherapy with and without neuromobilization in patients with shoulder impingement syndrome

Journal of the Pakistan Medical Association ◽

10.47391/jpma.918 ◽

2020 ◽

pp. 1-16

Author(s):

Muhammad Akhtar Hunjra ◽

Hossein Karimi ◽

Syed Amir Gilani ◽

Ashfaq Ahmad ◽

Asim Raza

Keyword(s):

Sampling Technique ◽

Simple Random Sampling ◽

Impingement Syndrome ◽

Control Group ◽

Shoulder Impingement Syndrome ◽

Keywords Shoulder ◽

Shoulder Impingement ◽

Forward Flexion ◽

Randomized Control ◽

Experimental Group

Abstract Objective: The purpose of this study was to evaluate the neuromobilization (NM) on the pain and active forward flexion of participants with shoulder impingement syndrome (SIS). Methods: A randomized control trial was conducted in Social Security Hospital, Gujranwala. The duration of study was September 2016 to March 2018. A sample of 80 participants was selected and allocated in to two groups using computer generator method in simple random sampling technique. Consent was taken from patients with SIS for this trial. At the first session, participants were randomly assigned to either control group (40) or experimental group (40). After the baseline assessment routine physiotherapy was executed for both groups, while NM was provided to experimental group. Pain and active forward flexion (AFF) were evaluated on baseline, 5th week and 11th week. The data were entered and analyzed using SPSS (version 22.0). Results: The experimental group compared with control group at 11th week had lower mean pain score 2.15(1.66-2.64) vs 4.90(4.41-5.40); between group difference, 1.82; 95% confidence interval (CI), -2.38 to -1.25; P ? 0.001 and Partial ?2=0.33, similarly with AFF 147.13(142.46-151.79) vs 123.45(118.79-128.11); between group difference ,19.35; 95% CI,(12.86-25.83); P ? 0.001 and Partial ?2=0.30. Over all pain and AFF were improved among experimental group relative to control group at 11th week. Conclusion: In an experimental setting, the delivery of neuromobilization led to significantly different outcomes in participants than in control group. Clinical Trial Number: IRCT20190121042445N1. Keywords: shoulder impingement syndrome, pain, rotator cuff. Continuous...

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Faculty Opinions recommendation of Comparison of conservative treatment with and without manual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.12966957.14273056 ◽

2011 ◽

Author(s):

Saravana Kumar ◽

Namita Mehta

Keyword(s):

Clinical Trial ◽

Physical Therapy ◽

Conservative Treatment ◽

Randomized Clinical Trial ◽

Impingement Syndrome ◽

Shoulder Impingement Syndrome ◽

Prospective Randomized Clinical Trial ◽

Shoulder Impingement

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The addition of cervical unilateral posterior–anterior mobilisation in the treatment of patients with shoulder impingement syndrome: A randomised clinical trial

Manual Therapy ◽

10.1016/j.math.2013.05.007 ◽

2014 ◽

Vol 19 (1) ◽

pp. 18-24 ◽

Cited By ~ 19

Author(s):

Chad Cook ◽

Ken Learman ◽

Steve Houghton ◽

Christopher Showalter ◽

Bryan O'Halloran

Keyword(s):

Clinical Trial ◽

Randomised Clinical Trial ◽

Impingement Syndrome ◽

Shoulder Impingement Syndrome ◽

Shoulder Impingement ◽

Posterior Anterior

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Effects of ’’Throwers Ten’’ Exercise Program on Pain and Function in Shoulder Impingement Syndrome

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00153 ◽

2014 ◽

Vol 2 (11_suppl3) ◽

pp. 2325967114S0015

Author(s):

Zeynep Hazar ◽

Gul Baltacı

Keyword(s):

Exercise Program ◽

Impingement Syndrome ◽

Wilcoxon Test ◽

Control Group ◽

Dash Score ◽

Shoulder Impingement Syndrome ◽

Physical Treatment ◽

Shoulder Impingement ◽

And Function ◽

Experimental Group

Objectives: The purpose of this study was to examine the effects of Throwers Ten (T10) exercise program on pain and function in patients with shoulder impingement syndrome. Methods: Twenty subjects who were assigned by random sampling to an experimental group (n=10) to which Throwers Ten (T10) exercise and a control group (n=10) to which ordinary physical treatment were applied. A 100 mm visual analogue scale (VAS) was used to evaluate the degree of pain. The Disability of Arm, Hand, and Shoulder (DASH) score was used to assess the functions of the upper extremity. To determine the range of motion, a universal goniometer was used to measure range of shoulder motion. Wilcoxon test was employed to examine differences in pain and function of the experimental group and the control group before and after the treatment. Results: There were significant differences in function and pain of the experimental group (p<0.05). The therapeutic effect in the experimental and control groups revealed significant differences in flexion, abduction, VAS and the DASH (p< 0.05); respectively. Conclusion: The results of this study suggest that Throwers Ten (T10) exercise would be positively affected pain alleviation and functional recovery in shoulder impingement patients.

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