Mirror Therapy for Impingement Syndrome

Sponsor

Kutahya Health Sciences University (Other)

Overall Status

Completed

CT.gov ID

NCT05188157

Collaborator

(none)

Enrollment

Location

Arms

1.5

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Background: Mirror therapy is an adjuvant treatment option based on shoulder impingement Syndrome Objective:To investigate the effect of mirror theraphy on shoulder impingement Syndrome Methods: The study included 62 participants, including cases in the intervention group (IG) (± years) and 20 cases in the control group (CG) (years) who met the selection criteria. IG received mirror theraphy with regular physiotherapy while CG received only regular physiotherapy. The patients were evaluated with the before treatment, immediately after treatment (post-treatment).

Condition or Disease	Intervention/Treatment	Phase
Impingement Syndrome Mirror Movements 2	Other: mirror therapy Other: conventional physiotherapy	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

62 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Mirror Therapy is an Adjuvant Treatment Option Based on Shoulder Impingement Syndrome.

Actual Study Start Date :

Jan 14, 2022

Actual Primary Completion Date :

Feb 15, 2022

Actual Study Completion Date :

Mar 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Other: control group conventional physiotherapy	Other: conventional physiotherapy The conventional physiotherapy program included, wand exercises for shoulder abduction, flexion, hyperextension and internal and external rotation, Codman exercises and isometric and resistive exercises of the shoulder girdle. The exercise program is performed under the supervision of an experienced physiotherapist. The isometric exercises will be used during the painful period, and the resistance exercises will be added after the pain began to relieve.under the supervision of a physician in the first 30 minutes of their exercise.
Experimental: mirror therapy group conventional physiotherapy and mirror therapy	Other: mirror therapy The patients in IG will receive exercise program before mirror theraphy. The patient will continue to do the exercises in front of the mirror for the remaining 20 minutes of the exercise. While doing the exercise with the healthy side in front of the mirror, the patient will try to do the same movement with the shoulder diagnosed with impingement syndrome on the other side of the mirror. The patient will try to do the movement correctly with the reflection in the mirror. Other: conventional physiotherapy The conventional physiotherapy program included, wand exercises for shoulder abduction, flexion, hyperextension and internal and external rotation, Codman exercises and isometric and resistive exercises of the shoulder girdle. The exercise program is performed under the supervision of an experienced physiotherapist. The isometric exercises will be used during the painful period, and the resistance exercises will be added after the pain began to relieve.under the supervision of a physician in the first 30 minutes of their exercise.

Arm

Intervention/Treatment

Other: control group

conventional physiotherapy

Other: conventional physiotherapy

The conventional physiotherapy program included, wand exercises for shoulder abduction, flexion, hyperextension and internal and external rotation, Codman exercises and isometric and resistive exercises of the shoulder girdle. The exercise program is performed under the supervision of an experienced physiotherapist. The isometric exercises will be used during the painful period, and the resistance exercises will be added after the pain began to relieve.under the supervision of a physician in the first 30 minutes of their exercise.

Experimental: mirror therapy group

conventional physiotherapy and mirror therapy

Other: mirror therapy

The patients in IG will receive exercise program before mirror theraphy. The patient will continue to do the exercises in front of the mirror for the remaining 20 minutes of the exercise. While doing the exercise with the healthy side in front of the mirror, the patient will try to do the same movement with the shoulder diagnosed with impingement syndrome on the other side of the mirror. The patient will try to do the movement correctly with the reflection in the mirror.

Other: conventional physiotherapy

Outcome Measures

Primary Outcome Measures

goniometer [10 minutes]
shoulder range of motion and will be measured
Hawkins test [5 minutes]
impingement tests; forced internal rotation was performed while the arm and elbow were in 90° flexion
Neer test [5 minutes]
subacromial impingement test
Jobe Test [5 minutes]
lesions of the infraspinatus muscle
Constant Murley Score [10 minutes]
functional level of the patients' shoulder joint, higher scores mean a better outcome.
Tampa Kinesiophobia Scale [10 minutes]
will be used to evaluate kinesiophobia, higher scores mean worse outcome.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 75 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Being aged 18-75 years
Being diagnosed with shoulder impingement syndrome

Exclusion Criteria:

Being uncooperative
Having an additional systemic disease
Having uncontrolled hypertension
Presence of heart failure
Having hearing or vision problems
Having a balance disorder
Diagnosis of heart disease and lung disease so advanced that exercise is contraindicated
History of shoulder surgery
Have any pathology that may cause referred pain (eg, cervical radiculopathy)
Shoulder trauma, previous humeral fracture history
Steroid injection to the shoulder joint or subacromial bursa in the last 6 months