Dynamic Humeral Centering Exercises in Subacromial Pain Syndrome

Sponsor

Universidad de Antofagasta (Other)

Overall Status

Recruiting

CT.gov ID

NCT05892250

Collaborator

(none)

Enrollment

Location

Arms

45.4

Anticipated Duration (Months)

1.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Subacromial pain syndrome is one of the most common musculoskeletal health conditions, causing decreased of range of motion, loss of muscle strength and disability in the shoulder region. It has been proposed that dynamic humeral centering exercises could contribute to overcome these disorders, through the modification of the dimensions of the subacromial space, however, there is no consensus on its effectiveness nor direct variables that account for its efficacy. Therefore, the aim of this research is to determine the effects of a dynamic humeral centering exercise program on the functionality and disability of patients with subacromial pain syndrome.The effects of the dynamic humeral head exercises program, as well as the objective description of factors and variables associated with subacromial pain syndrome, will also allow rehabilitation science professionals to aim their interventions according to the knowledge of direct variables, which will allow objective follow-up of interventions on subacromial pain syndrome diagnosed patients.

Condition or Disease	Intervention/Treatment	Phase
Shoulder Pain Shoulder Impingement Syndrome	Behavioral: Conventional physical therapy Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

84 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Investigator, Outcomes Assessor)

Primary Purpose:

Treatment

Official Title:

Effects of Dynamic Humeral Centering Exercises on Functionality and Disability in Subacromial Pain Syndrome

Actual Study Start Date :

Mar 6, 2023

Anticipated Primary Completion Date :

Jul 24, 2023

Anticipated Study Completion Date :

Dec 18, 2026

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Control group Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise	Behavioral: Conventional physical therapy Manual techniques and therapeutic exercise
Experimental: Experimental group Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises	Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises Manual techniques and therapeutic exercise and active dynamic humeral centering exercises

Arm

Intervention/Treatment

Active Comparator: Control group

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise

Behavioral: Conventional physical therapy

Manual techniques and therapeutic exercise

Experimental: Experimental group

Intervention will consist of a conventional physical therapy treatment program that includes manual therapy techniques and exercise plus Dynamic Humeral Centering exercises

Behavioral: Conventional physical therapy + Dynamic Humeral Centering exercises

Manual techniques and therapeutic exercise and active dynamic humeral centering exercises

Outcome Measures

Primary Outcome Measures

Subacromial space dimensions [baseline]
Ultrasonography measure of coracohumeral and acromiohumeral distances

Secondary Outcome Measures

Pain intensity [baseline]
Participants' self-reported pain intensity during activities of daily living, night pain, and pain at rest
Range of motion [baseline]
Active and passive range of motion in coronal, sagital and transverse planes
Muscular endurance [baseline]
Time (in seconds) it takes for the participant to become fatigued when performing repetitive movements with the upper extremity in the frontal plane
Muscular endurance [baseline]
Number of repetitions performed by the subject until fatigue occurs when performing repetitive movements with the upper limb in the frontal plane
Shoulder Pain and Disability Index [baseline]
Measures the percentage of disability in a person, with a minimum value of 0 (best) and a maximum of 100 percent.(worse)

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Older than 18 years old and less than 60 years old.
Pain in the lateral and upper arm region for more than two weeks of evolution.
At least three positive tests in the following: Neer's impingement sign, Hawkins-Kennedy impingement sign, Pattes' maneuver, Jobe's test or painful arch.

Exclusion Criteria:

Having any of the following diagnoses: frozen shoulder, shoulder girdle joint instability, cancer, glenohumeral arthrosis, symptomatic acromioclavicular arthritis, glenohumeral arthritis, rheumatoid arthritis, or fibromyalgia.
Cervical or thoracic pain.
Fracture or surgery in the shoulder region or in the last 6 months.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Universidad de Antofagasta	Antofagasta		Chile	1240000

Sponsors and Collaborators

Universidad de Antofagasta

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Juan Guerrero Henriquez, Principal Investigator, Universidad de Antofagasta

ClinicalTrials.gov Identifier:

NCT05892250

Other Study ID Numbers:

17798315

First Posted:

Jun 7, 2023

Last Update Posted:

Jun 7, 2023

Last Verified:

May 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Yes

Plan to Share IPD:

Yes

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Shoulder Pain

Shoulder Impingement Syndrome

Syndrome

Study Results

No Results Posted as of Jun 7, 2023