The Physiotherapy Approaches in Patients With Subacromial Impingement Syndrome

Sponsor

Istanbul University - Cerrahpasa (IUC) (Other)

Overall Status

Completed

CT.gov ID

NCT06156475

Collaborator

(none)

Enrollment

Location

Arms

Actual Duration (Months)

6.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of this study is to investigate the effectiveness of Electromyographic Biofeedback with proprioception exercises on pain, range of motion, muscle strength, proprioception and functionality in patients with subacromial impingement syndrome.

Condition or Disease	Intervention/Treatment	Phase
Subacromial Impingement Syndrome	Procedure: Proprioception exercises Procedure: Proprioception exercises with Electromyographic Biofeedback Procedure: Wand Exercise	N/A

Detailed Description

This study is planned as a prospective, randomized clinical study. Patients with subacromial impingement syndrome who volunteered to participate in the study, met the inclusion criteria, and signed the consent form were randomly assigned to the proprioception exercise group and the proprioception exercise with electromyographic biofeedback group. Demographic and clinical data of the patients were recorded. Shoulder function with Disabilities of the Arm, Shoulder and Hand scale, pain with VAS, painless active shoulder flexion, abduction, and external-internal rotation with goniometer, muscle strength with Manual Muscle Tester, proprioception (55°-90°- 125° angles of flexion and abduction, and angular deviations) with the Laser-pointer assisted angle reproduction test were evaluated, and patient satisfaction was evaluated with The Global Rating of Change Scale. After the initial evaluations were completed, only proprioception exercises and proprioception exercises with EMG-BF were applied 2 days a week for 8 weeks. Additionally, both groups were given Want exercises.

Study Design

Study Type:

Interventional

Actual Enrollment :

48 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

The study consisted of patients with subacromial impingement syndrome evaluated by an orthopedist. Patients who met the inclusion criteria were divided into two groups.The study consisted of patients with subacromial impingement syndrome evaluated by an orthopedist. Patients who met the inclusion criteria were divided into two groups.

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

The Effect of Electromyographic Biofeedback and Proprioception Exercises on Pain and Functionality in Patients With Subacromial Impingement Syndrome: A Randomized Controlled Study

Actual Study Start Date :

May 1, 2021

Actual Primary Completion Date :

Aug 1, 2021

Actual Study Completion Date :

Dec 1, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Proprioception Exercise Group Wand exercises and Proprioception exercises	Procedure: Proprioception exercises Patients trained for proprioception exercises. Procedure: Wand Exercise Patients were educated with wand exercises.
Active Comparator: Proprioception exercises with Electromyographic Biofeedback Wand exercises and Proprioception exercises with Electromyographic Biofeedback	Procedure: Proprioception exercises with Electromyographic Biofeedback Patients trained for Proprioception exercises with Electromyographic Biofeedback Procedure: Wand Exercise Patients were educated with wand exercises.

Arm

Intervention/Treatment

Experimental: Proprioception Exercise Group

Wand exercises and Proprioception exercises

Procedure: Proprioception exercises

Patients trained for proprioception exercises.

Procedure: Wand Exercise

Patients were educated with wand exercises.

Active Comparator: Proprioception exercises with Electromyographic Biofeedback

Wand exercises and Proprioception exercises with Electromyographic Biofeedback

Procedure: Proprioception exercises with Electromyographic Biofeedback

Patients trained for Proprioception exercises with Electromyographic Biofeedback

Procedure: Wand Exercise

Patients were educated with wand exercises.

Outcome Measures

Primary Outcome Measures

Disabilities of the Arm, Shoulder and Hand scale [8 weeks]
The Disabilities of the Arm, Shoulder and Hand scale was used to measure shoulder function.

Secondary Outcome Measures

Visual analogue scale [8 weeks]
The severity of pain was measured Visual analogue scale.
Joint range of motion [8 weeks]
Active shoulder flexion, abduction, and external-internal rotation range of motion was measured with goniometer.
Muscle strength [8 weeks]
Shoulder flexion, abduction, and external-internal rotator muscle strength was measured with manual muscle tester.
Proprioception [8 weeks]
To evaluate joint position sense, laser pointer-assisted angle reproduction test was applied for measurements at 55°-90°-125° flexion and abduction angles.
Patient satisfaction [8 weeks]
The amount of improvement or deterioration in patients was assessed with the Global Rating Change Scale.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Being diagnosed with subacromial impingement syndrome,
Being between the ages of 18 and 65,
Not having received medical treatment,
Not having received a shoulder-related physiotherapy program in the last year,
Not having had any shoulder-related surgery,

Exclusion Criteria:

Neurological deficits of the upper extremity and the presence of another orthopedic disorder, rheumatic or congenital disease other than subacromial impingement syndrome,
Presence of mental problem,
Having received corticosteroid treatment in the last year,
Upper extremity fracture,
Acute cervical pathology,
Having cardiovascular and systemic diseases that prevent working,
Pregnancy,
Those with communication problems.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Istanbul Aydin University	Istanbul	Florya	Turkey

Sponsors and Collaborators

Istanbul University - Cerrahpasa (IUC)

Investigators

Principal Investigator: Ebru Kaya Mutlu, Professor, Bandırma Onyedi Eylül University
Study Chair: Buse Aydin, M.Sc., Istabul Aydin University
Study Chair: Yasemin Karaaslan, Asst. Prof., Mustafa Kemal University
Study Chair: Hanifegül Taskiran, Professor, Istanbul Aydın University
Study Chair: Nezih Ziroglu, MD, Acıbadem Mehmet Ali Aydınlar University