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Subacromial ImpingementNCT06106048

Comparative Effects of Conscious Abdominal Contraction and Closed Kinetic Chain Exercises

A study testing Closed kinetic chain exercises and Abdominal contraction exercises in people with Subacromial Impingement, run by Sehat Medical Complex at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Subacromial pain syndrome is a general term used to describe pain which originates from the shoulder and can spread towards the neck or down the arm. It's the most common reason for shoulder pain. Read more about this study

Who is it for?
Ages 20 to 40 years, men only
Conditions the study is for
Subacromial Impingement
What is being tested?
Closed kinetic chain exercises and Abdominal contraction exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
1 sitePakistan
Study dates
23 Aug 2023to 30 Apr 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 40 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male Badminton players
  • Age 20 to 40 years
  • Unilateral shoulder pain
  • Pain with overhead activities
  • Positive Hawkins Kennedy test
  • Positive painful arc(60-120 degrees)
Show all 9Show fewer
  • Positive Neer impingement test
  • Positive external rotation test
  • Numeric pain Rating Scale NPRS value(3-7)

Who cannot join

  • Adhesive capsulitis
  • Know shoulder instability
  • Neck pain
  • Radiating pain from shoulder to hand
  • Receiving any intervention for shoulder injury.
  • Previous history of 6 month shoulder trauma.
  • Previous history of shoulder surgery.
  • Taking any critical care medicine

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Sir Syed Sports Complex

    Sargodha, 40100

Other trials in Pakistan

About this study

Official title: Comparative Effects of Conscious Abdominal Contraction and Closed Kinetic Chain Exercises on the Activation of Periscapular Muscles in Badminton Players With Subacromial Pain Syndrome

Subacromial pain syndrome is a general term used to describe pain which originates from the shoulder and can spread towards the neck or down the arm. It's the most common reason for shoulder pain. The aim of study was to compare the effects of conscious abdominal contraction and closed kinetic chain exercises on the activation of peri-scapular muscles in badminton players with sub-acromial pain syndrome.

Read the detailed description

A Randomized Clinical Trial was conducted at Sir Syed Sports Complex Sargodha, through convenience sampling technique on 52 patients which was allocated using random sampling through computerized generated number into Group A and Group B. Group A was treated with closed kinetic chain exercises. Group B was treated with abdominal contraction exercises for periscapular activation. These exercises were done in 3 sets with 10 repetitions. There was 3 sessions per week. Baseline measurement was taken on 1st day of evaluation and post treatment will be taken on 4th week. Data was analyzed during SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it was decided either parametric or non-parametric test was used within a group or between two groups.

Being tested
Closed kinetic chain exercises, Abdominal contraction exercises
Medical subject headings
Shoulder Impingement Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Closed kinetic chain exercisesOther

    Group A was treated with closed kinetic chain exercises. Group A: Group A was treated with closed kinetic chain exercises. Closed kinetic chain exercises enhance the proprioception by coordinating the mechanical receptors as well as the strength of the external shoulder rotator muscles, reduce the pain and improve the shoulder.

    Closed kinetic chain exercises include:

    • Push up
    • Scapular push up
    • Scapular dip
    • Crab walk

    Common Treatment:

    Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280, wavelength 80.

    Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.

  • Abdominal contraction exercisesOther

    Group B was treated with abdominal contraction exercises for periscapular activation that includes: Wall slide, knee pushup, external rotation kneeling, Full can and External rotation with elevation and isometric low row.

    Common Treatment:

    Cryotherapy 10 minutes 2 times per day. Ultrasonography 1Mhz frequency, 0.4 watt/cm for 10 minutes. Transcutaneous electrical stimulation (TENS) 10 minutes, modulation mode, frequency 280,wavelength 80.

    Cross arm stretching 5 times 30 sec hold. Shoulder isometric exercises 10 repetitions 3 sets for 3 times per week.

Study groups in NCT06106048
Study groupRoleWhat they receive
Group AExperimentalGroup A was treated with closed kinetic chain exercises
Receives: Other: Closed kinetic chain exercises
Group BExperimentalGroup B was treated with abdominal contraction exercises for periscapular activation
Receives: Other: Abdominal contraction exercises

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. NPRS

    Patient level of pain will be assessed using this scale. In a Numerical Rating Scale (NRS), this scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" patients are asked to circle the number between 0 and 10, that fits best to their pain intensity.

    NRS scores ≤ 5 correspond to mild, scores of 6-7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning.

    Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible. The NPRS is a widely used subjective pain measure that has good test-retest reliability (r=. 79-. 96) and validity of NPRS range from 0.86 to 0.95.

    Measured: upto 4-week

  2. SPADI

    The Shoulder Pain and Disability Index (SPADI) consists of 13 items that have two main domains; in which subscale of 5-item that measures the pain and subscale of 8- item measures disability. The reliability of SPADI ranged from 0.90 to 0.94 and the validity ranged from 0.87 to 0.89.

    The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder.

    Measured: upto 4-week

  3. Universal Goniometer

    A goniometer will be used in the study to measure shoulder flexion, internal rotation and external rotation.

    Goniometer is an instrument that measures the available range of motion at a joint. To .measure the range of motion physical therapists most commonly use a goniometer. Therapist can use a goniometer to assess what the range of motion is at the initial assessment. The validity of UG (r=0.84 to 0.93) and high intra-rater reliability of goniometer on repeated measures of shoulder range of motions (ICC=0.98-0.99).

    Measured: upto 4-week

  4. Dynamometer

    A dynamometer will be used in study to measure the strength of serratus anterior muscle, latissimus dorsi muscle, upper and lower trapezius muscles It is is a device that can measure force. The hand-held dynamometer is a small device that fits in the examiner's hand and is placed at precise locations on a subject's limb in an effort to assess the force generated by various muscles or groups of muscles. Inter-tester and intra-tester reliability of digital dynamometer were excellent for all movements (ICC ≥ 0.855) and validity is > 0.913.

    Measured: upto 4-week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2023
  2. Study start23 Aug 2023
  3. Primary completion23 Mar 2024
  4. Study completion30 Apr 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06106048
Sponsor's protocol ID
REC/RCRS &AHS/23/0460
Status last verified
Apr 2024
First submitted
24 Oct 2023
Last updated
2 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Park SW, Chen YT, Thompson L, Kjoenoe A, Juul-Kristensen B, Cavalheri V, McKenna L. No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis. Sci Rep. 2020 Nov 26;10(1):20611. doi: 10.1038/s41598-020-76704-z.

    PubMed 33244115
  • Saito H, Harrold ME, Cavalheri V, McKenna L. Scapular focused interventions to improve shoulder pain and function in adults with subacromial pain: A systematic review and meta-analysis. Physiother Theory Pract. 2018 Sep;34(9):653-670. doi: 10.1080/09593985.2018.1423656. Epub 2018 Jan 19.

    PubMed 29351510
  • Pieters L, Lewis J, Kuppens K, Jochems J, Bruijstens T, Joossens L, Struyf F. An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain. J Orthop Sports Phys Ther. 2020 Mar;50(3):131-141. doi: 10.2519/jospt.2020.8498. Epub 2019 Nov 15.

    PubMed 31726927
  • Pogetti LS, Nakagawa TH, Contecote GP, Camargo PR. Core stability, shoulder peak torque and function in throwing athletes with and without shoulder pain. Phys Ther Sport. 2018 Nov;34:36-42. doi: 10.1016/j.ptsp.2018.08.008. Epub 2018 Aug 17.

    PubMed 30145541
  • Overbeek CL, Kolk A, de Groot JH, Visser CPJ, van der Zwaal P, Jens A, Nagels J, Nelissen RGHH. Altered Cocontraction Patterns of Humeral Head Depressors in Patients with Subacromial Pain Syndrome: A Cross-sectional Electromyography Analysis. Clin Orthop Relat Res. 2019 Aug;477(8):1862-1868. doi: 10.1097/CORR.0000000000000745.

    PubMed 31107319
  • de Oliveira Scatolin R, Hotta GH, Cools AM, Custodio GAP, de Oliveira AS. Effect of conscious abdominal contraction on the activation of periscapular muscles in individuals with subacromial pain syndrome. Clin Biomech (Bristol). 2021 Apr;84:105349. doi: 10.1016/j.clinbiomech.2021.105349. Epub 2021 Apr 2.

    PubMed 33848705
  • Silva YA, Novaes WA, Dos Passos MHP, Nascimento VYS, Cavalcante BR, Pitangui ACR, De Araujo RC. Reliability of the Closed Kinetic Chain Upper Extremity Stability Test in young adults. Phys Ther Sport. 2019 Jul;38:17-22. doi: 10.1016/j.ptsp.2019.04.004. Epub 2019 Apr 9.

    PubMed 31035171
  • Cappato de Araujo R, Andrade da Silva H, Pereira Dos Passos MH, Alves de Oliveira VM, Rodarti Pitangui AC. Use of unstable exercises in periscapular muscle activity: A systematic review and meta-analysis of electromyographic studies. J Bodyw Mov Ther. 2021 Apr;26:318-328. doi: 10.1016/j.jbmt.2020.12.010. Epub 2020 Dec 8.

    PubMed 33992265
  • Scott R, Yang HS, James CR, Sawyer SF, Sizer PS Jr. Volitional Preemptive Abdominal Contraction and Upper Extremity Muscle Latencies During D1 Flexion and Scaption Shoulder Exercises. J Athl Train. 2018 Dec;53(12):1181-1189. doi: 10.4085/1062-6050-255-17. Epub 2018 Dec 13.

    PubMed 30543446
  • Werin M, Maenhout A, Smet S, Van Holder L, Cools A. Muscle recruitment during plyometric exercises in overhead athletes with and without shoulder pain. Phys Ther Sport. 2020 May;43:19-26. doi: 10.1016/j.ptsp.2020.01.015. Epub 2020 Feb 1.

    PubMed 32058922

Questions about this trial

What is this clinical trial studying?

A study testing Closed kinetic chain exercises and Abdominal contraction exercises in people with Subacromial Impingement, run by Sehat Medical Complex at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

NPRS (time frame: upto 4-week). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06106048, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 May 2024.

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