Shoulder Impingement SyndromeNCT07521839
Title of This Study is to Evaluate the Effects of Abdominal Drawing in Maneuver With Cross Pattern Limb Exercises in Patients With Subacromial Impingement Syndrome
A study testing Abdominal Drawing Inn maneuver with cross pattern limb exercises and Shoulder Exercises in people with Shoulder Impingement Syndrome, run by Superior University at 1 site in Pakistan.
Trial summary
SUMMARY : Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the… Read more about this study
- Who is it for?
- Ages 30 to 50 years
- Conditions the study is for
- Shoulder Impingement Syndrome
- What is being tested?
- Abdominal Drawing Inn maneuver with cross pattern limb exercises and Shoulder Exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Feb 2026to 20 Apr 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 30 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with age group 30-50
- Both male and females
- Positive Neer's sign, positive Hawkins Kennedy sign, ,
- Pain with positive painful arc. Pain with resisted isometric abduction
Who cannot join
- History of shoulder dislocation
- Patients underwent any shoulder joint surgery.
- Fracture of upper limb.
- Patient who has current symptoms related to the cervical spine,
- Patient who has a history of acromioclavicular pain
- Patient having history low back pain 7Corticosteroid injection into the shoulder joint in the previous 12 months
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Abdominal Drawing-In Maneuver With Cross-Pattern Limb Exercises on Pain, Disability, and Range of Motion in Shoulder Impingement Syndrome.
SUMMARY :
Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint).
Read more
Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome.
Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
- Conditions
- Shoulder Impingement Syndrome
- Being tested
- Abdominal Drawing Inn maneuver with cross pattern limb exercises, Shoulder Exercises
- Keywords
- Shoulder impingement syndrome, Shoulder pain, Disability, Range of motion, Abdominal drawing in maneuver
- Medical subject headings
- Shoulder Impingement Syndrome, Shoulder Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Abdominal Drawing Inn maneuver with cross pattern limb exercisesOther
- Abdominal drawing-in with alternating upper extremity movement,
- Abdominal drawing-in with alternating lower extremity movement,
- Abdominal drawing-in with alternating upper and lower extremity movement,
- Opposite arm leg raises in prone position,
- Bridge exercise
Shoulder ExercisesOther
The participants in conventional group will only receive shoulder exercises that will include Wall climbing, Wand exercises, Shoulder ROMS, Prone arm elevation, Cross-Chest Stretch Pendulum Exercises
| Study group | Role | What they receive |
|---|---|---|
| Experimental group with abdominal Drawing in maneuvour with cross pattern limb exercises | Experimental | Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session. The intervention plan will be given as follows:
1. Abdominal drawing-in with alternating upper extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate upper extremity upwards.
2. Abdominal drawing-in with alternating lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate lower extremity upward and downwards
3. Abdominal drawing-in with alternating upper and lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and move alternate upper and lower extremity upward and downwards.
4. Opposite arm leg raises in prone position
5. Bridge exercise
6. Wall climbing,
7. Wand exercises,
8. Shoulder ROMS,
9. Prone arm elevation,
10. Cross-Chest Stretch
11. Pendulum Exercises Receives: Other: Abdominal Drawing Inn maneuver with cross pattern limb exercises |
| Conventional Study group | Active comparator | Half of the particpants will be treated with only shoulder conventional exercises. Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session.
Following exercises will be performed in control group:
1. Wall climbing,
2. Wand exercises,
3. Shoulder ROMS,
4. Prone arm elevation,
5. Cross-Chest Stretch Pendulum Exercises Receives: Other: Shoulder Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
NPRS
It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain.
Measured: The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks
Shoulder Pain and Disability Index
SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points.
Measured: The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks
Goniometry
Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer.
Measured: Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2026
- Study start20 Feb 2026
- Primary completion20 Apr 2026 (estimated)
- Study completion20 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Shoulder Impingement SyndromeStudies of the same condition, open and under way.
- More trials run by Superior UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Participant
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Superior University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ishrat Fatima, Superior University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07521839
- Sponsor's protocol ID
- Superior University
- Status last verified
- Mar 2026
- First submitted
- 24 Mar 2026
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Abdominal Drawing-In Maneuver With Cross-Pattern Limb Exercises on Pain, Disability, and Range of Motion in Shoulder Impingement Syndrome.
- ClinicalTrials.gov ID
- NCT07521839
- Acronym / sponsor ID
- Superior University
- Conditions
- Shoulder Impingement Syndrome
- Keywords
- Shoulder impingement syndrome, Shoulder pain, Disability, Range of motion, Abdominal drawing in maneuver
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Superior UniversityUniversity, hospital or other
- Study start
- 20 Feb 2026 (actual)
- Primary completion
- 20 Apr 2026 (estimated)
- Study completion
- 20 Apr 2026 (estimated)
- First posted
- 13 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
SUMMARY :
Introduction: Shoulder impingement syndrome is a slowly progressive disease.Among people with shoulder pain, shoulder impingement syndrome (SIS) has the highest prevalence and accounts for 36% of shoulder disorders.Most studies have examined the effect of stretching and strengthening exercises on the glenohumeral joint (shoulder joint).
Objective:The objective of this study is to determine the effect of the Abdominal Drawing-In Maneuver combined with Cross-Pattern Limb Exercises on pain and disability and range of motion in patients with Shoulder Impingement Syndrome.
Methodology: This study will be Randomized Controlled Trial and 38 subjects will be taken for the study those who fulfills the inclusion criteria. They will be randomly divided into two groups, in control group only conventional treatment and in experimental trial group, conventional treatment as well as abdominal drawing in maneuver with cross pattern limb exercises will be given. Each subject of the study will be treated for a period of 4 weeks, 3 days a week, one session per day. An assessment will be done prior to starting of treatment, after 4 weeks of treatment, again assessment will be taken for these subjects. Pain and disability is measured by using NPRS, SPADI and range of motion flexion, abduction, external rotation and internal rotation will be measured by using Goniometer. The data will be analyzed using SPSS version 25, quantitative variables will be presented using mean, standard deviation, range, histograms. Categorical variables will be presented as frequencies, percentages, cross tabulation and bar charts, pie charts. Normality of data will be analyzed by shapiro-wilk test. Parametric independent t-test will be used to check difference between the groups and paired t-test will be used to find difference within the group.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental group with abdominal Drawing in maneuvour with cross pattern limb exercises | Experimental | Other: Abdominal Drawing Inn maneuver with cross pattern limb exercisesHeating pad will be applied over the shoulder area for about 15 minutes at the start of each session. The intervention plan will be given as follows: 1. Abdominal drawing-in with alternating upper extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate upper extremity upwards. 2. Abdominal drawing-in with alternating lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and will move his alternate lower extremity upward and downwards 3. Abdominal drawing-in with alternating upper and lower extremity movement, (The patient will lie in supine position and draw his abdomen downwards and move alternate upper and lower extremity upward and downwards. 4. Opposite arm leg raises in prone position 5. Bridge exercise 6. Wall climbing, 7. Wand exercises, 8. Shoulder ROMS, 9. Prone arm elevation, 10. Cross-Chest Stretch 11. Pendulum Exercises |
| Conventional Study group | Active comparator | Other: Shoulder ExercisesHalf of the particpants will be treated with only shoulder conventional exercises. Heating pad will be applied over the shoulder area for about 15 minutes at the start of each session. Following exercises will be performed in control group: 1. Wall climbing, 2. Wand exercises, 3. Shoulder ROMS, 4. Prone arm elevation, 5. Cross-Chest Stretch Pendulum Exercises |
Who may qualify
- Ages
- 30 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Patients with age group 30-50
- Both male and females
- Positive Neer's sign, positive Hawkins Kennedy sign, ,
- Pain with positive painful arc. Pain with resisted isometric abduction
Key exclusion criteria (6 listed)
- History of shoulder dislocation
- Patients underwent any shoulder joint surgery.
- Fracture of upper limb.
- Patient who has current symptoms related to the cervical spine,
- Patient who has a history of acromioclavicular pain
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Abdominal Drawing Inn maneuver with cross pattern limb exercises1. Abdominal drawing-in with alternating upper extremity movement, 2. Abdominal drawing-in with alternating lower extremity movement, 3. Abdominal drawing-in with alternating upper and lower extremity movement, 4. Opposite arm leg raises in prone position, 5. Bridge exercise | Other | Experimental group with abdominal Drawing in maneuvour with cross pattern limb exercises |
| Shoulder ExercisesThe participants in conventional group will only receive shoulder exercises that will include Wall climbing, Wand exercises, Shoulder ROMS, Prone arm elevation, Cross-Chest Stretch Pendulum Exercises | Other | Conventional Study group |
Primary outcome
NPRS
Time frame: The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks
It is numeric pain rating scale ranging from 0-10. Patient will rate his pain from 0-10 with 0 means no pain and 10 with severe pain.
Shoulder Pain and Disability Index
Time frame: The assessment is taken pre treatment day 1 week 1 before 1st session and second assessment is taken on 12th session after 4 weeks
SPADI scale consists of 5 questions with 10 points each related to pain and 8 question related to disability with 10 points each totalling 140 points.
Goniometry
Time frame: Range of motion is assessed pre treatment on day 1 week 1 before 1st session and 2nd assessment is taken on 12th session after 4 weeks.
Goniometry is used to assess range of motion. Goniometer is used to measure it. Flexion, abduction, internal and external rotations are measured using goniometer.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Individual participant dataSharing planned: No
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"Effectiveness of a Telerehabilitation Program Versus a Conventional Rehabilitation Program in Patients With Subacromial Pain"
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Natural History of Shoulder Pathology in Manual Wheelchair Users
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Abdominal Drawing Inn maneuver with cross pattern limb exercises and Shoulder Exercises in people with Shoulder Impingement Syndrome, run by Superior University 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 4 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 13 Apr 2026. 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?
This study is still under way. Results are not available in the source record yet.
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: The pain assessment is done pre treatment on day 1 week 1 before 1st session and second assessment is done on 12th sesion after 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Apr 2026.