Chronic Subacromial Impingement SyndromeNCT07905170
Spencer vs Positional Release Techniques for Chronic Subacromial Impingement
A study testing spencer technique and positional release technique in people with Chronic Subacromial Impingement Syndrome, run by University of Management and Technology Lahore at 1 site in Pakistan.
Trial summary
Chronic Subacromial Impingement Syndrome (SIS) is a common musculoskeletal condition characterized by shoulder pain, reduced range of motion, impaired proprioception, and functional disability. Read more about this study
- Who is it for?
- Ages 35 to 55 years
- Conditions the study is for
- Chronic Subacromial Impingement Syndrome
- What is being tested?
- spencer technique and positional release technique
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 1 sitePakistan
- Study dates
- 23 Oct 2026to 31 Dec 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 35 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Adult individuals between 35 to 55 years old regardless of gender Chronic SAIS diagnosed clinically with symptom duration greater than three months.
- Passive shoulder joint impingement test: Hawkins-Kennedy Test. An NPRS pain score range of 4-6. Limited glenohumeral range of motion.
Who cannot join
- Any recent history of surgery involving the shoulder joint. Any recent History of any shoulder fracture, glenohumeral dislocation, or frozen shoulder condition.
- MRI or ultrasound confirmed full thickness rotator cuff tear. Individual's is suffering from cervical radiculopathy or brachial plexus involvement with upper extremity referral.
- Individuals with systemic inflammatory joint disease (rheumatoid arthritis, ankylosing spondylitis).
- Individuals with Diseases affecting upper limb proprioception (stroke, peripheral neuropathies).
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site
UMT
Lahore, Punjab Province, 54000
Fizza Masood Dr., MS-OMPT, +923344318731, fizza.masood@umt.edu.pk
Rabia Jawa CoD Physical Therapy and Rehabilitation, MPhil PT, +923434570838, rabia.jawa@umt.edu.pk
About this study
Official title: Comparative Effects of Spencer and Positional Release Techniques on Pain, Proprioception, Range of Motion and Disability in Patients With Chronic Subacromial Impingement Syndrome.
Chronic Subacromial Impingement Syndrome (SIS) is a common musculoskeletal condition characterized by shoulder pain, reduced range of motion, impaired proprioception, and functional disability. This randomized clinical trial aims to compare the effectiveness of the Spencer Technique and Positional Release Technique in reducing shoulder pain, improving proprioception and range of motion, and decreasing functional disability in patients with chronic subacromial impingement syndrome. A total of 32 participants will be randomly divided into two groups. Group A will receive the Spencer Technique, while Group B will receive the Positional Release Technique. The intervention will be conducted three times per week for six weeks, totaling 18 sessions. Outcomes will be assessed before and after the intervention using appropriate outcome measures for shoulder pain, proprioception, range of motion, and functional disability. Data will be analyzed using SPSS to compare the effectiveness of both interventions and determine which technique provides greater improvements in patients with chronic subacromial impingement syndrome.
- Conditions
- Chronic Subacromial Impingement Syndrome
- Being tested
- spencer technique, positional release technique
- Keywords
- Spencer Technique, Positional Release Technique, Proprioception, Chronic Subacromial Impingement Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
spencer techniqueOther
spencer technique. 3 sessions per week for 6 weeks
positional release techniqueOther
positional release technique. 3 sessions per week for 6 weeks
| Study group | Role | What they receive |
|---|---|---|
| spencer technique | Experimental | This group will receive spencer technique. 3 sessions per week for 6 weeks. Receives: Other: spencer technique |
| positional release technique | Active comparator | This group will receive positional release technique. 3 sessions per week for 6 weeks Receives: Other: positional release technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numerical Pain Rating Scale (NPRS)
Pain severity will be assessed via the 11-point NPRS (0 = no pain; 10 = maximal pain imaginable) during resting and overhead activities. The NPRS has shown high reliability (ICC = 0.95-0.96) and validity in shoulder pathology.
Measured: Baseline and after 6 weeks
Joint Position Sense (Proprioception)
The shoulder joint proprioception will be tested with a Joint Position Sense (JPS) test. The test will be administered in flexed shoulder position (90°), abducted shoulder position (90°) and external rotation position (60°). The patient's arm will be passively positioned to achieve target position and hold it for several seconds for memorization; subsequently, the limb will return to the neutral starting position. Then the patient will be asked to reproduce the target position by moving the arm without vision assistance.
Measured: Baseline and after 6 weeks
Shoulder Range of Motion - clinometer
Glenohumeral joint active and passive range of motion, including flexion, abduction, internal rotation, and external rotation, will be assessed using a smartphone-based clinometer application. Smartphone clinometers have been reported as valid and reliable tools for measuring shoulder range of motion, demonstrating excellent intra-rater reliability when compared with the standard universal goniometer
Measured: Baseline and after 6 weeks
Shoulder Pain and Disability Index (SPADI)
The SPADI, a 13-question self-administered survey that includes a five-question subscale measuring pain and an eight-question subscale assessing disability, will be used to measure functional disability, rated on a scale of 0 to 10. The total score of SPADI (0-100) is obtained by taking the average of the scores of the two subscales, multiplied by 100. SPADI has been found to have excellent reliability (α = 0.86-0.96; ICC = 0.84-0.95).
Measured: Baseline and after 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2026
- Study start23 Oct 2026 (estimated)
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Subacromial Impingement SyndromeStudies of the same condition, open and under way.
- 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
- Outcomes assessor
- Enrolment
- 32 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Management and Technology Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Fizza Masood, University of Management and Technology Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07905170
- Sponsor's protocol ID
- RE-162-2026
- Status last verified
- Oct 2026
- First submitted
- 22 Oct 2026
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The results data collected , de-identified individual participant data will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Spencer and Positional Release Techniques on Pain, Proprioception, Range of Motion and Disability in Patients With Chronic Subacromial Impingement Syndrome.
- ClinicalTrials.gov ID
- NCT07905170
- Acronym / sponsor ID
- RE-162-2026
- Conditions
- Chronic Subacromial Impingement Syndrome
- Keywords
- Spencer Technique, Positional Release Technique, Proprioception, Chronic Subacromial Impingement Syndrome
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 32 participants (estimated)
- Lead sponsor
- University of Management and Technology LahoreUniversity, hospital or other
- Study start
- 23 Oct 2026 (estimated)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 29 Oct 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.
Chronic Subacromial Impingement Syndrome (SIS) is a common musculoskeletal condition characterized by shoulder pain, reduced range of motion, impaired proprioception, and functional disability. This randomized clinical trial aims to compare the effectiveness of the Spencer Technique and Positional Release Technique in reducing shoulder pain, improving proprioception and range of motion, and decreasing functional disability in patients with chronic subacromial impingement syndrome. A total of 32 participants will be randomly divided into two groups. Group A will receive the Spencer Technique, while Group B will receive the Positional Release Technique. The intervention will be conducted three times per week for six weeks, totaling 18 sessions. Outcomes will be assessed before and after the intervention using appropriate outcome measures for shoulder pain, proprioception, range of motion, and functional disability. Data will be analyzed using SPSS to compare the effectiveness of both interventions and determine which technique provides greater improvements in patients with chronic subacromial impingement syndrome.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| spencer technique | Experimental | Other: spencer techniqueThis group will receive spencer technique. 3 sessions per week for 6 weeks. |
| positional release technique | Active comparator | Other: positional release techniqueThis group will receive positional release technique. 3 sessions per week for 6 weeks |
Who may qualify
- Ages
- 35 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Adult individuals between 35 to 55 years old regardless of gender Chronic SAIS diagnosed clinically with symptom duration greater than three months.
- Passive shoulder joint impingement test: Hawkins-Kennedy Test. An NPRS pain score range of 4-6. Limited glenohumeral range of motion.
Key exclusion criteria (4 listed)
- Any recent history of surgery involving the shoulder joint. Any recent History of any shoulder fracture, glenohumeral dislocation, or frozen shoulder condition.
- MRI or ultrasound confirmed full thickness rotator cuff tear. Individual's is suffering from cervical radiculopathy or brachial plexus involvement with upper extremity referral.
- Individuals with systemic inflammatory joint disease (rheumatoid arthritis, ankylosing spondylitis).
- Individuals with Diseases affecting upper limb proprioception (stroke, peripheral neuropathies).
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 |
|---|---|---|
| spencer techniquespencer technique. 3 sessions per week for 6 weeks | Other | spencer technique |
| positional release techniquepositional release technique. 3 sessions per week for 6 weeks | Other | positional release technique |
Primary outcome
Numerical Pain Rating Scale (NPRS)
Time frame: Baseline and after 6 weeks
Pain severity will be assessed via the 11-point NPRS (0 = no pain; 10 = maximal pain imaginable) during resting and overhead activities. The NPRS has shown high reliability (ICC = 0.95-0.96) and validity in shoulder pathology.
Joint Position Sense (Proprioception)
Time frame: Baseline and after 6 weeks
The shoulder joint proprioception will be tested with a Joint Position Sense (JPS) test. The test will be administered in flexed shoulder position (90°), abducted shoulder position (90°) and external rotation position (60°). The patient's arm will be passively positioned to achieve target position and hold it for several seconds for memorization; subsequently, the limb will return to the neutral starting position. Then the patient will be asked to reproduce the target position by moving the arm without vision assistance.
Shoulder Range of Motion - clinometer
Time frame: Baseline and after 6 weeks
Glenohumeral joint active and passive range of motion, including flexion, abduction, internal rotation, and external rotation, will be assessed using a smartphone-based clinometer application. Smartphone clinometers have been reported as valid and reliable tools for measuring shoulder range of motion, demonstrating excellent intra-rater reliability when compared with the standard universal goniometer
Shoulder Pain and Disability Index (SPADI)
Time frame: Baseline and after 6 weeks
The SPADI, a 13-question self-administered survey that includes a five-question subscale measuring pain and an eight-question subscale assessing disability, will be used to measure functional disability, rated on a scale of 0 to 10. The total score of SPADI (0-100) is obtained by taking the average of the scores of the two subscales, multiplied by 100. SPADI has been found to have excellent reliability (α = 0.86-0.96; ICC = 0.84-0.95).
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 29 Oct 2026.
- Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome-A Cross-Sectional StudyLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. The results data collected , de-identified individual participant data will be shared.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing spencer technique and positional release technique in people with Chronic Subacromial Impingement Syndrome, run by University of Management and Technology Lahore 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 2 inclusion and 4 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: opening soon, as of the sponsor's last update on 29 Oct 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?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numerical Pain Rating Scale (NPRS) (time frame: Baseline and after 6 weeks). 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?
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 29 Oct 2026.