Subacromial Pain SyndromeNCT07921160
Hybrid mHealth and Telerehabilitation vs Conventional Physiotherapy for Subacromial Pain Syndrome
A study testing M-Health through Mobile Application, Telerehabilitation and Conventional Physiotherapy in people with Subacromial Pain Syndrome, run by Riphah International University at 1 site in Pakistan.
Trial summary
This study will compare M-Health rehabilitation delivered through the Physitrack application, telerehabilitation delivered through supervised online video sessions, and conventional face-to-face physiotherapy in adults with Subacromial Pain Syndrome. Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Subacromial Pain Syndrome
- What is being tested?
- M-Health through Mobile Application, Telerehabilitation and Conventional Physiotherapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 51 participants
- Where
- 1 sitePakistan
- Study dates
- 30 Sep 2026to Jul 2027
- 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 18 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Adults aged 18-45 years.
- Clinical diagnosis of Subacromial Pain Syndrome (SAPS).
- Lateral shoulder pain aggravated by overhead activities.
- At least 2 positive tests from the Neer test, Hawkins-Kennedy test, and Painful Arc test.
- Pain intensity recorded as greater than 3 on the Numeric Pain Rating Scale (NPRS).
- Subacute or chronic symptoms (duration > 4 weeks).
- SPADI score between 20% and 70%, indicating mild to moderate functional limitation suitable for conservative rehabilitation.
Who cannot join
- History of shoulder surgery or fracture within the past 6 months.
- Full-thickness rotator cuff tear (confirmed clinically/imaging if available).
- Cervical radiculopathy or referred pain from the cervical spine.
- Neurological disorders affecting upper-limb function.
- Recent corticosteroid injection in the shoulder (< 3 months).
- Severe comorbidities preventing participation in exercise rehabilitation.
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, 1 recruiting
- Recruiting
Pakistan Railway Hospital, Rawalpindi, Pakistan
Rawalpindi, Federal
Zainab Waqar, MS PT, +923345106743, zainab.waqar@riphah.edu.pk
Anusha Liaquat, MS OMPT*, +923377675786
About this study
Official title: Effects of Hybrid Care With M-Health and Tele Rehabilitation Versus Conventional Physiotherapy on Pain and Functional Outcomes in Patients With Sub-Acromial Pain Syndrome.
This study will compare M-Health rehabilitation delivered through the Physitrack application, telerehabilitation delivered through supervised online video sessions, and conventional face-to-face physiotherapy in adults with Subacromial Pain Syndrome. The planned sample is 51 participants, with 17 participants in each group. The intervention will last 6 weeks. Pain, Shoulder pain and disability, and shoulder range of motion will be assessed at baseline, Week 3, and Week 6 using NPRS, SPADI and universal Goniometer. Exercise adherence will be monitored during the intervention and assessed at Week 6 using EARS; patient satisfaction will be assessed at Week 6 using CSQ-8.
Read the detailed description
Subacromial Pain Syndrome is a common musculoskeletal shoulder condition associated with lateral shoulder pain, particularly during overhead activities, reduced shoulder mobility, and weakness of the rotator cuff and scapular stabilizers. This study proposes to compare three modes of rehabilitation delivery: a mobile-health program through the Physitrack application, therapist-supervised telerehabilitation using an online video platform, and conventional in-person physiotherapy. The synopsis specifies a quasi-experimental design and convenience sampling, with a planned sample of 51 participants aged 18-45 years, allocated as 17 participants per group. All groups will follow the described progressive shoulder exercise protocol over 6 weeks, with delivery and supervision differing by group. The primary outcomes are pain intensity and shoulder pain/disability. Secondary outcomes include shoulder range of motion, exercise adherence, and patient satisfaction. NPRS, SPADI, and a universal goniometer will be used at baseline, Week 3, and Week 6; EARS and CSQ-8 will be used for adherence and satisfaction assessment at Week 6.
- Conditions
- Subacromial Pain Syndrome
- Being tested
- M-Health through Mobile Application, Telerehabilitation, Conventional Physiotherapy
- Keywords
- Subacromial Pain Syndrome, M-Health, telerehabilitation, conventional physiotherapy, shoulder pain and disability, shoulder pain, exercise adherence, patient satisfaction, SAPS, SPADI
- Medical subject headings
- Shoulder Pain, Patient Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
M-Health through Mobile ApplicationOther
After baseline assessment, participants will be trained to use the Physitrack patient interface. The prescribed exercise program, educational material, reminders, and progression guidelines will be uploaded to the app. Participants will perform the exercises independently at home for 6 weeks. Weekly monitoring and adherence tracking will be conducted through the application.
Frequency/delivery: Home plan through the app 7 days per week for 6 weeks.
TelerehabilitationOther
Participants will receive physiotherapy supervision through video calls twice weekly. The therapist will monitor exercise performance, provide corrections, and progress the exercise program as needed. On the remaining days, participants will independently perform the prescribed home exercises.
Frequency/delivery: 2 supervised video sessions and 5 home-exercise days per week for 6 weeks.
Conventional PhysiotherapyOther
Participants will receive face-to-face physiotherapy at the rehabilitation center. During weeks 1-2, participants will attend supervised sessions 3 times per week. During weeks 3-6, participants will attend sessions twice weekly. On non-clinic days, they will continue the prescribed home exercise program independently.
| Study group | Role | What they receive |
|---|---|---|
| Arm A - M-Health rehabilitation | Experimental | Home exercise and rehabilitation plan delivered through the Physitrack mobile application. Receives: Other: M-Health through Mobile Application |
| Arm B - Telerehabilitation | Experimental | Therapist-supervised online video sessions plus home-based exercises. Receives: Other: Telerehabilitation |
| Arm C - Conventional physiotherapy | Active comparator | In-person physiotherapy sessions at the rehabilitation center plus a home exercise program. Receives: Other: Conventional Physiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale (NPRS)
An 11-point self-reported scale for pain intensity, where 0 indicates no pain and 10 indicates the worst imaginable pain. It is valid and reliable (ICC approximately 0.86), with a minimal clinically important difference of 1-2 points.
Measured: Baseline (Week 0), Week 3, and Week 6.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Nov 2026
- Study start30 Sep 2026
- Primary completionMay 2027 (estimated)
- Study completionJul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Subacromial Pain SyndromeStudies of the same condition, open and under way.
- More trials run by Riphah International 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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 51 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Zainab Waqar, MS - PT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07921160
- Sponsor's protocol ID
- Anusha Liaquat REC/02541
- Status last verified
- Nov 2026
- First submitted
- 2 Nov 2026
- Last updated
- 6 Nov 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 6 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Hybrid Care With M-Health and Tele Rehabilitation Versus Conventional Physiotherapy on Pain and Functional Outcomes in Patients With Sub-Acromial Pain Syndrome.
- ClinicalTrials.gov ID
- NCT07921160
- Acronym / sponsor ID
- Anusha Liaquat REC/02541
- Conditions
- Subacromial Pain Syndrome
- Keywords
- Subacromial Pain Syndrome, M-Health, telerehabilitation, conventional physiotherapy, shoulder pain and disability, shoulder pain, exercise adherence, patient satisfaction
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 51 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 30 Sep 2026 (actual)
- Primary completion
- May 2027 (estimated)
- Study completion
- Jul 2027 (estimated)
- First posted
- 6 Nov 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.
This study will compare M-Health rehabilitation delivered through the Physitrack application, telerehabilitation delivered through supervised online video sessions, and conventional face-to-face physiotherapy in adults with Subacromial Pain Syndrome. The planned sample is 51 participants, with 17 participants in each group. The intervention will last 6 weeks. Pain, Shoulder pain and disability, and shoulder range of motion will be assessed at baseline, Week 3, and Week 6 using NPRS, SPADI and universal Goniometer. Exercise adherence will be monitored during the intervention and assessed at Week 6 using EARS; patient satisfaction will be assessed at Week 6 using CSQ-8.
Detailed description
Subacromial Pain Syndrome is a common musculoskeletal shoulder condition associated with lateral shoulder pain, particularly during overhead activities, reduced shoulder mobility, and weakness of the rotator cuff and scapular stabilizers. This study proposes to compare three modes of rehabilitation delivery: a mobile-health program through the Physitrack application, therapist-supervised telerehabilitation using an online video platform, and conventional in-person physiotherapy. The synopsis specifies a quasi-experimental design and convenience sampling, with a planned sample of 51 participants aged 18-45 years, allocated as 17 participants per group. All groups will follow the described progressive shoulder exercise protocol over 6 weeks, with delivery and supervision differing by group. The primary outcomes are pain intensity and shoulder pain/disability. Secondary outcomes include shoulder range of motion, exercise adherence, and patient satisfaction. NPRS, SPADI, and a universal goniometer will be used at baseline, Week 3, and Week 6; EARS and CSQ-8 will be used for adherence and satisfaction assessment at Week 6.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A - M-Health rehabilitation | Experimental | Other: M-Health through Mobile ApplicationHome exercise and rehabilitation plan delivered through the Physitrack mobile application. |
| Arm B - Telerehabilitation | Experimental | Other: TelerehabilitationTherapist-supervised online video sessions plus home-based exercises. |
| Arm C - Conventional physiotherapy | Active comparator | Other: Conventional PhysiotherapyIn-person physiotherapy sessions at the rehabilitation center plus a home exercise program. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Adults aged 18-45 years.
- Clinical diagnosis of Subacromial Pain Syndrome (SAPS).
- Lateral shoulder pain aggravated by overhead activities.
- At least 2 positive tests from the Neer test, Hawkins-Kennedy test, and Painful Arc test.
- Pain intensity recorded as greater than 3 on the Numeric Pain Rating Scale (NPRS).
Key exclusion criteria (6 listed)
- History of shoulder surgery or fracture within the past 6 months.
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 |
|---|---|---|
| M-Health through Mobile ApplicationAfter baseline assessment, participants will be trained to use the Physitrack patient interface. The prescribed exercise program, educational material, reminders, and progression guidelines will be uploaded to the app. Participants will perform the exercises independently at home for 6 weeks. Weekly monitoring and adherence tracking will be conducted through the application. Frequency/delivery: Home plan through the app 7 days per week for 6 weeks. | Other | Arm A - M-Health rehabilitation |
| TelerehabilitationParticipants will receive physiotherapy supervision through video calls twice weekly. The therapist will monitor exercise performance, provide corrections, and progress the exercise program as needed. On the remaining days, participants will independently perform the prescribed home exercises. Frequency/delivery: 2 supervised video sessions and 5 home-exercise days per week for 6 weeks. | Other | Arm B - Telerehabilitation |
| Conventional PhysiotherapyParticipants will receive face-to-face physiotherapy at the rehabilitation center. During weeks 1-2, participants will attend supervised sessions 3 times per week. During weeks 3-6, participants will attend sessions twice weekly. On non-clinic days, they will continue the prescribed home exercise program independently. | Other | Arm C - Conventional physiotherapy |
Primary outcome
Numeric Pain Rating Scale (NPRS)
Time frame: Baseline (Week 0), Week 3, and Week 6.
An 11-point self-reported scale for pain intensity, where 0 indicates no pain and 10 indicates the worst imaginable pain. It is valid and reliable (ICC approximately 0.86), with a minimal clinically important difference of 1-2 points.
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 6 Nov 2026.
- Individual participant dataSharing planned: No
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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.
Zainab Waqar, MS - PT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing M-Health through Mobile Application, Telerehabilitation and Conventional Physiotherapy in people with Subacromial Pain Syndrome, run by Riphah International 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 7 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: looking for participants now, as of the sponsor's last update on 6 Nov 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?
Contact Zainab Waqar, MS- PT (OMPT) (+923345106743, zainab.waqar@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric Pain Rating Scale (NPRS) (time frame: Baseline (Week 0), Week 3, and Week 6.). 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 6 Nov 2026; AzTrials last refreshed its copy on 8 Nov 2026.