RecruitingNot ApplicableNCT06723730

ADDITIONAL EFFECTS OF MOBILIZATION WITH MOVEMENT WITH UPPER QUADRANT CORE STRENGTHENING IN ROTATOR CUFF RELATED PAIN:A RANDOMIZED CONTROLLED TRAIL

Sponsor

Foundation University Islamabad

Enrollment

40 participants

Start Date

Jul 18, 2024

Study Type

INTERVENTIONAL

Conditions

Rotator cuff syndrome

Summary

This study is a randomised control trial and the purpose of this study is to determine the additional effects of mobilization with movement with upper quadrant core strengthening in rotator cuff related pain .

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria8

Age 18-65 years
Both genders
Unilateral shoulder pain of traumatic origin
Scoring should be less than 8 on numeric pain rating scale
Symptoms lasting more than 6 weeks
Pain on active shoulder movement
Pain provoked by atleast three of the following tests. A. Neer test B. Hawkins-Kennedy test C. Empty Can test D. Full Can test E. Painfull Arc test F. Resisted external rotation test
Patients reffered by a rehabilitation and orthopedic specialistwith diagnosis of rotator cuff injury, subacromial impingement syndrome, subacromial pain

Exclusion Criteria18

History and Clinical presentation compatible with complete rotator cuff or bicep brachia rupture
Adhesive capsulitis
History of dislocation
Glenohumeral osteoarthritis
Cancer
Auto-immune inflammatory conditions and infection
Positive joint integrity tests ( Ant. and Post. Drawer tests)
Hill sachs lesions
Bankarts lesions
Cervical rib
Previous shoulder or neck surgery or fracture
Familiar pain provoked by neck movements
Presence of radicular sign
Diagnosis of fibromyalgia
Clinical depression
Rheumatoid arthritis
Poor bone quality ( osteoporosis)
Vertobrobasilar insufficiency test

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Interventions

PROCEDUREUpper Quadrant Core Strengthening protocol

Upper Quadrant Core Strengthening protocol Core strengthening protocol will comprise of following four week protocol. 1. Week one Scapular postural correction and shoulder shrugging exercises 2. Week two External rotation at 0 degree 3. Week three Internal rotation at 0 degree 4. Week four Standing row at 45 and 90 degree , Anterior shoulder stretch and Thoracic exercise in sitting

PROCEDUREMobilization with movement

In addition to upper quadrant core strengthening protocol participants will also perform mobilization with movement. Mobilization with movement protocol will comprise of following forms. 1. Acromioclavicular joint glides 2. Scapular glides 3. Glenohumeral joint glides ( inferior glides, postero-lateral glides, postero-inferior)