CClinicalTrials.gg
CompletedNCT04701814BSMWMUpdated May 18, 2022Results posted

The Effect of Biomechanical Scapular Mobilization With Movement and Motor Learning

An interventional study of biomechanical scapular mobilization with movement and motor learning in Shoulder Impingement Syndrome, sponsored by Pharos University in Alexandria. Completed at 1 site in Egypt. Open to female participants aged 25 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-05-18.

Sponsored by Pharos University in Alexandria · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
25 Years to 50 Years
Sex
Female
01

Study summary

the study about new mobilization technique used in shoulder impingement syndrome patient to increase the range of motion of elevation, decrease the pain, and increasing the function level, this technique is based on normal mechanics that occur inside the joint during certain movement.

Read the detailed description

The study is about a new technique of mobilization based on normal biomechanics that occurs during the movements of a joint. For example, shoulder abduction or elevation needs the scapula to move upward rotation with posterior tilt and external rotation. Moreover, needs glenohumeral (GH) joint glide inferior and posterior these movements occur normally to permit us to elevate our shoulder without any restriction and the full range of motion(ROM). so in the patients with shoulder problems and have difficulties reaching full ROM of elevation the investigators applied mobilization of scapula toward upward rotation with external rotation and posterior tilt and by using mobilization belt applied posterior and inferior glide to GH joint. However, mobilization techniques have a short-term effect to enhance this effect, the investigators adding a motor learning approach to achieve a long-term effect and prevent recurrent .the investigators applied this technique 3 times per week for 3 weeks.

02

Conditions studied

  • Shoulder Impingement Syndrome
03

In context

Shoulder Impingement Syndrome

304 studies on the registry are indexed under Shoulder Impingement Syndrome; 55 are open to participants now.

This study's enrollment of 38 is below the median of 54 across 261 interventional studies indexed under Shoulder Impingement Syndrome.

Browse Shoulder Impingement Syndrome studies →

Lead sponsor

Pharos University in Alexandria is the lead sponsor of 21 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

clinical diagnosis: shoulder impingement syndrome.

  1. History of shoulder pain when they elevated their arm.
  2. Limited range of motion due to the pain.
  3. Pain localized at the painful point at proximal anterolateral shoulder region or medical diagnosis of shoulder impingement syndrome with at least 2 positive impingement tests including Neer, Hawkins, or Jobe test.

Exclusion criteria

Exclusion Criteria:

  • Fibromyalgia.
  • Fracture, dislocation, or subluxation of the shoulder.
  • history of trauma.
  • shoulder surgery.
  • numbness or tingling in the upper limb.
  • Corticosteroids injection within 1 year.
  • systemic illness.
  • ligamentous laxity
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Active comparator
    group A (controlled group)

    received passive range of motion (PROM)/ active assisted range of motion (AAROM)/ active range of motion (AROM) exercises, strengthen of rotator cuff, biceps, shoulder and scapular muscles, ultrasound (5 min. - 1.5 W/c.m2 - 1 MHZ), electrical stimulation ( interferential bipolar technique for 20 min. on shoulder joint). This treatment was repeated three times per weeks with 24 hours rest for 3 weeks.

    Other: biomechanical scapular mobilization with movement and motor learning

  • Active comparator
    group B(Study group)

    All patients in group B received biomechanical scapular mobilization with movement and motor learning and traditional methods.

    Other: biomechanical scapular mobilization with movement and motor learning

Interventions

  • Otherbiomechanical scapular mobilization with movement and motor learning

    the therapist applied posterior tilt and exteral rotation with upward rotation mobilization to scapula and therapist also warp bilt around GH joint to applied inferior and posterior glid then ask patient to elevate his arm. then we applied motor learning approach by asking patient to elevate his arm with maintaining of external rotation with posterior glid of scapula.

06

What researchers measure

Primary outcomes

  1. Visual Analogue Scale

    1. Visual Analogue Scale: was used to evaluate the intensity of pain, which The pain VAS is a continuous scale comprised of a horizontal (HVAS) or vertical (VVAS) line, usually, 10 centimetres in length, anchored by 2 verbal descriptors, one for each symptom extreme. For pain intensity, the scale is most commonly anchored by "no pain" (score of 0) and "pain as bad as it could be" or "worst imaginable pain" (score of 10 centimetres).

    Time frame: 3 weeks

  2. Universal Goniometer

    Universal goniometer: was used to measure the available range of motion at a joint. where used to measure an available range of motion of abduction and flexion of the shoulder joint.

    Time frame: 3 weeks

07

Results

Posted Apr 14, 2021

Participant flow

Participant flow — Overall Study
MilestoneGroup A (Controlled Group)Group B(Study Group)
Started2018
Completed1515
Not completed53

Outcome measures

PrimaryVisual Analogue Scale

1. Visual Analogue Scale: was used to evaluate the intensity of pain, which The pain VAS is a continuous scale comprised of a horizontal (HVAS) or vertical (VVAS) line, usually, 10 centimetres in length, anchored by 2 verbal descriptors, one for each symptom extreme. For pain intensity, the scale is most commonly anchored by "no pain" (score of 0) and "pain as bad as it could be" or "worst imaginable pain" (score of 10 centimetres).

Time frame:
3 weeks
Reported as:
Mean · score on a scale
Visual Analogue Scale
score on a scaleGroup A (Controlled Group)Group B(Study Group)
Visual Analogue Scale4.2 ± 1.4740.9 ± 1.280
PrimaryUniversal Goniometer

Universal goniometer: was used to measure the available range of motion at a joint. where used to measure an available range of motion of abduction and flexion of the shoulder joint.

Time frame:
3 weeks
Reported as:
Mean · Degree
Universal Goniometer
DegreeGroup A (Controlled Group)Group B(Study Group)
Abduction85.7 ± 9.083130.9 ± 8.302
Flexion131.7 ± 10.761173.4 ± 6.544

Adverse events

Collected over 5 months. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A (Controlled Group)0/2 (0%)0/2 (0%)1/2 (50%)
Group B(Study Group)0/1 (0%)0/1 (0%)0/1 (0%)
Most frequent other events
Most frequent other events
EventGroup A (Controlled Group)Group B(Study Group)
Shoulder PainMusculoskeletal and connective tissue disorders1/20/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Group A (Controlled Group)Group B(Study Group)Total
<=18 years000
Between 18 and 65 years151530
>=65 years000
Age, Continuous
Age, Continuous(weeks)Group A (Controlled Group)Group B(Study Group)Total
Mean35.1 ± 8.12335.3 ± 7.94335.2 ± 8
Sex: Female, Male
Sex: Female, Male(Participants)Group A (Controlled Group)Group B(Study Group)Total
Female101020
Male5510
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Group A (Controlled Group)Group B(Study Group)Total
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)Group A (Controlled Group)Group B(Study Group)Total
Egypt151530
08

Study locations

1 site
  • Pharos university in Alexandria
    Alexandria, Egypt
09

References and documents

Publications

  • Surenkok O, Aytar A, Baltaci G. Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial. J Sport Rehabil. 2009 Nov;18(4):493-501. doi: 10.1123/jsr.18.4.493. PubMed 20108851 ↗

Study documents

  • Protocol, analysis plan and consent form · Oct 13, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04701814
Lead sponsor
Pharos University in Alexandria
Responsible party
Moataz Abdelaal (Demonstrator in Faculty of Physical Therapy, Pharos University, Alexandria, Egypt., Pharos University in Alexandria) — Principal investigator
First posted
Jan 8, 2021
Start date
May 5, 2021
Primary completion
Oct 22, 2021
Completion
Nov 14, 2021
Results posted
Apr 14, 2021
Last update
May 18, 2022

Study contacts

Moataz A. Mohamed, (B.Sc.P.T.)
study chair · Pharos University in Alexandria

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion