An interventional study of spencer technique and positional release technique in Chronic Subacromial Impingement Syndrome, sponsored by University of Management and Technology Lahore. Not yet recruiting at 1 site in Pakistan. Open to participants aged 35 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-29.
Sponsored by University of Management and Technology Lahore · Not applicable, Interventional, and Treatment
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.
320 studies on the registry are indexed under Shoulder Impingement Syndrome; 62 are open to participants now.
This study's planned enrollment of 32 is below the median of 54 across 271 interventional studies indexed under Shoulder Impingement Syndrome.
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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.
Exclusion Criteria:
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).
This group will receive spencer technique. 3 sessions per week for 6 weeks.
Other: spencer technique
This group will receive positional release technique. 3 sessions per week for 6 weeks
Other: positional release technique
spencer technique. 3 sessions per week for 6 weeks
positional release technique. 3 sessions per week for 6 weeks
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.
Time frame: 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.
Time frame: 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
Time frame: 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).
Time frame: Baseline and after 6 weeks
Plan to share: Yes — The results data collected , de-identified individual participant data will be shared.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: 6 months after the publication of the manuscript.
Access criteria: The data can be requested from the corresponding author.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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Shoulder Impingement Syndrome →
University of Management and Technology Lahore