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RecruitingNCT07921160Updated Nov 6, 2026

Hybrid mHealth and Telerehabilitation vs Conventional Physiotherapy for Subacromial Pain Syndrome

An interventional study of M-Health through Mobile Application and Telerehabilitation in Subacromial Pain Syndrome, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
51
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
All
01

Study 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. 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.

02

Conditions studied

  • Subacromial Pain Syndrome

Keywords

  • Subacromial Pain Syndrome
  • M-Health
  • telerehabilitation
  • conventional physiotherapy
  • shoulder pain and disability
  • shoulder pain
  • exercise adherence
  • patient satisfaction
  • SAPS
  • SPADI
03

In context

Shoulder Pain

735 studies on the registry are indexed under Shoulder Pain; 167 are open to participants now.

This study's planned enrollment of 51 is below the median of 60 across 587 interventional studies indexed under Shoulder Pain.

Browse Shoulder Pain studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

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.

Exclusion criteria

Exclusion Criteria:

  • 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 injection in the shoulder (\< 3 months).
    • Severe comorbidities preventing participation in exercise rehabilitation.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
51 participants (estimated)

Study arms

  • Experimental
    Arm A - M-Health rehabilitation

    Home exercise and rehabilitation plan delivered through the Physitrack mobile application.

    Other: M-Health through Mobile Application

  • Experimental
    Arm B - Telerehabilitation

    Therapist-supervised online video sessions plus home-based exercises.

    Other: Telerehabilitation

  • Active comparator
    Arm C - Conventional physiotherapy

    In-person physiotherapy sessions at the rehabilitation center plus a home exercise program.

    Other: Conventional Physiotherapy

Interventions

  • OtherM-Health through Mobile Application

    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.

  • OtherTelerehabilitation

    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.

  • OtherConventional Physiotherapy

    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.

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline (Week 0), Week 3, and Week 6.

07

Study locations

1 of 1 sites recruiting
  • Pakistan Railway Hospital, Rawalpindi, Pakistan
    Rawalpindi, Federal, Pakistan
    Recruiting
    • Zainab Waqar, MS PT · Contactzainab.waqar@riphah.edu.pk · +923345106743
    • Anusha Liaquat, MS OMPT* · Contact+923377675786
    • Anusha Liaquat, MS - OMPT* · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for May 2027, 8 months after the start.

Of 349 non-industry interventional studies with no phase under Shoulder Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 27. This study's planned 8 months is below that.

Counting every sponsor, half of 354 studies reached it within 11 months; a quarter within 4 and three quarters within 27.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2026
First posted
Nov 6, 2026
StartActual
Sep 30, 2026
Primary completionEst.
May 2027
CompletionEst.
Jul 2027
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07921160
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Sep 30, 2026
Primary completion
May 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Nov 6, 2026

Study contacts

Zainab Waqar, MS- PT (OMPT)
Contact
zainab.waqar@riphah.edu.pk
+923345106743
Zainab Waqar, MS - PT
principal investigator · Riphah International University

Oversight

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

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