MWM +Standard program: patients receive MWM +Standard program
Study summary
To investigate the differences between adding Mulligan mobilization and PNF to the conventional physical therapy program on shoulder pain, function, shoulder muscles strength, glenohumeral flexion, abduction, external rotation, and internal rotation ROM, scapular symmetry, and pectoralis minor length in patients with SIS.
Eligibility
Sex
ALL
Min age
20 Years
Max age
40 Years
Healthy volunteers
No
Inclusion Criteria:
1. Sixty nine Males and females subjects with SIS, age between 20-40 years old and body mass index (BMI) 18-27.9 kg/m2
2. The SIS group will be limited to patients who had history of shoulder pain of \>1-week duration.
3. Pain localized at the proximal anterolateral shoulder region.
4. Patients with subacromial pain syndrome with positive results of 3 of 5 tests: painful arc, pain or weakness with resisted external rotation, Neer test, Hawkins Kennedy test, and Jobe/empty can test.
Exclusion Criteria:
* Patients will be excluded if they had any of the following conditions:
1. Open wounds, infection, acute injuries, swelling, rheumatoid arthritis, reflex sympathetic syndrome, or adhesive capsulitis.
2. BMI greater than 28 kg/m².
3. History of shoulder girdle fractures and dislocation, shoulder surgery in the last 12 months or full thickness rotator cuff tear.
4. History of systemic or neurological disorder, cervical radiculopathy and subjects who had received physical therapy treatment for their shoulder within the past three months.
5. History of corticosteroid injection in the shoulder region less than 12 weeks previously.
Primary outcome measure(s)
The Shoulder Pain and Disability Index (SPADI) — at baseline and after 6 weeks post intervention assesses pain and disability in shoulder pathology. Patients answer five questions related to pain and eight questions related to function
Shoulder ROM — at baseline and after 6 weeks post intervention the smartphone inclinometer will be used to perform clinical measurements of shoulder motion (Flexion, Abduction, External Rotation in 90- of Abduction, Internal Rotation in 90- of Abduction)
The Timed Functional Arm and Shoulder Test (TFAST) — at baseline and after 6 weeks post-intervention Task 1: Hand to Head and Back (HHB) 30s Movement: Move arm from the side to touch the back of the head (palm preferred), then move down to touch the small of the back with the back of the hand.
Scoring: 1 rep per head touch. Task 2: Wall Wash (Inward/Outward) 60s per direction Movement: Move a towel in a 12-inch diameter circle at shoulder height, touching 4 drawn marks. Start at the top mark.
Scoring: 1 rep each time the hand passes the top mark. Done clockwise and counter-clockwise.
Task 3: Gallon-Jug Lift - 30s Movement: Lift a 3.78 kg jug from a 36-inch high counter to lightly tap a shelf 20 inches above it, then lower it without resting.
Scoring: 1 rep per shelf tap. Total TFAST Score Calculation To equalize all tasks for a 30-second timeframe, the final score is calculated using this formula: \[HHB + (wall wash inward and outward/4) + gallon-jug lift\]
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.