Ignite Creation Date:
2026-03-26 @ 3:19 PM
Ignite Modification Date:
2026-03-31 @ 7:22 AM
Study NCT ID:
NCT07484360
Status:
COMPLETED
Last Update Posted:
2026-03-20
First Post:
2026-03-16
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Effects of Kinetic Chain Exercises on Pain, Range of Motion and Disability in Shoulder Impingement Syndrome
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2026-03-25'}, 'conditionBrowseModule': {'meshes': [{'id': 'D019534', 'term': 'Shoulder Impingement Syndrome'}, {'id': 'D010146', 'term': 'Pain'}], 'ancestors': [{'id': 'D007592', 'term': 'Joint Diseases'}, {'id': 'D009140', 'term': 'Musculoskeletal Diseases'}, {'id': 'D000070599', 'term': 'Shoulder Injuries'}, {'id': 'D014947', 'term': 'Wounds and Injuries'}, {'id': 'D009461', 'term': 'Neurologic Manifestations'}, {'id': 'D012816', 'term': 'Signs and Symptoms'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['OUTCOMES_ASSESSOR']}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 36}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2025-07-10', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2026-03', 'completionDateStruct': {'date': '2025-12-29', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2026-03-16', 'studyFirstSubmitDate': '2026-03-16', 'studyFirstSubmitQcDate': '2026-03-16', 'lastUpdatePostDateStruct': {'date': '2026-03-20', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2026-03-20', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-12-29', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Numeric Pain Rating scale', 'timeFrame': 'from start of study to 4 weeks', 'description': '. This scale ranges from 0 to 10 where 0 indicating "no pain" and 10 indicating "worst pain possible"'}, {'measure': 'Shoulder Pain and Disability Index', 'timeFrame': 'From start of study upto 4 weeks', 'description': "The Shoulder Pain and Disability Index (SPADI) is a self-administered questionnaire that consisting of two dimensions, one for the pain and other for functional ability of the subject. The pain dimension consists of five questions regarding the severity of an individual's pain intensity"}, {'measure': 'Universal Goniometer', 'timeFrame': 'From start of study upto 4 weeks', 'description': 'Health care practitioners often use universal goniometer to obtain objective measurements of joint range of motion (ROM) to find out the baseline functional status and to measure the effectiveness of treatment interventions'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['Disability, Impingement syndrome, Kinetic chain exercises, Pain, Range of Motion'], 'conditions': ['Shoulder Impingement Syndrome']}, 'referencesModule': {'references': [{'type': 'BACKGROUND', 'citation': 'Afzalifard, Z., Soltani, A., & Oskouei, A. E. (2023). The effects of magnet therapy on pain and disability in patients with shoulder impingement syndrome. Middle East Journal of Rehabilitation and Health Studies, 10(1).'}, {'type': 'BACKGROUND', 'citation': 'Mitra D, Mitra P, Rau S. Effect of Specific Exercise Program and Conventional Exercise Protocol on Pain and Disability in Patients with Subacromial Impingement Syndrome'}, {'type': 'BACKGROUND', 'citation': 'Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. British Journal of Sports Medicine. 1990;24(3):173.'}, {'type': 'BACKGROUND', 'citation': 'Saadatian A, Babaei Khorzoghi M, Sahebozamani M, Taghi Karimi M. The Impact of OKC Exercises and TRX Exercises on Shoulder Joint Proprioception in Overhead Athletes With Shoulder Impingement Syndrome: A Randomized Controlled Trial. Physical Treatments - Specific Physical Therapy. 2022;12(2):77-84.'}, {'type': 'BACKGROUND', 'citation': 'Kanthanathan Subbiah SR, AS Subhashini, Sailakshmi Ganeshan. Functional Ability and Quality of Life Status following Manual Therapy and Specific Exercise Conditioning in Subacromial Impingement Syndrome: A Randomised Controlled Study. Journal of Clinical and Diagnostic Research. 2023;17(3):YC11- YC6.'}, {'type': 'BACKGROUND', 'citation': 'Webb R, Cofré Lizama LE, Galea MP. Moving with ease: feldenkrais method classes for people with osteoarthritis. Evidence-Based Complementary and Alternative Medicine. 2013;2013(1):479142'}, {'type': 'BACKGROUND', 'citation': 'Wen, M., Hu, X., & Bao, G. (2025). Scapular dyskinesis-based exercise therapy versus multimodal physical therapy for subacromial impingement syndrome in young overhead athletes with scapular dyskinesis: a randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 17(1), 204'}, {'type': 'BACKGROUND', 'citation': 'Qamar, M. M., Basharat, A., Kiran, Q., Nazir, A., Ahmad, W., & Basharat, S. (2023). Comparison of the Effects of Conventional Physical Therapy Versus Progressive Overload Training in Patients with Shoulder Impingement Syndrome; A Randomised Clinical Trial. Annals of King Edward Medical University, 29(1), 50-54.'}, {'type': 'BACKGROUND', 'citation': "McKim KR. A comprehensive analysis of the swimmers' shoulder [Text]1998."}, {'type': 'BACKGROUND', 'citation': 'McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of athletic training. 2000;35(3):329'}]}, 'descriptionModule': {'briefSummary': 'PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.\n\nNon probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28', 'detailedDescription': 'PROJECT SUMMARY Shoulder pain is secondary only to lower back pain in occurrence. Impingement is one of the most common shoulder disorders. The aim of this study is to evaluate the effects of kinetic chain exercises on pain, ROM and disability in patients with shoulder impingement syndrome which is important in establishing eveidence for a holistic and potentially more effective rehabilitation method for shoulder impingement syndrome. This study will be a randomized control trial and will be conducted in Riphah International University associated hospital and physiotherapy outpatient department of Jinnah hospital Lahore.\n\nNon probability consecutive sampling will be used. Sample size of 32 subjects with age group 30 to 50 years will be taken. Data will be collected from patients having present complaint of shoulder pain due to shoulder impingement. Outcome measures will be taken using numeric pain rating scale(NPRS) for pain, universal Goniometer for ROM and Shoulder pain and disability index (SPADI) for function. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups. Group A will receive kinetic chain exercises (both open and closed chain exercises) and group B will receive conventional physical therapy treatment. Data analysis will be done by SPSS version 28'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT'], 'maximumAge': '50 Years', 'minimumAge': '30 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* • Age group 30-50 years\n\n * Males and Females\n * Subjects with history of pain in upper lateral aspect of arm with a NPRS score between \\>3 to \\<8 on a 0-10 scale\n * Neers impingement test positive\n * Hawkins- Kennedy test positive\n * Painful arc positive\n * Empty can (Jobe test) positive\n\nExclusion Criteria:\n\n* • Subjects having Capsular Pattern +ve\n\n * Individuals with OA of GH joint\n * Type III acromion process decreasing the sub-acromial space leading to sub-acromial impingement (on X-ray evaluation)\n * AC joint arthritis\n * Rheumatoid Arthritis\n * Fracture history involving upper limb\n * Shoulder surgery on affected side.\n * Subjects with signs of total rotator cuff tears i.e. gross weakness in abduction.\n * Subjects who received corticosteroid injections in last three months'}, 'identificationModule': {'nctId': 'NCT07484360', 'briefTitle': 'Effects of Kinetic Chain Exercises on Pain, Range of Motion and Disability in Shoulder Impingement Syndrome', 'organization': {'class': 'OTHER', 'fullName': 'Riphah International University'}, 'officialTitle': 'Effects of Kinetic Chain Exercises on Pain, Range of Motion and Disability in Shoulder Impingement Syndrome', 'orgStudyIdInfo': {'id': 'REC/RCR & AHS/24/01100'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'KINETIC CHAIN EXERCISES (OPEN AND CLOSED)', 'interventionNames': ['Other: Kinetic chain exercises', 'Other: conventional physical therapy treatment']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'CONVENTIONAL PHYSIOTHERAPY TREATMENT', 'interventionNames': ['Other: conventional physical therapy treatment']}], 'interventions': [{'name': 'Kinetic chain exercises', 'type': 'OTHER', 'description': "Kinetic chain exercises work on the stabilizer muscles of scapula, such as the anterior serratus, rhomboids, and trapezius, which are responsible for maintaining the scapula-humeral rhythm. These scapular stabilizers reduce the undesirable movements that would otherwise cause shoulder impingement, therefore reducing stress on the sub-acromial structures. Kinetic chain exercises enhance body's proper movement patterns, improving proprioception, and increase the activation of primary movers. Decreased biomechanical dysfunction results in better arm positioning. By performing exercises that address the entire kinetic chain, these would assist in avoiding the compensatory mechanisms and repetitive strain injuries that act as relapse triggers for SIS. The patients enjoy sustained relief from shoulder impingement syndrome pain and notice less frequency of future shoulder injuries Kinetic chain shoulder therapy exercises involve kinetic link and model called biomechanical model and cranial t", 'armGroupLabels': ['KINETIC CHAIN EXERCISES (OPEN AND CLOSED)']}, {'name': 'conventional physical therapy treatment', 'type': 'OTHER', 'description': '* Heating pad for ten minutes\n* Therapeutic ultrasound for 5 minutes\n* Active range of motion exercises (two sets of 15 repetitions for each exercise)\n* Codman exercises (two sets of 15 repetitions)', 'armGroupLabels': ['CONVENTIONAL PHYSIOTHERAPY TREATMENT', 'KINETIC CHAIN EXERCISES (OPEN AND CLOSED)']}]}, 'contactsLocationsModule': {'locations': [{'zip': '54792', 'city': 'Lahore', 'state': 'Punjab Province', 'country': 'Pakistan', 'facility': 'RC Medical Centre', 'geoPoint': {'lat': 31.558, 'lon': 74.35071}}], 'overallOfficials': [{'name': 'Ali Raza, Ms.PT(OM)', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Riphah International University'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Riphah International University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR'}}}}