Comparison effect of reflex neuromuscular stabilization exercises with and without taping on strength ratio, pain and scapula kinematics in youth handball boys with shoulder impingement syndrome
This study is conducted with the aim of evaluating the effectiveness of RNS with and without taping exercises on improving the condition of shoulder impingement syndrome and reducing its symptoms.
Design
This clinical trial consists of three groups: the first group receives RNS exercises, the second group receives a combination of RNS exercises and taping, and the third group is the control group.
Settings and conduct
The research is designed as a pre-test and post-test, quasi-experimental, and applied study. The study will be conducted on male handball players with shoulder impingement syndrome in Isfahan Province, Isfahan City.
Participants/Inclusion and exclusion criteria
1.Normal Body Mass Index (BMI). 2. Membership in Provincial Teams
3. Pain Score Between 3 to 7 out of 10
4. Presence of Impingement Syndrome Symptoms:
5. Average Duration of Syndrome Symptoms: The average duration of syndrome symptoms is 16 months (range of 4 to 36 months).
exclusions criteria: History of Neck and Arm Pain:
2.Previous Shoulder Impact Injury
3.Referred Pain from Cervical and Thoracic Spine
4.Shoulder Joint Instability
5.Use of Glucocorticoids: The individual has had a glucocorticoid injection in the shoulder in the past three months
Intervention groups
The reflexive neuromuscular stabilization exercise program consists of three sessions per week. Scapular retraction was the first exercise in this program. The Reach, Roll, and Lift technique and the Pillow Press technique are two techniques included in the final phase of the reactive neuromuscular stabilization exercises.
The taping protocol in this study is applied to three muscles, specifically the supraspinatus, deltoids, and teres minor Which in the second group is combined with RNS exercises.
The control group does not receive any specific intervention.
Main outcome variables
Pain. Muscle strength ratio, Scapula Kinematic
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20200314046777N2
Registration date:2024-07-10, 1403/04/20
Registration timing:prospective
Last update:2024-07-10, 1403/04/20
Update count:0
Registration date
2024-07-10, 1403/04/20
Registrant information
Name
Mojtaba Babaei khorzoghi
Name of organization / entity
Isfahan University of technology
Country
Iran (Islamic Republic of)
Phone
+98 31 3391 2940
Email address
babaei@iut.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-20, 1403/04/30
Expected recruitment end date
2024-08-20, 1403/05/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison effect of reflex neuromuscular stabilization exercises with and without taping on strength ratio, pain and scapula kinematics in youth handball boys with shoulder impingement syndrome
Public title
Comparing the effects of reflexive neuromuscular stabilization exercises with and without taping on the shoulder of handball players with shoulder impingement syndrome.
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Youth handball boys
With shoulder impingement syndrome
With an active membership in handball teams in the past three year
Exclusion criteria:
History of surgery in the past year
Having a history of collision injury in the shoulder area
The presence of instability in the shoulder joint.
Age
From 13 years old to 18 years old
Gender
Male
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
40
Randomization (investigator's opinion)
Randomized
Randomization description
After the survey shoulder impingement syndrome, the candidates are enrolled in the study, and after the examination, based on the criteria of entry and exit from the study, 36 youth handball players are selected as a sample. 36 samples are selected through available sampling and randomly divided into one of 3 groups: RNS training (12 people), combined RNS and Taping training (12 people) and control (12 people). Randomization is done by block method . In this way, the samples are randomized in the form of 3:3:3 blocks in each of the studied groups.
Blinding (investigator's opinion)
Single blinded
Blinding description
Participants are unaware of which group they belong to, and exercises are conducted on different days.
Placebo
Not used
Assignment
Other
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
The Ethics Committee of the Isfahan Islamic Azad University, Khorasgan Branch, .
Street address
School of Nursing and Midwifery, Islamic Azad University( Khorasgan Branch), University Boulevard, Arghavanieh, Eastern Jey Street, Isfahan
City
Isfahan
Province
Isfehan
Postal code
8155139998
Approval date
2024-03-04, 1402/12/14
Ethics committee reference number
IR.IAU.KHUISF.REC.1402.411
Health conditions studied
1
Description of health condition studied
Shoulder impingement syndrome
ICD-10 code
M75.4
ICD-10 code description
Impingement syndrome of shoulder
Primary outcomes
1
Description
Pain
Timepoint
Before and after 6 weeks
Method of measurement
In this study, the Visual Analog Scale (VAS) is used to measure the intensity of pain in the participants. The VAS is set up as a straight line, with one end representing the reference point for a pain-free state, marked as zero. The other end of the line represents the maximum possible pain, marked as one hundred. Participants use this scale to indicate their pain intensity. For example, if a participant experiences a highly painful sensation that is rated as 70 on the VAS, it means that their pain intensity is 70 out of 100.
2
Description
Strength Ratio
Timepoint
Before and after 6 weeks
Method of measurement
The strength of internal and external rotators is measured in two positions: the neutral position (0 degrees shoulder abduction) and the 45 degrees shoulder abduction position. For all measurements, the dynamometer is placed on the styloid process of the ulna. Each test is repeated three times, and the highest strength value is recorded as the strength measurement. Participants are allowed a 3-minute rest between each test.
3
Description
Scapula kinematic
Timepoint
Before and after 6 weeks
Method of measurement
Two inclinometers are used for measuring kinematics. One inclinometer is placed on the distal lateral arm, above the lateral epicondyle of the humerus, and is secured with tape. The other inclinometer is placed on the scapular spine. Initially, the arm is positioned in a resting state, slightly externally rotated relative to the body, to calibrate the inclinometers. Then, the participant is asked to abduct (raise) the arm and hold it at specific angles of 45°, 90°, and 135°. At each angle, the readings from the scapular inclinometer are recorded.