Comparing manual therapy and shock wave treatment for shoulder pain

Comparison of Manual Therapy Versus Low-medium Energy Radial Shock Waves in the Treatment of Subacromial Syndrome in a Randomized Clinical Trial

Not applicable Interventional University of Alcala · NCT06587399

This study is testing whether manual therapy or shock wave treatment is better at relieving shoulder pain for people with subacromial syndrome.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment88 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorUniversity of Alcala Academic / other
Locations1 site (Alcalá de Henares, Madrid)
Trial IDNCT06587399 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to compare the effectiveness of manual therapy and radial shock wave therapy in treating shoulder pain caused by subacromial syndrome. A total of 88 participants will be randomly assigned to receive either manual therapy, which includes ischemic pressure, joint mobilizations, and myofascial techniques, or low-med energy radial shock wave therapy, both over a period of 6 weeks. The study will evaluate which treatment method provides better relief from pain and improves shoulder function. Participants will also engage in a 12-week home-based therapy program following their treatment.

Who should consider this trial

Good fit: Ideal candidates are individuals experiencing unilateral shoulder pain for at least three months, with a pain level of 4/10 or higher on the Visual Analogue Scale.

Not a fit: Patients with specific shoulder conditions such as instability, frozen shoulder, or complete rotator cuff tears may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide patients with a more effective treatment option for shoulder pain, potentially improving their quality of life.

How similar studies have performed: While manual therapy is a well-established treatment for shoulder pain, the use of shock wave therapy in this context is less common, making this approach somewhat novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Unilateral shoulder pain with no history of trauma.
* Pain of at least 4/10 on the Visual Analogue Scale for a minimum period of 3 months.
* Be positive in at least 3 of the following 5 tests: painful arc test, Neer impingement test, Hawkins-Kennedy test, Jobe test, external rotation test against resistance for the infraspinatus tendon.

Exclusion Criteria:

* Presence of red flags.
* Diagnosis of shoulder instability.
* Diagnosis of frozen shoulder.
* Diagnosis of complete rupture of the common rotator cuff tendon.
* Diagnosis of cervical radiculopathy.
* Diagnosis of whiplash.
* Diagnosis of degenerative disease of the glenohumeral joint.

Where this trial is running

Alcalá de Henares, Madrid

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Shoulder ImpingementShoulder Pain
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.