Investigating the link between body posture and shoulder dysfunction

CORRELATION BETWEEN SHOULDER DYSFUNCTION AND FRONTAL PLANE POSTURE IN SUBACROMIAL IMPINGEMENT SYNDROME

This study is trying to see if different body postures are linked to shoulder problems in young adults with Subacromial Impingement Syndrome.

Quick facts

• Study type: Observational
• Enrollment: 34 (estimated)
• Ages: 20 Years to 40 Years
• Sex: All
• Sponsor: Cairo University (other)
• Locations: 1 site (Cairo)
• Trial ID: NCT06473142 on ClinicalTrials.gov

What this trial studies

This observational study aims to explore the correlation between shoulder dysfunction and various postural factors in patients with unilateral Subacromial Impingement Syndrome (SIS). It will assess the lateral alignment of the spine, scapular dyskinesia, pelvic tilting angle, shoulder height angle, and trunk side bending in a cohort of 34 patients aged 20 to 40. Measurements will include pain and disability levels using the SPADI, thoracolumbar lateral deviation with a scoliometer, and other postural assessments using specialized tools. The study seeks to determine if these postural factors significantly correlate with shoulder pain and dysfunction.

Who should consider this trial

Good fit: Ideal candidates are non-athletic individuals aged 20 to 40 with a diagnosis of unilateral SIS and specific pain characteristics.

Not a fit: Patients with systematic illnesses, pregnancy, or a history of upper limb or spinal surgery may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and management of shoulder dysfunction related to body posture.

How similar studies have performed: While there is limited data on this specific correlation, similar studies have explored the relationship between posture and musculoskeletal disorders, indicating potential for meaningful insights.

Eligibility criteria

Inclusion Criteria:

1. Non-athletic patients of both sexes.
2. referred by an orthopedic surgeon with a diagnosis of unilateral SIS (Stage I, or II).
3. Patients aged between 20 to 40 years.
4. BMI between 18.5 to 29.9 kg/m2.
5. having four or more of the following findings:

   * Shoulder pain that is located either anteriorly or laterally to the acromion process
   * Pain worsening by shoulder flexion and/or abduction
   * A painful movement arc ranging from 60° to 120°
   * A palpably painful greater tuberosity of the humerus
   * The pain is replicated using the supraspinatus empty-can test, A positive Neer impingement sign, external rotation resistance test, and a positive Hawkins sign.

Exclusion Criteria:

1. Systematic illnesses
2. Pregnancy
3. Any degenerative disorder or disc lesion affection of the spine
4. A history of upper limb or spinal surgery
5. Previous upper limb or spinal fractures
6. Post-traumatic shoulder pain
7. History of shoulder instability (positive Sulcus sign, positive apprehension test, and history of shoulder dislocation)
8. Clinical signs of cervical radiculopathy (pain related to cervical movements)
9. Adhesive capsulitis
10. Tumors
11. Shoulder labral or cartilage lesions
12. Capsular or ligamentous tears or avulsions
13. any apparent deformity in the lower limbs including leg length discrepancy.

Where this trial is running

Cairo

• faculty of physical therapy Cairo university — Cairo, Egypt (RECRUITING)

Study contacts

• Study coordinator: AMR SAAD TAWFIK SOLIMAN, demonstrator

Conditions: Subacromial Impingement Syndrome, Frontal Plane Postural