Kinetic chain training added to standard shoulder exercises for subacromial pain
Official title: Additional Effects of Kinetic Chain Training Combined With Standard Shoulder Exercises in Subacromial Pain Syndrome
Run by Foundation University Islamabad · NCT07834151 · Data updated 2026-11-12
This trial tests whether adding kinetic chain training to usual shoulder rehab helps people with subacromial pain syndrome.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 35 Years to 60 Years |
| Sex | All |
| Enrollment | 46 (estimated) |
| Sponsor | Foundation University Islamabad Academic / other |
| Locations | 1 site (Islamabad, Punjab Province) |
| Status | Recruiting |
| Started | February 13, 2026 |
| Main results expected | December 18, 2026 |
| Study ends | January 18, 2027 |
| Registry record updated | September 22, 2026 |
| Trial ID | NCT07834151 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 35-60 with unilateral SAPS and pain during abduction, external rotation, and overhead activities, with NPRS 4-7 at baseline.
✕Probably not a fit
Patients without SAPS pattern or who have concurrent conditions that limit kinetic chain training may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial compares standard shoulder rehabilitation to a program that also includes kinetic chain training in adults with unilateral subacromial pain syndrome. It is a single-blinded, parallel-group study planned to enroll 46 participants aged 35-60 over one year. The goal is to see if incorporating proximal and trunk/pelvic mechanics alongside shoulder exercises yields better pain and function outcomes than shoulder exercises alone. Outcome measures include pain intensity and function during activities known to provoke SAPS. The study is conducted at Foundation University College of Physical Therapy in Islamabad, sponsored by Foundation University Islamabad.
Why it matters
Potential benefit: If successful, patients may experience greater pain relief and improved shoulder function by addressing movement patterns beyond the shoulder joint.
How similar studies have gone: Existing evidence supports the idea that proximal kinetic chain function influences shoulder mechanics, but direct randomized trials on this exact combination are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria * Age between 35-60 years * Both Gender * Unilateral shoulder pain consistent with SAPS. * pain during activities with abduction, external rotation and overhead activities * NPRS score 4-7 at baseline. * Symptom duration six weeks to 3 months * Pain reproduced with any two of the following tests Hawkins-Kennedy, painful arc sign, Infraspinatus (External Rotation) Resistance Tests * Thoracic extension ROM \< 20° Exclusion criteria * Age below 35 years or above 60 years * History or clinical signs of complete supraspinatus or long-head biceps tendon tear * History of fracture or dislocation of the shoulder, history of surgery around the shoulder with in last year * Restrictions in passive movements of the GH joint (adhesive capsulitis) * GH OA, RA, cervical rib * Diagnosed bursitis, inflammatory arthropathies, active infection or systemic disease affecting shoulder * Suspected cancer or red-flag symptoms. * Bilateral shoulder pain. * Sign of nerve root irritation * Diagnosed with internal shoulder impingement * History of shoulder pain from traumatic onset * Positive sulcus sign and apprehension special tests pointing to ligamentous laxity * Corticosteroid injection was administered to the shoulder within a year before the study
Where it's running
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Foundation University College of Physical Therapy
Islamabad, Punjab Province, Pakistan Recruiting
Study contacts
- Study coordinator: Iqra Naeem, DPT
- Email: driqranaeempt@gmail.com
- Phone: +92 3200514211
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.