Virtual reality exercise versus Mulligan mobilization for shoulder posture and function in subacromial impingement

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with unilateral stage II subacromial impingement will be enrolled at the Faculty of Physical Therapy, Cairo University and assigned to receive either virtual reality–based exercise training or Mulligan mobilization, with exercise therapy provided to both groups. Baseline and follow-up measures of shoulder posture and functional outcomes will be collected to compare the two approaches. Inclusion criteria include age 30–50, non-athletes, specific positive impingement tests, unilateral pain, and BMI 18.5–29.9 kg/m², while recent shoulder treatment, prior tendon repair surgery, malignancy, epilepsy, pregnancy, or systemic conditions are excluded. Treatments are delivered in person at the study site and outcome changes will be analyzed between the groups.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients will be referred from the orthopedic surgeon with a diagnosis of stage II SIS with the following criteria:

  1. Participants ranged in age from 30-50 years old.
  2. Participants are from non-athletes from the general population.
  3. Unilateral shoulder pain that is localized either anteriorly or laterally to the acromion. Pain that occurs or worsens when the affected shoulder is in flexion and/or abduction.
  4. Four of the following should be present in the included patients: Neer impingement test, Hawkins' test, Pain was replicated in the supraspinatus empty-can test, a painful arc of movement from 70° to 120°, and painful greater tuberosity of the humerus.
  5. BMI range 18.5- 29.9 Kg/m².

Exclusion Criteria:

* 1\) Patients who, during the previous three months, underwent shoulder physical treatment and/or an acute pain flare.

  2\) Patients who have undergone surgeries for tendon repair. 3) Malignancy, epilepsy, pregnant women, and/or systemic conditions like chronic renal or liver failure.

  4\) Mini-Mental State Examination test (MMSE) (\< 24/30) to exclude cognitive impairment and/or significant vision impairment (if they couldn't read the introduction while wearing the Head Mounted Device (HMD).

  5\) Corticosteroid injection during the last three months or used steroids chronically.

  6\) Adhesive capsulitis, glenohumeral joint instability, Numbness or tingling of the upper limb, and/or full-thickness tear of the rotator cuff.

Where it's running

• Faculty of Physical Therapy, Cairo University
  Giza, Egypt Recruiting

Study contacts

• Study coordinator: Sara M Meselhy, Demonstrator
• Email: sara.mohsen@cu.edu.eg
• Phone: +01222518092

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Functional electrical stimulation plus shoulder exercises for older adults with rotator cuff pain

  In older adults with rotator cuff–related shoulder pain, this study tests whether adding functional electrical stimulation to a shoulder exercise program improves muscle coordination and reduces impingement compared with exercises alone.

  Recruiting University of Texas at Austin · Austin, Texas · NCT07886827

• Mulligan Mobilization vs. PNF for Subacromial Impingement Syndrome

  This trial tests whether adding Mulligan mobilization or proprioceptive neuromuscular facilitation to standard physical therapy helps adults with Subacromial Impingement Syndrome.

  Recruiting Cairo University · Sohag, Tahta · NCT07675655

• Effects of fascia correction taping on shoulder pain and mobility

  In people with Subacromial Impingement Syndrome, this study tests whether fascia correction Kinesio Taping on the thoracolumbar area improves shoulder pain and mobility compared with sham taping.

  Recruiting Hacettepe University · Ankara, Altindag · NCT07624136

• Blood Flow Restriction Training vs Pilates for Subacromial Impingement

  In people with subacromial impingement, this study tests whether adding low-load blood flow restriction training or Pilates to standard therapy helps reduce pain and improve shoulder function.

  Recruiting Cairo University · Rāshid · NCT07608809

• Supervised physiotherapy versus home exercise for shoulder impingement

  This trial will test whether supervised physiotherapy or a home exercise program works better for adults aged 30–65 with unilateral subacromial impingement syndrome.

  Recruiting Izmir Katip Celebi University · Kırşehir, Kırşehir · NCT07568340

• Latissimus dorsi strengthening for rotator cuff tendinopathy

  Researchers will test whether adding latissimus dorsi exercises helps people with rotator cuff tendinopathy improve shoulder function and reduce pain.

  Recruiting Hacettepe University · Ankara · NCT07053566

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.