Virtual Reality Based Exercise Training Versus Mulligan Mobilization on Shoulder Posture and Function in Subacromial Impingement Syndrome

NCT07369934 — Not applicable, Recruiting, 74 participants, Cairo University

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RegistryNCT07369934
StatusRecruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: single, treatment
Enrollment74 (Estimated)
SponsorCairo University (Other)
ConditionsSubacromial Impingement Syndrome
InterventionsVirtual Reality, Mulligan mobilization (Other)
Datesstart 2025-12-13, primary completion 2026-05-01 (estimated), completion 2026-05-01 (estimated), first posted 2026-01-27, last updated 2026-01-27
Locations1 site in Egypt

Related Papers Related Patents Related Grants Related Experts
All trials for Subacromial Impingement Syndrome All trials of Virtual Reality All trials of Mulligan mobilization

-Summary

The study will compare the effect of virtual reality based exercise training versus Mulligan mobilization in addition to exercise therapy added to both groups on shoulder posture and function in subacromial impingement syndrome.

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+Arms and interventions

ArmTypeInterventionsDescription
Virtual reality groupActive comparatorOther: Virtual Reality
Mulligan mobilization groupActive comparatorOther: Mulligan mobilization
  • Virtual Reality (Other): Fully immersive virtual reality mounted headset will be used
  • Mulligan mobilization (Other): posterolateral shoulder Mulligan mobilization with movement (MWM) will be used

+Outcome measures

Primary outcomes

  • Pain intensity during shoulder elevation [pain intensity at the start of session 1 to the end of 1 month of treatment]: It will be measured using the Numerical Pain Rating Scale (NPRS)
  • Shoulder function [shoulder function at the start of session 1 to the end of 1 month of treatment]: The Shoulder Pain and Disability Index (SPADI) will be used to measure the shoulder function.
  • Shoulder flexion range of motion [shoulder flexion at the start of session 1 to the end of 1 month of treatment]: The Clinometer Application will be used to measure it.
  • Shoulder abduction range of motion [shoulder abduction at the start of session 1 to the end of 1 month of treatment]: The Clinometer Application will be used to measure it.
  • shoulder posture [shoulder posture at the start of session 1 to the end of 1 month of treatment]: Sagittal Shoulder Angle will be used to measure the shoulder posture

Secondary outcomes

  • Patients' enjoyment [It will be evaluated at the end of the last session (after 1 month)]: A 7-point likert scale will be used to the evaluate the level of the patients' enjoyment at the end of the last session.
  • patients' adherence to treatment sessions [patients' adherence at the start of session 1 to the end of 1 month of treatment]: patients' numbers of attended sessions will be calculated at the end of 1 month of treatment.

+Eligibility

Sex: All, ages: 30 Years to 50 Years

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.

+Locations (1)

FacilityCityCountryStatus
Faculty of Physical Therapy, Cairo UniversityGizaEgyptRecruiting

+Publications

  • Steiner B, Elgert L, Saalfeld B, Wolf KH. Gamification in Rehabilitation of Patients With Musculoskeletal Diseases of the Shoulder: Scoping Review. JMIR Serious Games. 2020 Aug 25;8(3):e19914. doi: 10.2196/19914. PMID 32840488
  • Alvarez de la Campa Crespo M, Donegan T, Amestoy-Alonso B, Just A, Combalia A, Sanchez-Vives MV. Virtual embodiment for improving range of motion in patients with movement-related shoulder pain: an experimental study. J Orthop Surg Res. 2023 Sep 26;18(1):729. doi: 10.1186/s13018-023-04158-w. PMID 37752613
  • Lin HT, Li YI, Hu WP, Huang CC, Du YC. A Scoping Review of The Efficacy of Virtual Reality and Exergaming on Patients of Musculoskeletal System Disorder. J Clin Med. 2019 Jun 4;8(6):791. doi: 10.3390/jcm8060791. PMID 31167435
  • Hoyek N, Di Rienzo F, Collet C, Hoyek F, Guillot A. The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome. Disabil Rehabil. 2014;36(13):1113-9. doi: 10.3109/09638288.2013.833309. Epub 2014 Feb 28. PMID 24575717
  • Consigliere P, Haddo O, Levy O, Sforza G. Subacromial impingement syndrome: management challenges. Orthop Res Rev. 2018 Oct 23;10:83-91. doi: 10.2147/ORR.S157864. eCollection 2018. PMID 30774463
  • Coja, D. M., Onu, I., Onu, A., Iordan, D. A., Gheorghiu, G., Ene-Voiculescu, V., & Talaghir, L. G. (2024). The Use of Virtual Reality-Assisted Therapy to Improve Shoulder function in Subacromial Impingement Syndrome: a Randomised Controlled Trial. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 15(4), 11-26. http://dx.doi.org/10.70594/brain/15.4/2
  • Chaplin E, Karatzios C, Benaim C. Clinical Applications of Virtual Reality in Musculoskeletal Rehabilitation: A Scoping Review. Healthcare (Basel). 2023 Dec 15;11(24):3178. doi: 10.3390/healthcare11243178. PMID 38132067
  • Results publication: Ozlu A, Ustundag S, Bulut Ozkaya D, Menekseoglu AK. Effect of Exergame on Pain, Function, and Quality of Life in Shoulder Impingement Syndrome: A Prospective Randomized Controlled Study. Games Health J. 2024 Apr;13(2):109-119. doi: 10.1089/g4h.2023.0108. Epub 2024 Feb 23. PMID 38394299
  • Results publication: Gumaa M, Rehan Youssef A. Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systematic Review and Meta-Analysis. Phys Ther. 2019 Oct 28;99(10):1304-1325. doi: 10.1093/ptj/pzz093. PMID 31343702
  • Results publication: Dias D, Neto MG, Sales SDSR, Cavalcante BDS, Torrierri P Jr, Roever L, Araujo RPC. Effect of Mobilization with Movement on Pain, Disability, and Range of Motion in Patients with Shoulder Pain and Movement Impairment: A Systematic Review and Meta-Analysis. J Clin Med. 2023 Nov 29;12(23):7416. doi: 10.3390/jcm12237416. PMID 38068468
  • Results publication: Delgado-Gil JA, Prado-Robles E, Rodrigues-de-Souza DP, Cleland JA, Fernandez-de-las-Penas C, Alburquerque-Sendin F. Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial. J Manipulative Physiol Ther. 2015 May;38(4):245-52. doi: 10.1016/j.jmpt.2014.12.008. Epub 2015 Apr 30. PMID 25936465

+Investigators