Subacromial Impingement SyndromeNCT06602206
Shoulder and Neck Mobilization in Patients With Subacromial Impingement Syndrome
A study testing Conventional Treatment, shoulder mobilization and neck mobilization in people with Subacromial Impingement Syndrome, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).
Trial summary
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Subacromial Impingement Syndrome
- What is being tested?
- Conventional Treatment, shoulder mobilization and neck mobilization
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 7 Oct 2024to 28 Mar 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Being over 18 years of age
- Diagnosed with Subacromial Impingement
- Not having received any treatment for shoulder problems in the last 6 months
- The pain has been continuing for 3 months
- Initial pain must be 4 or higher on the Visual Analog Scale (VAS)
Who cannot join
- History of surgery in the shoulder, cervical and thoracic region
- Having a shoulder problem such as a frozen shoulder or instability
- Full-thickness rotator cuff tear
- Having systemic musculoskeletal disease
- Having systemic rheumatic disease
- History of upper extremity fracture
- Diagnosed with scoliosis
- Have neurological problems
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Kutahya Health Sciences University
Kütahya, 43100
About this study
Official title: Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.
- Conditions
- Subacromial Impingement Syndrome
- Being tested
- Conventional Treatment, shoulder mobilization, neck mobilization
- Medical subject headings
- Shoulder Impingement Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional TreatmentOther
Hot pack,TENS, ultrasound and exercises
shoulder mobilizationOther
In the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied.
neck mobilizationOther
Bridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization.
| Study group | Role | What they receive |
|---|---|---|
| Conventional treatment group | Active comparator | Hot packs, TENS, ultrasound, and exercise Receives: Other: Conventional Treatment |
| Conventional treatment + shoulder mobilization group | Experimental | Hot packs, TENS, ultrasound, exercise, and shoulder mobilization Receives: Other: Conventional Treatment; Other: shoulder mobilization |
| Conventional treatment + shoulder mobilization + neck mobilization group | Experimental | Hot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization Receives: Other: Conventional Treatment; Other: shoulder mobilization; Other: neck mobilization |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain intensity
Pain intensity will be evaluated with VAS. VAS is a valid and reliable self-report scale consisting of a 10 cm long horizontal line, with scores ranging from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to report the maximum pain they experienced in the last 24 hours. A change of 1.5 points is considered a minimal clinically important difference (MCID) for the VAS.
Measured: through study completion, an average of 1 year
Secondary outcomes (5)
The Arm, Shoulder and Hand Problems (DASH) Questionnaire
(DASH) questionnaire is a questionnaire that evaluates the functional level and disability of the entire upper extremity. At least 27 out of 30 questions must be answered for the inquiry to be evaluated. The query gives a value between 0-100. All questions are scored from 1 to 5. A higher score indicates greater disability.
Measured: through study completion, an average of 1 year
Painful arch assessment
The patient is asked to abduct his arm as much as he can while standing or sitting. The test is positive if the patient feels pain between 60-120° of elevation. The sensitivity of the painful arc test performed in CNS patients was found to be 53% and the specificity was 80%.
Measured: through study completion, an average of 1 year
Painless range of motion assessment
Painless ROM evaluation will be performed in CNS patients due to the presence of a painful arch. Pain-free ROM evaluation includes flexion and abduction movements occurring in the frontal and sagittal planes. These movements are evaluated using a universal goniometer. The patient is asked to actively create 2 movements in a standing or sitting position. While performing measurements with a goniometer, the part with pain-free ROM will be noted in degrees
Measured: through study completion, an average of 1 year
Pressure-pain Threshold Assessment
Pressure pain threshold is the most commonly used method among quantitative sensory tests.Measurements will be taken from the upper trapezius, supraspinatus, and middle deltoideus muscles.
Measured: through study completion, an average of 1 year
Evaluation of Tactile Sensory Acuity
Esthesiometer measurements will be taken from the surfaces corresponding to the C5, C6, and C7 dermatomes. To standardize the test areas, vertical lines will be drawn from the anterior, middle, and posterior edges of the acromion towards the elbow. The test will begin at 0 mm and the distance will first be gradually increased in 5 mm increments until the participant perceives two dots instead of one. When the participant reports detecting two dots, that distance will be recorded. Separate evaluations will be taken from 3 regions and the results will be recorded.
Measured: through study completion, an average of 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start7 Oct 2024
- Primary completion13 Feb 2025
- Study completion28 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Subacromial Impingement SyndromeStudies of the same condition, open and under way.
- More trials run by Kutahya Health Sciences UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 45 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kutahya Health Sciences University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Meltem Işıntaş, Study director, Kutahya Health Sciences University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06602206
- Sponsor's protocol ID
- 2024/06-29
- Status last verified
- Jan 2025
- First submitted
- 30 Jul 2024
- Last updated
- 11 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Uzer O, Isintas M. Does adding cervical mobilization to shoulder mobilization improve pain, sensation, and function in subacromial impingement syndrome? A three-arm randomized controlled trial. BMC Musculoskelet Disord. 2026 Jun 2. doi: 10.1186/s12891-026-10000-1. Online ahead of print.
PubMed 42231228
Study at a glance
From the registry record, last updated by the sponsor on 11 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Shoulder and Neck Mobilization on Pain, Sensation and Functionality in Patients With Subacromial Impingement Syndrome
- ClinicalTrials.gov ID
- NCT06602206
- Acronym / sponsor ID
- 2024/06-29
- Conditions
- Subacromial Impingement Syndrome
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 45 participants (actual)
- Lead sponsor
- Kutahya Health Sciences UniversityUniversity, hospital or other
- Study start
- 7 Oct 2024 (actual)
- Primary completion
- 13 Feb 2025 (actual)
- Study completion
- 28 Mar 2025 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients who come to Tavşanlı State Hospital's Physical Therapy and Rehabilitation Department and have been diagnosed with subacromial impingement syndrome by a physician will be included. Patients will be selected by randomization method among the patients determined by the physician to receive conservative treatment, shoulder mobilization in addition to conservative treatment, and neck mobilization treatment program in addition to these. Conventional treatments such as hot packs, TENS, ultrasound, and exercise will be given to all patients by the hospital staff. Pain intensity will be evaluated with VAS. Additionally, painful arch and pain-free joint range of motion evaluation will be made using a goniometer. The DASH questionnaire will be used to evaluate shoulder functionality. Sensory evaluation will be made with pressure pain threshold and two-point discrimination tests. Measurements will be made before the intervention and repeated after 3 weeks of intervention.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Conventional treatment group | Active comparator | Other: Conventional TreatmentHot packs, TENS, ultrasound, and exercise |
| Conventional treatment + shoulder mobilization group | Experimental | Other: Conventional Treatment, Other: shoulder mobilizationHot packs, TENS, ultrasound, exercise, and shoulder mobilization |
| Conventional treatment + shoulder mobilization + neck mobilization group | Experimental | Other: Conventional Treatment, Other: shoulder mobilization, Other: neck mobilizationHot packs, TENS, ultrasound, exercise, and shoulder and neck mobilization |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Being over 18 years of age
- Diagnosed with Subacromial Impingement
- Not having received any treatment for shoulder problems in the last 6 months
- The pain has been continuing for 3 months
- Initial pain must be 4 or higher on the Visual Analog Scale (VAS)
Key exclusion criteria (8 listed)
- History of surgery in the shoulder, cervical and thoracic region
- Having a shoulder problem such as a frozen shoulder or instability
- Full-thickness rotator cuff tear
- Having systemic musculoskeletal disease
- Having systemic rheumatic disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional TreatmentHot pack,TENS, ultrasound and exercises | Other | Conventional treatment + shoulder mobilization + neck mobilization group, Conventional treatment + shoulder mobilization group, Conventional treatment group |
| shoulder mobilizationIn the glenohumeral joint mobilization technique, distraction, anterior-posterior gliding, and inferior gliding movements will be applied. | Other | Conventional treatment + shoulder mobilization + neck mobilization group, Conventional treatment + shoulder mobilization group |
| neck mobilizationBridge, lateral flexion movement combined with traction, anterior-posterior gliding with traction, and lateral gliding techniques will be applied in neck mobilization. | Other | Conventional treatment + shoulder mobilization + neck mobilization group |
Primary outcome
Pain intensity
Time frame: through study completion, an average of 1 year
Pain intensity will be evaluated with VAS. VAS is a valid and reliable self-report scale consisting of a 10 cm long horizontal line, with scores ranging from 0 (no pain) to 10 (worst pain imaginable). Participants are asked to report the maximum pain they experienced in the last 24 hours. A change of 1.5 points is considered a minimal clinically important difference (MCID) for the VAS.
5 secondary outcomes
The Arm, Shoulder and Hand Problems (DASH) Questionnaire
Time frame: through study completion, an average of 1 year
Painful arch assessment
Time frame: through study completion, an average of 1 year
Painless range of motion assessment
Time frame: through study completion, an average of 1 year
Pressure-pain Threshold Assessment
Time frame: through study completion, an average of 1 year
Evaluation of Tactile Sensory Acuity
Time frame: through study completion, an average of 1 year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Aug 2026.
- Derived from this study: PubMed 42231228Uzer O, Isintas M. Does adding cervical mobilization to shoulder mobilization improve pain, sensation, and function in subacromial impingement syndrome? A three-arm randomized controlled trial. BMC Musculoskelet Disord. 2026 Jun 2. doi: 10.1186/s12891-026-10000-1. Online ahead of print.
- Individual participant dataSharing planned: No
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Natural History of Shoulder Pathology in Manual Wheelchair Users
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Meltem Işıntaş study director
Kutahya Health Sciences University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Treatment, shoulder mobilization and neck mobilization in people with Subacromial Impingement Syndrome, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain intensity (time frame: through study completion, an average of 1 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06602206, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Aug 2026.