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Trial registered on ANZCTR
Registration number
ACTRN12618000726257
Ethics application status
Approved
Date submitted
26/04/2018
Date registered
2/05/2018
Date last updated
2/05/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exploring the effects shoulder mobilization on scapular and shoulder muscle activities
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Scientific title
Exploring the effects shoulder mobilization on scapular and shoulder muscle activities: a repeated measures study in a group of asymptomatic individuals
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Secondary ID [1]
294700
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Nil known
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Universal Trial Number (UTN)
U1111-1212-8041
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shoulder disorders
307561
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Condition category
Condition code
Physical Medicine / Rehabilitation
306637
306637
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participants’ shoulder will be passively mobilized by an experienced musculoskeletal physiotherapist. The mobilizations will consist of 3 sets of 60 seconds of passive movement, at a rate of 2 Hz, with 30 seconds interval between sets. This dosage (grade +IV, 2 Hz, three sets of 60 seconds, with 30 seconds interval between sets) is commonly used clinically.
Two different shoulder mobilizations will be performed (each mobilization will be performed on a different day).Data collection will take place in two sessions. The second session must occur within 10 days of the first session, and with at least 24 hours interposed.
For each experimental condition, the participants’ shoulder will be positioned such that the gleno-humeral capsule and ligaments are lengthened. Thus, when the humerus is mobilized, the gleno-humeral capsule and ligaments will be repetitively stretched through passive mobilization. Each mobilization will be performed on a different day, and the order of the mobilization will be randomized. The inferior mobilization will consist of repeated glides applied at the shoulder, with the participant’s arm positioned at 120 degrees of shoulder abduction. The posterior mobilization will consist of repeated posterior glides applied at the shoulder, with the participant arm positioned in horizontal flexion.
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Intervention code [1]
300993
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Rehabilitation
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Comparator / control treatment
Posterior mobilization condition.
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Control group
Active
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Outcomes
Primary outcome [1]
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Anterior deltoid muscle activity levels will be considered as primary outcome measures for assessing the effect of posterior mobilization on muscle activity levels.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [1]
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Timepoint [1]
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Baseline (prior to mobilization), and follow-up (immediately after mobilization).
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Primary outcome [2]
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Middle deltoid muscle activity levels will be considered as primary outcome measures for assessing the effect of inferior mobilization on muscle activity levels.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [2]
305715
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Timepoint [2]
305715
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Baseline (prior to mobilization), and follow-up (immediately after mobilization).
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Secondary outcome [1]
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When assessing the effect of posterior mobilization, infraspinatus muscle will be considered as secondary outcome.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [1]
345976
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Timepoint [1]
345976
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Baseline (prior to mobilization), and follow-up (immediately after mobilization).
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Secondary outcome [2]
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When assessing the effect of posterior mobilization, latissimus dorsi muscle will be considered as secondary outcome.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [2]
345977
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Timepoint [2]
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Secondary outcome [3]
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When assessing the effect of posterior mobilization, posterior deltoid muscle will be considered as secondary outcome.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [3]
346182
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Timepoint [3]
346182
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Secondary outcome [4]
346184
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When assessing the effect of inferior mobilization, latissimus dorsi muscle will be considered as secondary outcome.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [4]
346184
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Timepoint [4]
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Secondary outcome [5]
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When assessing the effect of inferior mobilization, pectoralis major muscle will be considered as secondary outcome.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [5]
346185
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Timepoint [5]
346185
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Secondary outcome [6]
346229
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Pectoralis major muscle activity levels will be considered as primary outcome measures for assessing the effect of posterior mobilization on muscle activity levels.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [6]
346229
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Timepoint [6]
346229
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Secondary outcome [7]
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Supraspinatus muscle activity levels will be considered as primary outcome measures for assessing the effect of inferior mobilization on muscle activity levels.
Muscle activity levels will be measured using surface electromyography, with a frequency sample of 3000 Hz.
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Assessment method [7]
346230
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Timepoint [7]
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Baseline (prior to mobilization) and follow-up (immediately after mobilization).
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Eligibility
Key inclusion criteria
Participants will be included if they present no current neck and shoulder injuries.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Participants will be excluded if they present any positive response to the cervical and shoulder screening tests.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
9/11/2017
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Date of last participant enrolment
Anticipated
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Actual
20/12/2017
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Date of last data collection
Anticipated
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Actual
20/12/2017
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Sample size
Target
22
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Accrual to date
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Final
22
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Recruitment outside Australia
Country [1]
10343
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New Zealand
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State/province [1]
10343
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago Research Grant
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Address [1]
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University of Otago - Centre for Innovation, 87 St David St, Dunedin, 9016
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Country [1]
299306
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New Zealand
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Primary sponsor type
University
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Name
School of Physiotherapy - University of Otago
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Address
325 Great King Street, Dunedin, 9016
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
298615
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Country [1]
298615
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Otago Ethics Committee
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Ethics committee address [1]
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University of Otago Human Ethics Committee (Health), Clock Tower Building, Dunedin, 9054
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
300215
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Approval date [1]
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17/05/2017
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Ethics approval number [1]
300215
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Summary
Brief summary
Joint mobilizations are used for treating patients with shoulder pain, and are performed in different directions. Mobilizations lengthen capsule-ligament structures, impacting on activity of shoulder muscles. Our previous research suggests low intensity mobilizations lead to small changes in shoulder muscle activity. This project will explore whether: (1) shoulder mobilizations lead to changes in shoulder muscle activity; (2) muscle responses vary according to the direction of mobilization. This is a repeated-measures, two-treatment crossover, randomized trial, to assess the effect of shoulder mobilization on shoulder muscle activity levels. The inferior mobilization will consist of repeated glides applied at the shoulder, with the participant’s arm positioned at the end of shoulder abduction range. The posterior mobilization will consist of repeated posterior glides applied at the shoulder, with the participant arm placed at 120 degrees of shoulder abduction.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Daniel Cury Ribeiro
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Address
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
82942
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New Zealand
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Phone
82942
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+64 03 479 74 55
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Fax
82942
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Email
82942
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[email protected]
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Contact person for public queries
Name
82943
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Daniel Cury Ribeiro
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Address
82943
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
82943
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New Zealand
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Phone
82943
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+64 03 479 74 55
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Fax
82943
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Email
82943
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[email protected]
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Contact person for scientific queries
Name
82944
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Daniel Cury Ribeiro
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Address
82944
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School of Physiotherapy - University of Otago 325 Great King Street, Postcode: 9054, PO Box 56, Dunedin
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Country
82944
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New Zealand
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Phone
82944
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+64 03 479 74 55
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Fax
82944
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Email
82944
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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