Mind over shoulder: can imagery training ease chronic pain?
NCT ID NCT06092502
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
This trial investigates whether adding graded motor imagery (GMI) therapy—a sequence of left/right discrimination, mental imagery, and mirror therapy—to standard physiotherapy can improve pain, movement, and function in people with shoulder impingement syndrome. Thirty adults aged 20–50 with shoulder pain lasting more than six weeks will be randomly assigned to receive either standard physiotherapy alone or standard physiotherapy plus GMI. The study measures pain levels, shoulder disability, range of motion, and changes in pain-related fear and central nervous system sensitivity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- graded motor imagery therapy (left/right discrimination, explicit motor imagery, and mirror therapy) added to a traditional physiotherapy program
- What this could lead to
- If effective, this approach could offer a better way to treat shoulder impingement syndrome by addressing both physical and brain-based aspects of pain.
- What could go wrong
- This is a small, early-stage trial with only 30 participants, so results may not apply widely. The therapy requires effort and flexibility, and its benefits over standard care alone are not yet proven.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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30 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 50 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 20-50 years of age with complaints of shoulder pain in the anterio-lateral region lasting more than 6 weeks, with a positive Neer impingement test and/or a positive Hawkins-Kennedy test * Additionally, patients must have at least one of the symptoms listed. These symptoms are: painful arch on active shoulder elevation, pain with resisted shoulder external rotation in abduction at 90°, and a positive empty can test. Exclusion Criteria: * Having had a steroid injection into the shoulder within the last 3 months * Previous surgery on the neck, thoracic spine or shoulder * Red flags (e.g. tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, resting blood pressure greater than 140/90 mmHg, history of long-term steroid use) * History of shoulder dislocation, subluxation, fracture, adhesive capsulitis, frozen shoulder, or cervical or thoracic surgery * History of full-thickness rotator cuff tear * History of cervical disc herniation in the last 6 weeks * History of breast cancer on the involved side * Isolated acromioclavicular joint pathology (i.e., pain directly localized over the acromioclavicular joint). * Signs of cervical radiculopathy, radiculitis, or referred pain originating from the cervical spine * Receiving treatment for shoulder pain in the last 3 months * Being currently pregnant (Dunning, 2022) * Scoring ≤24 on the Standardized Mini Mental Test was determined.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Nuray ALACA
Istanbul, Turkey, +90, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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