Could treating the neck ease shoulder pain?
NCT ID NCT00764764
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This pilot study asks whether adding physical therapy for the neck to standard shoulder treatment can improve outcomes for people with shoulder impingement—a condition where shoulder tissue gets pinched, causing pain with overhead movements. Adults aged 40 to 70 with shoulder impingement will receive either traditional shoulder therapy alone or shoulder therapy plus cervical spine treatment. Researchers will compare pain, function, and range of motion to see if the combined approach offers greater benefits.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Physical therapy procedures: shoulder treatment alone versus shoulder plus cervical spine treatment
- What this could lead to
- If adding neck treatment helps, it could point to a more effective physical therapy approach for shoulder impingement, potentially reducing pain and improving function.
- What could go wrong
- This is a very small pilot study with only 3 participants, so results may not apply broadly. The added neck treatment might not provide extra benefit over standard shoulder therapy.
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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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3 people
The number who actually took part.
- Started
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May 2008
- Finished
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Apr 2009
- 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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40 to 70 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: 1. the complaint of pain in either the anterior, lateral, or posterior aspect of the upper arm in an area extending from the acromion to the deltoid tubercle or to a point equally distal on the humerus. 2. production or increase in pain in any of the area(s) above with one of the following: 1. active shoulder flexion or scaption (elevation in the scapular plane) 2. impingement sign as described by Neer (1983) 3. Hawkins-Kennedy impingement test (1980) 4. resisted supraspinatus, shoulder internal or external strength testing 3. patient is between 40 and 70 years of age Exclusion Criteria: 1. Any previous history of surgery or fracture in the cervical spine, upper thoracic spine, humerus, scapula, or clavicle 2. Any previous or current history of psychiatric or psychological treatment 3. Any medical condition that predisposes patients to shoulder pain such as past or current history of diabetes mellitus, fibromyalgia, adhesive capsulitis, rheumatoid arthritis, shoulder osteoarthritis, osteoporosis, ankylosing spondylitis, vertebrobasilar artery insufficiency, pregnancy, or shoulder instability 4. Any prolonged exposure to blood thinners or steroids 5. Constant lateral humeral pain that does not alter with movement, time of day, or position for the last 60 days 6. Subjects with an active worker's compensation claim related to the cervical spine, shoulder, or upper thoracic spine, or subjects with any impending or current litigation related to the same areas 7. A score of 11 or higher in the sensory plus affective dimensions of pain with the short-form of the McGill Pain Questionnaire 8. Any injections in the shoulder, cervical spine or upper thoracic spines in the last 6 months 9. Pain in the posterior shoulder, mid- and lower cervical spine, or upper thoracic spine that the patient wants treated 10. Onset of symptoms associated with trauma or trauma to the neck/shoulder area in the last 60 days
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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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Charleston Area Medical Center Physical Therapy and Sports Medicine
Charleston, West Virginia, 25311, United States
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