Comparative Effects of Two Procedures for the Management of Posterior Shoulder Tightness
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 22
- Locations
- 2
- Primary Endpoint
- Horizontal adduction
Study Overview
Brief Summary
This study aims to compare the effects of a self-stretch procedures versus a clinician applied musculoskeletal procedure in individuals with posterior shoulder tightness.
Detailed Description
Posterior shoulder mobility has been considered a contributing factor to shoulder related movement dysfunction. There is evidence indicating that posterior shoulder tightness (PST) might be present in individuals with impingement related symptoms, post-operative conditions and overhead athletes. Several studies have investigated the effects of musculoskeletal procedures (joint mobilisations and stretch) in subjects with posterior shoulder tightness (PST). This cross-over design aims to compare the differences between a well-established procedure - the crossbody stretch - versus mobilisation with movement, on range of motion and pain pressure threshold of asymptomatic individuals with unilateral PST.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
All measurements will be conducted by research assistants unaware of the interventions applied. Statistical analyses will be performed by a blinded research assistant.
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Asymptomatic individuals without any history of shoulder pain necessitating medical attention.
- •Presence of unilateral restriction of at least 10 degrees of internal rotation deficit during the internal rotation mobility test in 90 degrees of shoulder abduction.
Exclusion Criteria
- •Asymptomatic individuals that present with shoulder pain on the assessment day.
- •Individuals with chronic conditions not affecting the shoulder.
- •Individuals with clinical depression.
- •Individuals that used analgesic and/or anti-inflammatory medication in the previous 24 hours of assessment.
- •Individuals with fibromialgia.
- •Individuals engaged in overhead sports.
Outcomes
Primary Outcomes
Horizontal adduction
Time Frame: change immediately after the intervention
Horizontal adduction in 90 degrees of shoulder flexion
Internal rotation
Time Frame: change immediately after the intervention
Internal rotation at 90 degrees of shoulder abduction
Secondary Outcomes
- Mechanical sensitivity(change immediately after the intervention)
Investigators
Rafael Baeske
Principal investigator
Federal University of Health Science of Porto Alegre