Myofascial Release in Shoulder Pathologies

Not Applicable

Completed

• Conditions: Rotator Cuff Injuries; Humerus Fracture

• Registration Number: NCT04944446
• Lead Sponsor: University of Cadiz

Brief Summary

Shoulder pathology has a high prevalence in the field of musculoskeletal diagnoses, as well as being a common etiology in cases of disability. Passive and active-assisted kinesitherapy are used in the physiotherapy protocol. These techniques sometimes lead to feedback of fear and increased sensation of pain on the part of the patient that can slow or hinder the optimal recovery. A randomized clinical trial is intended to demonstrate that techniques for myofascial release of muscles important in the biomechanics of the shoulder, it is more effective than kinesitherapy in improving myofascial and also by eliminating the aforementioned unwanted effects and, therefore, improving the recovery of these processes.

Detailed Description

The purpose of this study was to compare the efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization. Design Prospective, single-blind randomized controlled trial. Setting Inpatient department of a secondary university hospital. Participants Shoulder pain patients (N=44) were consecutively recruited and randomly assigned to an intervention or control group. Interventions Patients were randomly assigned to a Control Group, to which conventional kinesitherapy was applied, or to the intervention group to which a Myofascial therapy protocol was applied. Both groups completed a therapeutic exercise program based on specific mobilization and strengthening exercises. Main Outcome Measures The QuickDash questionnaire was the primary outcome, visual analog scale and the passive range of motion of the shoulder joint, grades were the secondary outcomes. The outcomes were evaluated at baseline (T0) and at 4 (T2),

Study Timeline

• Study Start: 2018-09-15
• Primary Completion: 2020-09-05
• Study First Submitted: 2020-09-23
• Study Completion: 2021-01-15
• Status Verified: 2021-06
• Study First Submitted QC: 2021-06-21
• Last Update Submitted: 2021-06-21
• Study First Posted: 2021-06-29
• Last Update Posted: 2021-06-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Be between 20 and 80 years old.
• Patients who have been immobilized due to the following diagnoses: Suture of the rotator cuff or fracture of the proximal extremity of the humerus.
• Have signed the informed consent of acceptance in the participation of the study

Exclusion Criteria

• Present neurological pathology.
• Be subdued corticoid therapy.
• Have anticoagulant treatment or have had it less than a month ago.
• Insulin-dependent diabetic patients.
• Patients with hemophilia.
• Having diagnosed a psychological or psychiatric pathology.
• Non-intervened displaced humerus fractures.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Functional capacity	Change from Baseline at 4 weeks	Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome
Degree of pain	Change from Baseline at 4 weeks	Visual Analog Scale
Shoulder joint mobility	Change from Baseline at 4 weeks	Goniometer Records

Secondary Outcome Measures

Name	Time	Method
Age	Baseline	Years
Pathology of access to the study	Baseline	Suture of the rotator cuff or fracture of the proximal limb of the humerus
Sex	Baseline	Man or woman

Trial Locations

Locations (1)

Faculty of Nursing and Physiotherapy. University of Cadiz; 🇪🇸 Cádiz, Spain