The Effectiveness Of Ischemic Compression And IASTM In Trigger Point Treatment In Patients With Rotator Cuff Tear

Not Applicable

Completed

• Conditions: Shoulder Pain; Rotator Cuff Tears; Myofascial Trigger Point Pain
• Interventions: Other: IASTM; Other: ischemic compression; Other: Rehabilitation Program

• Registration Number: NCT04319250
• Lead Sponsor: Istanbul Aydın University

Brief Summary

The aim of this study is to determine the effects of ischemic compression and IASTM techniques on pain, EHA, functionality, anxiety and depression in patients with the diagnosis of RM tear and presence of ATN. In addition, ischemic compression and EDYDM methods were aimed to compare and to reveal which application would be more useful.

Detailed Description

In this study participants were randomly divided into two groups. While ischemic compression was applied to one group for the determined active trigger points, instrument assisted soft tissue mobilization (IASTM) was applied to the other group for active trigger points. In addition to the treatment, both groups were subjected to a joint rehabilitation program.

Study Timeline

• Study Start: 2019-02-01
• Primary Completion: 2019-08-30
• Study Completion: 2019-08-30
• Study First Submitted: 2020-03-19
• Study First Submitted QC: 2020-03-23
• Study First Posted: 2020-03-24
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-25
• Last Update Posted: 2021-03-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 41

Inclusion Criteria

• Being between 40-65 years old
• Having been diagnosed with partial RM rupture
• RM rupture in MRI image
• At least 3 ATNs in the shoulder complex
• Hawkins-Kennedy and Empty Can tests positive Symptoms for at least 3 months

Exclusion Criteria

• Sensory problems in the back and shoulders,
• Shoulder instability
• Osteoarthritis in the shoulder joint area
• Glenoid or bone fracture
• Frozen shoulder pathology
• Massive RM rupture
• Rheumatological joint problems
• Shoulder surgery history

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group 2	IASTM	IASTM and rehabilitation program applied to the group 2
Group 2	Rehabilitation Program	IASTM and rehabilitation program applied to the group 2
Group 1	ischemic compression	Ischemic compression and rehabilitation program applied to the group 1
Group 1	Rehabilitation Program	Ischemic compression and rehabilitation program applied to the group 1

Primary Outcome Measures

Name	Time	Method
Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH)	Change from Baseline at 6 weeks	This is a questionnaire that identifies both functionality and symptoms that can be used in arm, elbow and hand problems. High scores of individuals mean that functional dysfunction is high. Ratings are made between 0 and 100.

Secondary Outcome Measures

Name	Time	Method
Shoulder Range of Motion (ROM)	Change from Baseline at 6 weeks	EHA evaluations of flexion, abduction, internal rotation and external rotation of the shoulder joint were performed in the supine position using the universal goniometer.
Active trigger points	Change from Baseline at 6 weeks	Active trigger points were evaluated by palpation method according to Travell and Simons criteria. Scalene, upper trapezius, levator scapula, supraspinatus, infraspinatus, subskapularis, teres minor, teres major, deltoid anterior and posterior group fibers, pectoralis major, pectoralis minor, biceps brachii muscles were evaluated with palpation method in terms of trigger point presence.
Pain Pressure Threshold (PPT)	Change from Baseline at 6 weeks	Wagner Force One ™ FDIX" digital algometer was used to evaluate the pain threshold. Measurements were recorded in kg / cm².
The American Shoulder and Elbow Surgeons Standardized Shoulder Assesment Form (ASES)	Change from Baseline at 6 weeks	This score consists of 1 questioning pain and 10 questions questioning daily life activities.The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function.
Emotional state	Change from Baseline at 6 weeks	The emotional states of the cases were evaluated using the Hospital Anxiety and Depression Scale (HAD), which consists of 14 questions. (HAD). This scale has a 7-question anxiety (HAD-A) subscale that evaluates the anxiety state, and a 7-question depression (HAD-D) subscale that evaluates the state of depression, and a four-point likert scale is used to answer the questions. For the total score of each sub-score, 0-7 points are normal, 8-10 points are at the border, and 11 points are defined as abnormal
Global Rating of Change (GRC) scale	After 6 weeks treatment	Patient Satisfaction was assessed Global Rating of Change (GRC) scale. The scale used included 5 points (-2: I am much worse. -1: I am worse, 0: I am the same, +1: I am better, +2: I am much better).
Visual Analogue Scale (VAS)	Change from Baseline at 6 weeks	The levels of pain felt at rest / activity / night were measured using Visual Analogue Scale (VAS).

Trial Locations

Locations (1)

Istanbul Aydin University; 🇹🇷 Istanbul, Turkey