The Initial Effects on Pain, Pain Sensitivity, Range of Motion and Muscle Strength of an Anteroposterior Mobilization of the Glenohumeral Joint in Overhead Athletes With Chronic Shoulder Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- Self-reported shoulder pain
研究概览
简要总结
Background: Passive oscillatory mobilizations are often employed by physiotherapists to reduce shoulder pain and increase function. However, there is little data about the neurophysiological effects of these mobilizations.
Objectives: To investigate the initial effects of an anteroposterior (AP) shoulder joint mobilization on measures of pain and function in overhead athletes with chronic shoulder pain.
详细描述
Design: Double-blind, controlled, within-subjects repeated-measures design Method: Thirty-one overhead athletes with chronic shoulder pain participated. The effects of a 9-min, AP mobilization of the glenohumeral joint were compared with manual contact and no-contact interventions. Pressure pain threshold (PPT), range of movement (ROM), muscle strength, self-reported pain, and disability were measured immediately before and after each intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
- The participant were assigned to the treatment group with a computer program.
- Outcomes assessor did´t know the treatment applied to the participants
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •History of chronic shoulder pain lasting ≥3 months.
- •Play overhead sport regularly.
排除标准
- •Had a non-musculoskeletal origin of shoulder pain.
- •Previous surgery to the shoulder complex.
- •Frozen shoulder.
- •Any co-existing inflammatory, infectious or neurological condition.
- •The patient from physiotherapy treatment.
- •Any evidence of pain referred from the cervical spine to the shoulder
研究组 & 干预措施
Mobilization to the glenohumeral joint
This condition consisted on the application of a passive rhythmic AP mobilization to the glenohumeral joint of the affected shoulder
干预措施: Mobilization to the glenohumeral joint (Procedure)
The manual contact condition
In this condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition.
干预措施: The manual contact condition (Procedure)
The manual contact condition
In this condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition.
干预措施: No-contact condition (Other)
No-contact condition
There was no manual contact between the therapist and the participant
结局指标
主要结局
Self-reported shoulder pain
时间窗: Change from Baseline at 5 minutes after intervention
Participants were asked to indicate the intensity of their current shoulder pain using a numeric rating pain scale (NRPS). In this scale, 0 is not pain and 10 is the worse pain possible
次要结局
- Shoulder disability(Change from Baseline at 24 hours after treatment)
- Shoulder range of movement (ROM)(Change from Baseline at and 5 minutes after treatment)
- Shoulder muscles strength(Change from Baseline at 5 minutes after treatment)
- Pressure pain threshold (PPT)(Change from Baseline at 5 minutes after treatment)
研究者
Prof. Dr. Daniel Pecos Martín
Professor
University of Alcala