Teres Major Muscle and Subacromial Impingement Syndrome

Not Applicable

• Conditions: Subacromial Impingement Syndrome; Trigger Points in Teres Major Muscle
• Interventions: Device: Diacutaneous Fibrolysis; Other: Trigger Point Pressure Release; Other: Protocolized physiotherapy

• Registration Number: NCT02374125
• Lead Sponsor: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Brief Summary

There is not a clear understanding of the origin of symptoms perceived by patients with impingement of the soft tissue structures of the subacromial space. Tendinopathy, tendon rupture or other pathologies, are present in asymptomatic subjects and subjects with symptoms and structural integrity can also be found.

Patients diagnosed with subacromial impingement syndrome frequently have myofascial trigger points in the teres major muscle. Travell and Simons reported that the symptoms caused by trigger points in this muscle are similar to those experienced by patients diagnosed with impingement syndrome, but a literature search provides few results regarding relationship between subacromial impingement syndrome and presence of myofascial trigger points in the teres major muscle.

This study aims to provide evidence of the results that can be obtained with a specific approach of teres mayor muscle by two manual techniques, Trigger Point Pressure Release and Diacutaneous Fibrolysis, in subjects with subacromial impingement syndrome, a condition that still representing both a diagnostic and therapeutic challenge. Secondary objective is to compare the outcomes between both techniques to select for each patient the most appropriate to their needs and characteristics.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-11
• Status Verified: 2015-02
• Study First Submitted: 2015-02-10
• Study First Submitted QC: 2015-02-23
• Last Update Submitted: 2015-02-23
• Study First Posted: 2015-02-27
• Last Update Posted: 2015-02-27
• Primary Completion: 2015-10
• Study Completion: 2015-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

• Age 18 years and over
• Clinical diagnosis of Subacromial Impingement Syndrome.
• Detectable trigger points in teres major muscle.
• Sign informed consent form.

Exclusion Criteria

• Diacutaneous Fibrolysis contraindications
• Previous shoulder surgery (<1year)
• Language barriers or cognitive issues that limit their ability to provide informed consent and participate in research.
• Patients with a pending litigation or court claim.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Fibrolysis Group	Diacutaneous Fibrolysis	Actual Diacutaneous Fibrolysis and protocolized physiotherapy
Fibrolysis Group	Protocolized physiotherapy	Actual Diacutaneous Fibrolysis and protocolized physiotherapy
Pressure Group	Protocolized physiotherapy	Trigger Point Pressure Release and protocolized physiotherapy
Pressure Group	Trigger Point Pressure Release	Trigger Point Pressure Release and protocolized physiotherapy
Control Group	Protocolized physiotherapy	Protocolized physiotherapy

Primary Outcome Measures

Name	Time	Method
Change in Pain intensity (Using a VAS)	Change from baseline to 3 weeks.	Using a VAS
Change in Functional capacity (Abbreviated Constant-Murley score)	Change from baseline to 3 weeks.	Abbreviated Constant-Murley score

Secondary Outcome Measures

Name	Time	Method
Change in Active Range of Motion	Change from baseline to 3 weeks.	Flexion, extension, abduction, external rotation and internal rotation
Patient perception of change (Global Rating of Change scale)	3 weeks after recruitment	Global Rating of Change scale

Trial Locations

Locations (1)

Catalan Health Institut. Sant Ildefons Rehabilitation Service; 🇪🇸 Cornellà de Llobregat, Barcelona, Spain