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Shoulder Muscle Massage Shoulder Stiffness

Phase 1
Completed
Conditions
Massage Effect
Interventions
Other: massage
Registration Number
NCT01022827
Lead Sponsor
National Taiwan University Hospital
Brief Summary

The investigators investigated the effect and predictors of effectiveness of massage in the treatment of patients with posterior shoulder stiffness. This is a randomized controlled trial study- massage and control (hand touch) two times a week for 4 weeks. A total of 60 patients with posterior shoulder tightness were randomized into 2 groups; 52 of them completed this study (29 for the massage and 23 for the control). Patient sex, age, body mass index, glenohumeral internal rotation range of motion (ROM), duration of symptom, functional status, and muscle stiffness were recorded. Additionally, for the massage group, patients with glenohumeral internal rotation improvement of 20 degrees after massage were considered responsive, and the others were considered nonresponsive. The influences of the aftermentioned factors on the effectiveness of massage were analyzed by multivariate logistric regression. The overall mean internal rotation ROM increased significantly after massage (from 31.9° to 54.9°; P \< 0.001) compared to the control (from 28.7° to 34.9°; P \> 0.05). There were 22 patients in the responsive group and 7 in the nonresponsive group. Among the factors, duration of symptoms, FLEX-SF score, and posterior deltoid stiffness were significant predictors of effectiveness of massage. Massage was an effective treatment for subjects with posterior shoulder stiffness, but was less effective in patients with longer duration of symptoms, higher functional limitation, and less posterior deltoid stiffness.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  1. a limited ROM of internal rotation (internal rotation ROM < 20% to the sound side), and
  2. pain and stiffness in the shoulder region for at least 3 months.
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Exclusion Criteria
  1. surgery on the particular shoulder,
  2. rheumatoid arthritis,
  3. stroke with residual shoulder involvement,
  4. fracture of the shoulder complex,
  5. rotator cuff deficiency, and
  6. resting pain, intolerable pain, or muscle spasm during active and/or passive motion.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
posterior shoulder stiffness massage groupmassageThe inclusion criteria of patients with glenohumeral internal rotation limitation and posterior shoulder stiffness were: \[1\] limitation of internal rotation ROM compared to the sound side; \[2\] mild glenohumeral joint hypomobility according to joint play assessment; \[3\] stiffness in the posterior shoulder region.
posterior shoulder stiffness placebo groupmassage-
Primary Outcome Measures
NameTimeMethod
Range of Motionpre and post-massage
Secondary Outcome Measures
NameTimeMethod
muscle stiffnesspre and post-massage
functional disabilitypre and post-massage

Trial Locations

Locations (1)

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

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