Efficacy of a Physiotherapy Program Through Myofascial Induction and Eccentric Exercises in the Improvement of Mobility and the Perception of Nonspecific Pain in the Shoulder Joint in Volleyball Players. A Randomized Pilot Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Myofascial Pain
- Sponsor
- Investigación en Hemofilia y Fisioterapia
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Change from baseline range of motion of shoulder after treatment and at month
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Introduction. Myofascial therapy aims to improve fascial restrictions through the application of mechanical stimuli. The eccentric exercises involve the recruitment of fast fibers and help increase muscle volume.
Aim. Compare the effectiveness of myofascial induction intervention in the improvement of the range of motion of glenohumeral rotation and the pain perception, with respect to the use of eccentric exercises in volleyball players from 18 to 35 years of age.
Study design. Multicenter and single-blind randomized clinical study with follow-up period.
Methods. A random assignment of the 40 subjects recruited to the different study groups will be carried out: experimental (myofascial induction technique and eccentric exercises) and control (eccentric exercises). The intervention will last 4 weeks, with a weekly session of 17 and 7 minutes (in the experimental and control group, respectively). The dependent variables and measurement instruments will be: internal and external shoulder rotation (goniometry) and pain perception (visual analog scale). The Kolmogorov-Smirnov test will calculate the distribution of the sample, using parametric tests (t-student to calculate the difference of means between the evaluations in each group and ANOVA of repeated measures to calculate the intra- and intersubject effect) in case of normal.
Expected results. To improve the range of motion of glenohumeral joint global rotation and of the perception of pain of the subject.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Volleyball players
- •Both gender
- •Age range of 18 to 35 years
- •Compete in a federated team in the Community of Madrid.
Exclusion Criteria
- •Have an injury to the osteoarticular complex of the shoulder at the time of the study or the previous 6 months
- •Who are receiving a physiotherapy intervention at the time of the study or receiving analgesic drugs
- •Not signed the informed consent document.
Outcomes
Primary Outcomes
Change from baseline range of motion of shoulder after treatment and at month
Time Frame: Screening visit, within the first seven days after treatment and after one month follow-up visit
The measurement of the range of motion of shoulder will be made by means of a goniometric evaluation. The physiotherapist will be placed homolateral to the shoulder of the subject, being in the supine position with 90º shoulder abduction and 90º elbow flexion. While the goniometer will be positioned with the fulcrum in the olecranon, the fixed arm projected in the direction of the styloid process of the ulna and the movable arm follows the movement of the ulna. The range of normal mobility of the internal rotation of the shoulder is 0-100º and the external rotation of 0-80º (the total glenohumeral rotation range of 180º) if measured from the longitudinal axis of the arm. The unit of measurement is the degree, with a higher score indicating greater mobility of the shoulder joint.
Secondary Outcomes
- Change from baseline perception of pain of the coracoid process after treatment and at month(Screening visit, within the first seven days after treatment and after one month follow-up visit)