The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome: a Randomized Blind Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- shoulder disability
研究概览
简要总结
The aim of this study will be to evaluate the effects of the use of manual therapy and diadynamic in muscle trigger points in the upper trapezius muscle in individuals diagnosed with shoulder impingement syndrome, unilateral shoulder as functional capacity, pain intensity and pain threshold the pressure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 59 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •history of anterior lateral and unilateral shoulder pain
- •with more than 3 months duration
- •intensity of at least 4 points on the Numerical Rating Pain Scale
- •positivity in at least 2 of 3 orthopedic tests for impingement syndrome: Neer, Hawkins or Jobe
- •Associated with these characteristics volunteers should submit myofascial trigger points unilateral and active, centrally located in the trapezius muscle descending fibers associated with painful shoulder
排除标准
- •diagnosis of bilateral impingement syndrome shoulder
- •fibromyalgia
- •muscle injury
- •history of trauma on the shoulder
- •ruptured tendons
- •ligamentous laxity
- •symptoms of numbness and / or tingling in the upper limbs
- •corticosteroid injection use shoulder
- •making use of anti-inflammatory
- •they performed surgery or physical therapy treatment in the last 6 months in the affected shoulder.
研究组 & 干预措施
Group manual therapy + diadynamic
Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications.
Through an electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF), 4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.
干预措施: manual therapy (Other)
Group manual therapy + diadynamic
Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications.
Through an electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF), 4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.
干预措施: diadynamic current (Device)
Group manual therapy
Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications.
干预措施: manual therapy (Other)
Group diadynamic
An electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF),4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.
干预措施: diadynamic current (Device)
结局指标
主要结局
shoulder disability
时间窗: Change from Baseline in the Shoulder Pain and Disability Index at 4 weeks
questionnaire of quality of life developed to assess pain and associated with specific inability to shoulder disorders.
次要结局
- intensity of pain(Change from Baseline in The Numerical rating pain scale at 4 weeks)
- level of pressure pain(change from Baseline in ThePressure Pain Threshold at 4 weeks)
研究者
Cid André Fidelis de Paula Gomes
Phd
University of Nove de Julho