The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome

Not Applicable

Completed

• Conditions: Shoulder Impingement Syndrome
• Interventions: Other: manual therapy; Device: diadynamic current

• Registration Number: NCT02735967
• Lead Sponsor: University of Nove de Julho

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-03
• Primary Completion: 2016-04
• Study First Submitted: 2016-04-02
• Study First Submitted QC: 2016-04-06
• Study First Posted: 2016-04-13
• Study Completion: 2016-06
• Status Verified: 2016-07
• Last Update Submitted: 2016-07-18
• Last Update Posted: 2016-07-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 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

Exclusion Criteria

• 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group manual therapy	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.
Group manual therapy + diadynamic	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. 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.
Group manual therapy + diadynamic	diadynamic current	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.
Group diadynamic	diadynamic current	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.

Primary Outcome Measures

Name	Time	Method
shoulder disability	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.

Secondary Outcome Measures

Name	Time	Method
level of pressure pain	change from Baseline in ThePressure Pain Threshold at 4 weeks	Pressure Pain Threshold in the shoulder with algometer dynamometer.
intensity of pain	Change from Baseline in The Numerical rating pain scale at 4 weeks	the Numerical rating pain scale, a simple, easily administered scale evaluates

Trial Locations

Locations (1)

Cid André Fidelis de Paula Gomes; 🇧🇷 São Paulo, Brazil