Fascial Distortion Model Manual Therapy and Painful Shoulder Syndrome
- Conditions
- Shoulder Pain
- Interventions
- Other: Traditional physiotherapyOther: Mulligan ConceptOther: Fascial Distortion Model
- Registration Number
- NCT03521778
- Lead Sponsor
- Józef Piłsudski University of Physical Education
- Brief Summary
Relatively new method of diagnosing and treating dysfunction of the musculoskeletal system is Fascial Distortion Model. It is manual therapy developed by emergency physician and an osteopath Stephen P. Typaldos.
Disfunction are diagnosed based on verbal and physical descriptions, palpations, anamnesis. As a result of examination, It can be found one or more of six different distortions. The aim of the study is to examine the effectiveness of FDM manual therapy in comparison to manual therapy using the Mulligan Concept method and traditional physiotherapy in patients with shoulder dysfunction who have undergone previous rehabilitation and who have not achieved satisfactory results. Patients will receive five treatments with one day brake between each treatment. The patient's condition will be evaluated before the first treatment, two weeks after the last treatment, and also after three months. As a outcome of the occurring phenomenon, structural changes are planned at the level of the fascial system in the studied region. The obtained results may influence the current views on diseases of the musculoskeletal system, as well as on the method of diagnosing and treating shoulder joint dysfunction.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 90
- diagnosis of dysfunction in the shoulder joint based on an orthopedic and/or physiotherapeutic examination confirmed by X-ray and ultrasound imaging,
- patients undergoing prior rehabilitation / pharmacotherapy / surgical intervention without satisfactory results,
- limitation of mobility and / or pain in the shoulder complex,
- coexistence of neoplastic diseases,
- symptoms from the cervical spine
- pregnancy,
- aneurysms,
- osteitis,
- arthritis
- deep veins thrombosis of upper limbs,
- resignation from the study / therapy,
- skin damage, hematomas.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Traditional physiotherapy group Traditional physiotherapy Patients will receive traditional physiotherapy. Mulligan Concept group Mulligan Concept Patients will receive manual treatment complies with Mulligan Concept method. Fascial Distortion Model group Fascial Distortion Model Patients will receive manual treatment complies with Fascial Distortion Model method.
- Primary Outcome Measures
Name Time Method Change from baseline DASH Outcome Measure at 3 months 1'st day, 2 weeks after treatment, 3 months after treatment The Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in patients with any or several musculoskeletal disorders of the upper limb. It helps describe the disability experienced by people with upper-limb disorders and also to monitor changes in symptoms and function over time .The DASH is scored in 30 items from 1 to 5. Higher score means greater level of disability.
Change from baseline Constant-Murley Shoulder Outcome Score at 3 months 1'st day, 3 months after treatment The Constant-Murley score (CMS) is a 100-points scale composed of a number of individual parameters. These parameters define the level of pain and the ability to carry out the normal daily activities of the patient.\[1\] The Constant-Murley score was introduced to determine the functionality after the treatment of a shoulder injury. The test is divided into four subscales: pain (15 points), activities of daily living (20 points), strength (25 points) and range of motion: forward elevation, external rotation, abduction and internal rotation of the shoulder (40 points). The higher score, the higher the quality of the function.
Change from baseline Quality Of Life Questionnaire SF- 36v2 at 3 months 1'st day, 3 months after treatment The SF-36 is a 36 item questionnaire that measures eight multi-item dimensions of health: physical functioning (10 items) social functioning (2 items) role limitations due to physical problems (4 items), role limitations due to emotional problems (3 items), mental health (5 items), energy/vitality (4 items), pain (2 items), and general health perception (5 items).
Change from baseline Visual Analogue Scale at 3 months 1'st day, 3 months after treatment Visual analogue scales (score 0-10) are psychometric measuring instruments designed to document the characteristics of disease-related symptom severity in individual patients and use this to achieve a rapid classification of symptom severity and disease control.
The higher score, indicate greater level of pain.
- Secondary Outcome Measures
Name Time Method