Efficacy of Maitland Mobilization in Shoulder Pathology

Not Applicable

Completed

• Conditions: Tendinosis
• Interventions: Procedure: Maitland; Procedure: Tens, exercise, SW; Procedure: Conventional physiotherapy

• Registration Number: NCT05030402
• Lead Sponsor: University of Las Palmas de Gran Canaria

Brief Summary

The shoulder is a mobile structure which generates a lot of pathologies. One of them is rotator cuff tendinosis. On the other hand, it has been investigated that Maitland is effective for reducing pain and for mobility in the cervical and lumbar spine and in joints such as the knee and ankle, however, there are few studies that confirm that it is effective in shoulder pathologies.So here the investigatprs want to study the effectiveness of Maitland as an adjunctive treatment for shoulder pathologies, comparing it with conventional physiotherapy treatment, in relation to the reduction of pain and increased mobility. For that the investigators have a randomized clinical trial with two group.

Detailed Description

Group 1 receives tens, SW, conventional physiotherapy and exercises as treatment. Group 2 receives tens, SW, Mailtland, and exercises. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Study Timeline

• Study Start: 2020-09-03
• Study First Submitted: 2021-06-29
• Study First Submitted QC: 2021-08-31
• Study First Posted: 2021-09-01
• Primary Completion: 2021-10-31
• Study Completion: 2022-10-31
• Status Verified: 2022-11
• Last Update Submitted: 2022-11-24
• Last Update Posted: 2022-11-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 63

Inclusion Criteria

• Have a shoulder pathology.
• Have a restriction at least of two ranges of movement of the shoulder.
• Sign the consent before starting the study.

Exclusion Criteria

• Patients with a history of shoulder or neck surgery.
• Patients with neurological damage such as stroke or disease of Parkinson's, as well as those with rheumatism, osteoporosis, surgical fixation, or malignant tumors.
• Have a radiating pain in shoulder from a cervical injury.
• Pregnant patients.
• Patients who do not sign the consent before starting the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Maitland group	Maitland	31 patients receives tens, SW, Maitland, and exercises. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.
Maitland group	Tens, exercise, SW	31 patients receives tens, SW, Maitland, and exercises. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.
Control group	Conventional physiotherapy	32 receives tens, SW, conventional physiotherapy and exercises as treatment. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.
Control group	Tens, exercise, SW	32 receives tens, SW, conventional physiotherapy and exercises as treatment. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Primary Outcome Measures

Name	Time	Method
Change of Visual Analog Scale (VAS)	Baseline and 1, 5, and 7 weeks after treatment	Visual analogue score (VAS) was done at rest and at shoulder movement. VAS was explained to the patients during assessment as 0 equal no pain and 10 equal worst imaginable pain.
Change of Disabilities of the Arm, Shoulder and Hand (DASH)	Baseline and 1, 5, and 7 weeks after treatment	Disabilities of the Arm, Shoulder and Hand (DASH) was filled by patient during assessment as 0 equal better functionality and 100 equal worst functionality
Change of Range of Motion (ROM)	Baseline and 1, 5, and 7 weeks after treatment	Active ROM of the affected shoulder is measured using a Mechanic Analysis to assess range of motion. These measurements included abduction, flexion, internal rotation, and external rotation.

Secondary Outcome Measures

Name	Time	Method
Change of American shoulder and elbow Surgeons" (ASES)	Baseline and 1, 5, and 7 weeks after treatment	Disabilities of the Arm, Shoulder and Hand (DASH) was filled by patient during assessment as 0 equal worst functionality and 100 is equal better functionality
Change of 36-Item Health Survey (SF-36)	Baseline and 1, 5, and 7 weeks after treatment	Health Survey (SF-36) was filled by patient during assessment as 0 equal worst health and 100 is equal better health

Trial Locations

Locations (1)

GRUPO ICOT Policlínico Las Palmas.; 🇪🇸 Las Palmas de Gran Canaria, Las Palmas, Spain