The Effects of Vibration Therapy at Different Frequencies on Pain, Range of Motion, Functionality, Joint Position Sense, and Quality of Life in Individuals With Rotator Cuff Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Evaluation of Joint Position Sense
研究概览
简要总结
This study aims to investigate the effects of vibration therapy applied at different frequencies using a percussion massage gun on pain, range of motion (ROM), functionality, joint position sense, and quality of life in individuals with rotator cuff syndrome.
Rotator cuff syndrome is a common shoulder disorder caused by excessive use, muscle weakness, trauma, or instability, leading to pain, restricted movement, and reduced functional capacity. Although percussion massage therapy has gained popularity for its potential therapeutic benefits, there is limited scientific evidence on its effectiveness in improving ROM, pain reduction, and functional outcomes.
A total of 48 participants diagnosed with rotator cuff lesions will be included in the study and divided into three groups:
Vibration Group (33 Hz) Vibration Group (16.7 Hz) Control Group (Conventional Physiotherapy)
The intervention will include:
Conventional physiotherapy exercises applied to all groups, Vibration therapy with a percussion massage gun applied to the experimental groups, targeting the deltoid, supraspinatus, infraspinatus, and teres minor muscles for three minutes per muscle, three times per week for three weeks.
Outcome Measures:
Pain: Visual Analog Scale (VAS) ROM & Joint Position Sense: Measured using the Goniometer Pro mobile application Functionality: Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire Quality of Life: Rotator Cuff Quality of Life (RC-QoL) questionnaire
Hypotheses:
Vibration therapy at different frequencies will significantly impact pain, ROM, functionality, joint position sense, and quality of life.
33 Hz vibration therapy will be more effective than 16.7 Hz in improving outcomes.
The data will be analyzed using SPSS 25, with statistical tests applied based on data distribution. This research aims to contribute to the understanding of vibration therapy's role in managing rotator cuff syndrome and its effectiveness in clinical rehabilitation.
详细描述
Rotator cuff syndrome is a common shoulder disorder caused by excessive use, muscle weakness, trauma, or instability. It often results in pain, restricted movement, and reduced functional capacity. The condition is associated with subacromial space compression, leading to tendinitis, partial tears, or full rupture, which affects daily activities and overall quality of life.
Percussion massage therapy is an emerging treatment method that combines elements of traditional massage and vibration therapy. Introduced in the 1950s by Robert Fulford, it was later developed into handheld devices for self-administered and professional use. Percussion therapy is believed to reduce pain, enhance circulation, improve tissue healing, decrease muscle spasms, and increase joint range of motion (ROM).
However, scientific evidence regarding its effectiveness, particularly in rotator cuff syndrome, remains limited. This study aims to investigate the effects of different frequencies of vibration therapy applied with a percussion massage gun on pain, ROM, functionality, joint position sense, and quality of life in individuals with rotator cuff syndrome.
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 (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Individuals diagnosed with rotator cuff lesion,
- •Experiencing shoulder pain for at least 3 weeks,
- •Aged between 30-60 years,
- •Having restricted shoulder range of motion.
排除标准
- •Individuals with an additional orthopedic or neurological disorder affecting the shoulder,
- •Those with a history of previous shoulder trauma,
- •Individuals who have participated in a physiotherapy program within the last 3 months,
- •Those unable to tolerate vibration therapy.
研究组 & 干预措施
Control Group (Conventional Physiotherapy)
Participants in the control group will receive only conventional physiotherapy without vibration therapy. This ensures a baseline comparison to assess the effectiveness of vibration therapy.
Treatment Modalities:
TENS therapy (20 minutes, 100 Hz) Mobility exercises (wand exercises, Codman exercises, active/passive stretching) Strengthening exercises (theraband-based training) Frequency: 5 sessions per week Total Treatment Period: 3 weeks
干预措施: conventional physiotherapy program (Other)
Vibration Therapy (16.7 Hz) Group
This group will receive vibration therapy at 16.7 Hz using a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) along with a standard physiotherapy program. The treatment protocol mirrors the 33 Hz group, except for the vibration frequency.
Duration: 3 minutes per muscle Frequency: 3 times per week Total Treatment Period: 3 weeks Additional Treatment: Standard physiotherapy (TENS, mobility exercises, and strengthening)
干预措施: conventional physiotherapy program (Other)
Vibration Therapy (16.7 Hz) Group
This group will receive vibration therapy at 16.7 Hz using a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) along with a standard physiotherapy program. The treatment protocol mirrors the 33 Hz group, except for the vibration frequency.
Duration: 3 minutes per muscle Frequency: 3 times per week Total Treatment Period: 3 weeks Additional Treatment: Standard physiotherapy (TENS, mobility exercises, and strengthening)
干预措施: a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) (Device)
Vibration Therapy (33 Hz) Group
Participants in this group will receive vibration therapy at 33 Hz using a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) in addition to a standard physiotherapy program. The therapy will target the deltoid, supraspinatus, infraspinatus, and teres minor muscles, applying vibration along the origin-insertion pathway.
Duration: 3 minutes per muscle Frequency: 3 times per week Total Treatment Period: 3 weeks Additional Treatment: Standard physiotherapy (TENS, mobility exercises, and strengthening)
干预措施: a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) (Device)
Vibration Therapy (33 Hz) Group
Participants in this group will receive vibration therapy at 33 Hz using a percussion massage gun (Hypervolt device (Hyperice, CA, USA)) in addition to a standard physiotherapy program. The therapy will target the deltoid, supraspinatus, infraspinatus, and teres minor muscles, applying vibration along the origin-insertion pathway.
Duration: 3 minutes per muscle Frequency: 3 times per week Total Treatment Period: 3 weeks Additional Treatment: Standard physiotherapy (TENS, mobility exercises, and strengthening)
干预措施: conventional physiotherapy program (Other)
结局指标
主要结局
Evaluation of Joint Position Sense
时间窗: 3 weeks
The joint position sense of the participants in the study will be measured using the Fizyosoft Extremity ROM system. Joint position sense will be evaluated in 60-degree shoulder flexion and abduction movements. Participants will be asked to lift their arm to 60 degrees with their eyes open and remember the position. Then, they will be instructed to replicate the same movement with their eyes closed. The shoulder angle will be measured while their eyes are closed. The difference between the open-eye and closed-eye measurements will be recorded as the joint position sense. This method will be applied at 60-degree shoulder flexion and abduction .The average of two trials will consider for data evaluation.
Evaluation of Joint Position Sense
时间窗: 3 weeks
The joint position sense of the participants in the study will be measured using the Fizyosoft Extremity ROM system. Joint position sense will be evaluated in 60-degree shoulder flexion and abduction movements. Participants will be asked to lift their arm to 60 degrees with their eyes open and remember the position. Then, they will be instructed to replicate the same movement with their eyes closed. The shoulder angle will be measured while their eyes are closed. The difference between the open-eye and closed-eye measurements will be recorded as the joint position sense. This method will be applied at 60-degree shoulder flexion and abduction .The average of two trials will consider for data evaluation.
次要结局
- Visual Analogue Scale(3 weeks)
- Disabilities of the Arm, Shoulder, and Hand Questionnaire(3 weeks)
- Assessment of Quality of Life(3 weeks)
- Visual Analogue Scale(3 weeks)
- Range of Motion(3 weeks)
- Disabilities of the Arm, Shoulder, and Hand Questionnaire(3 weeks)
- Assessment of Quality of Life(3 weeks)
研究者
Emre DANSUK
Principal Investigator
Medipol University