None listed
Conditions
Brief summary
The main purpose of the trial is to verify the effectiveness of the thoracic diaphragm streching technique in shoulder pain. And its hypothesis are: pain reduction in active movement (measured by VAS); increase of active mobility (measured by goniometry); increase of pain threshold by pressing the following trigger points: medial supraspinatus, upper medial infraspinatus and central levator escapula (measured by algometry).
Interventions
The technique used in the intervention consists in stretching the muscular fibres of the thoracic diaphragm. The patient lies on a stretcher in supine position with the legs bent and together, the soles of the feet leaning on the stretcher, the arms relaxed in parallel with the body and a little pillow under the head (it improves patient's comfort). The physiotherapist stands at the head of the stretcher in a front stance looking towards the feet of the patient. The contact is made using both ha
The technique used in the intervention consists in stretching the muscular fibres of the thoracic diaphragm. The patient lies on a stretcher in supine position with the legs bent and together, the soles of the feet leaning on the stretcher, the arms relaxed in parallel with the body and a little pillow under the head (it improves patient's comfort). The physiotherapist stands at the head of the stretcher in a front stance looking towards the feet of the patient. The contact is made using both hands with the pisiform bone and the cubital edge of the fingers (2nd to 5th) on the side edge comprising the common cartilage between the 7th and the 10th rib and facing the forearm towards the corresponding shoulder of the patient. Swinging both hands to penetrate the internal area of the side cartilage and the ribs. The physioterapist makes a cephalic traction using his hands and the weight of his body while the patient inhales. The traction is held while the patient exhales in order to maintain the side position and avoid the descent of the ribs. The technique is carried out in a single session, making a succession of 10 breathing cycles (each cycle consists of one inhalation phase and one exhalation phase).
Sponsors
Jorge Rodriguez Jimenez
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
-Subjects from 18 to 70 years. Both male and female. -Pain during movement and lack of mobility in one or both of the shoulders. -Voluntary participation. -Signature of informed consent. -Not fulfilling any of the exclusion criteria.
Exclusion criteria
-Subjects under 18 and over 70 years. -Patient situations with contraindications to intervention: neurological pathologies (paraplegia, tetraplegia, Parkinson's Disease, Alzheimer's Disease...), rheumatic diseases, fever, upper limb and rib fracture in recovery phase, tumoral process whether in trunk or in an upper limb, aortic aneurysm, radicular cervicobrachial pain. -Subjects who are unable to bear the technique due to hypersensitivity in the abdominal region. -Subjects who are unable to maintain the posture in order to execute the evaluation or the intervention. -Subjects who have received osteopathic treatment in the last 3 weeks. -Subjects who have received analgesics or anti-inflamatory drugs in the last 12 hours.
Outcome results
None listed