Shoulder pain. Pain in shoulder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Presence of shoulder pain for at least three months Existence of trigger points with three characteristics: 1. Existence of a palpable knot in the skeletal muscle band.2. Existence of excessive points Irritable in taut band 3. Patients who report local or referred pain after mechanical stimulation of trigger points. (with the difference that latent trigger points become painful only after mechanical stimulation and active points even without stimulation. It is a mechanism that causes myofascial pain ) The presence of at least one trigger point in two of the four rotator cuff muscles
Exclusion criteria
Exclusion criteria: History of shoulder and neck surgery Instability of the glenohumeral joint and serious diseases related to the joint of cervical vertebrae, ang glenohumeral joint History of corticosteroid injections or local anesthetics in the past year Symptoms indicating systemic disorders History of any physiotherapy in the last 3 months History of diagnosis or medical reports about the presence of myopathy and neuropathy Cognitive problems Patients with any limitations in dry needling treatment (fear of needles, patient dissatisfaction, lymphoedema, Acute and emergency conditions, patients with coagulation problems, immune system disorders, vascular problems, diabetes, epilepsy, allergy to metals, patients with mental disorders, use of anticoagulants) Use of anti-platelet, anti-coagulant, anti-pain and anti-inflammatory drugs in the last three months Cardiovascular, rheumatoid, and neurological problems History of rotator cuff tears
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stability of shoulder. Timepoint: Before the intervention, after the end of the treatment and one week after the end of the treatment as a follow-up. Method of measurement: Closed Kinetic Chain Upper Extremity Stability Test.;Upper extremity function. Timepoint: Before the intervention, after the end of the treatment and one week after the end of the treatment as a follow-up. Method of measurement: Quick Disabilities of Arm, Shoulder & Hand questionnaire.;Grip strenght. Timepoint: Before the intervention, after the end of the treatment and one week after the end of the treatment as a follow-up. Method of measurement: Dynamometer device.;Shoulder pain. Timepoint: Before the intervention, after the end of the treatment and one week after the end of the treatment as a follow-up. Method of measurement: Visual Analogue Scale.;The strength of internal and external rotators of the shoulder joint. Timepoint: Before the intervention, after the end of the treatment and one week after the end of the treatment as a follow-up. Method of measurement: Dynamometer device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shiraz University of Medical Sciences