Muscle Stiffness
Conditions
Keywords
shoulder, muscle stiffness, shoulder physical activity, range of motion, joint mobility
Brief summary
First, the purpose of the first year study will examine the joint capsule/muscular and shoulder physical activity hypotheses related to ROM deficits as well as functional disability in subjects with Stiff shoulders. Second, the purpose of the second and third year study will investigate the long-term effect of 12-week joint mobilization, 12-week joint mobilization plus soft tissue mobilization/massage, and 12-week joint mobilization plus soft tissue mobilization/massage with appropriate shoulder physical activity guide on subjects with Stiff shoulders. Subjects: First year: thirty subjects with Stiff shoulders will be recruited. Second and third years: forty-five subjects with Stiff shoulders for one year follow-up. Methods: For the measurement outcomes; functional disability, rotation range of motion, joint mobility, muscle stiffness, and shoulder physical activity will be measured by self-reported Flexi-level Scale of Shoulder Function or performance-based motion analysis, goniometer, uni-axis load cell and electromagnetic tracking sensor, myotonometer, and accelerometers, respectively.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* \[1\] a limited ROM of flexion, abduction, and rotation (ROM \< 20% to the sound side); and \[2\] pain and stiffness in the shoulder region for at least 3 months.
Exclusion criteria
* surgery on the particular shoulder, \[2\] rheumatoid arthritis, \[3\] stroke with residual shoulder involvement, \[4\] fracture of the shoulder complex, \[5\] rotator cuff deficiency, and \[6\] resting pain, intolerable pain, or muscle spasm during active and/or passive motion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| shoulder physical activity | right after 12-week treatment | analysis by RT3(shoulder activity measurement device) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle stiffness | right after 12-week treatment | analysis by myotonometer(muscle stiffness measurement device) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Joint play assessment | right after 12-week treatment | joint play scale measured by physical therapist |
Countries
Taiwan