Cuff Rotator Syndrome
Conditions
Brief summary
The purpose is to evaluate the effectiveness of fascial manipulation treatment in terms to reduce pain and improve physical functionality after rotator's cuff surgery. The technique involves deep friction manipulation of fascia's specific spots. Distant from surgical site.
Detailed description
To evaluate the effectiveness of fascial manipulation treatment associated with standard physiotherapies treatment in rotator's cuff surgery patients, we'll randomize about 60 patients for arm's of study. Both arm's will receive 10 standard physiotherapies treatments in 2 weeks while the experimental arm will receive 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration. To evaluate the effectiveness of fascial manipulation treatment we'll use 2 type of outcome measure and we will compare the result of both arms of study.
Interventions
OTHERfascial manipulation
• 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration.
OTHERstandard physiotherapies treatment
10 standard treatments in 2 weeks * Deltoid and infraspinatus muscles electrotherapy * Chair for passive continue mobilization at allowed range of motion (ROM). ½ h per day * Scar massage * Upper limb, cervical spine and scapula massages * Passive and assisted/active shoulder mobilization exercises * Scapula micro-mobilizations * Gleno-humeral decoaptation * Elbow, wrist and hand active mobilization * Proprioceptive exercise with and without the aid of the mirror
Sponsors
Istituto Ortopedico Rizzoli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Rotator's cuff surgery patients that have been operated within the past 4/5 weeks * Age between 18 to 65 years old
Exclusion criteria
* Patients with traumatic shoulder's injury that involved bone's fractures. * Severe underlying pathologies like rheumatic, neurological and cardio pathologies that affect the correct shoulder treatment * Patients on anticoagulant treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue scale (VAS)mean | Change from baseline in pain at the end of the rehabilitation cycle (two weeks) | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with follow up (30 days from surgery) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Constant Murley score | Change from baseline in range of motion at the end of the rehabilitation cycle (two weeks) | Constant Murley score for range of motion and shoulder function assessment. |
Countries
Italy
Outcome results
None listed