Shoulder Pain
Conditions
Keywords
dry needling, trigger point, eccentric exercise
Brief summary
Shoulder pain is highly prevalent in the society. The role of muscle tissues in this pathology has received increasing interest. Some studies have proposed the role of myofascial trigger points in this population. The purpose of the current clinical trial is to compare the effects of physiotherapy treatment consisting of an eccentric exercise protocol versus the same physical therapy program plus the addition of trigger point dry needling (TrP-DN) on pain and function in patients suffering from unspecific shoulder pain.
Interventions
OTHERexercise program
Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks.
OTHERTrP-DN
In addition, within the second and fourth sessions, they will receive TrP-DN over active TrPs in the shoulder muscles
Sponsors
Hospital General Universitario Gregorio Marañon
Universidad Rey Juan Carlos
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral non-traumatic shoulder pain * Shoulder pain from at least 3 months * Shoulder pain of more than 4 points on a NPRS
Exclusion criteria
* bilateral shoulder symptoms * younger than 18 or older than 65 years * history of shoulder fractures or dislocation * cervical radiculopathy * previous interventions with steroid injections * fibromyalgia syndrome * previous history of shoulder or neck surgery * any type of intervention for the neck-shoulder area during the previous year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in disability between baseline and follow-up periods | Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention | The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in shoulder pain between baseline and follow-up periods | Baseline, one week after the last intervention and 3, 6 and 12 months after the intervention | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of shoulder pain and the worst level of pain experienced in the preceding week in the shoulder area. |
Countries
Spain
Outcome results
None listed