Shoulder Pain
Conditions
Brief summary
A convenience sample of subjects with RCRSP recruited through announcements at the Benemerita Universidad Autonoma de Puebla will be treated with an exercise program with sham or real manual therapy for 5 weeks. The hypothesis of the present study is that the addition of manual therapy to a therapeutic exercise program produces better benefits in comparison to the same exercise program with sham manual therapy procedures in the management of patients with RCRSP.
Detailed description
The objective of this study is to demonstrate that the combination of manual therapy and therapeutic exercise achieves better results in the management of the patient with shoulder pain. For this, manual therapy techniques in the thoracic region and in the shoulder together with a therapeutic exercise program will be applied. The investigators will compare this intervention protocol with placebo manual therapy techniques and the same therapeutic exercise protocol.
Interventions
OTHERManual therapy thoracic spine
Manual therapy mobilization directed to the costovertebral joint.
OTHERManual therapy glenohumeral joint
Manual therapy mobilization directed to the glenohumeral joint.
OTHERSham thoracic manual therapy
Sham manual therapy directed to the costovertebral joint.
OTHERSham glenohumeral manual therapy
Sham manual therapy directed to the glenohumeral joint.
OTHERTherapeutic exercise
Therapeutic exercise program consisting on isometric exercise with progressive load.
Sponsors
University of Alcala
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* unilateral shoulder pain of non-traumatic origing lasting more than three months. * Pain evoked with active shoulder movements. * Pain and weakness evoked with manual muscle strength tests for abduction and/or external rotation. * Minimal or no rest pain (less than 3 points in a numeric pain rating scale).
Exclusion criteria
* Other shoulder pathologies than RCRSP. * Systemic diseases. * Neural symptoms. * Neck pain. * Radiculopathy. * To have been treated for shoulder pain in the last three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain and Disability Index (SPADI) | Change from Baseline at 17- week | The SPADI points from 0 (no disability) to 130 (maximum degree of disability) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity measured with a visual analogue scale | Change from Baseline at 17-week | 10-cm scale where 0 is no pain and 10 is the worst pain imaginable |
| Pain-free range of movement of the shoulder | Change from Baseline at 17-week | Flexion, extension, abduction, internal rotation and external rotation measured with a two-arm goniometer |
Countries
Spain
Outcome results
None listed