Humerus Fracture, Rotator Cuff Injuries
Conditions
Keywords
Shoulder, Pathology, Myofascial release, Clinical trial
Brief summary
Shoulder pathology has a high prevalence in the field of musculoskeletal diagnoses, as well as being a common etiology in cases of disability. Passive and active-assisted kinesitherapy are used in the physiotherapy protocol. These techniques sometimes lead to feedback of fear and increased sensation of pain on the part of the patient that can slow or hinder the optimal recovery. A randomized clinical trial is intended to demonstrate that techniques for myofascial release of muscles important in the biomechanics of the shoulder, it is more effective than kinesitherapy in improving myofascial and also by eliminating the aforementioned unwanted effects and, therefore, improving the recovery of these processes.
Detailed description
The purpose of this study was to compare the efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization. Design Prospective, single-blind randomized controlled trial. Setting Inpatient department of a secondary university hospital. Participants Shoulder pain patients (N=44) were consecutively recruited and randomly assigned to an intervention or control group. Interventions Patients were randomly assigned to a Control Group, to which conventional kinesitherapy was applied, or to the intervention group to which a Myofascial therapy protocol was applied. Both groups completed a therapeutic exercise program based on specific mobilization and strengthening exercises. Main Outcome Measures The QuickDash questionnaire was the primary outcome, visual analog scale and the passive range of motion of the shoulder joint, grades were the secondary outcomes. The outcomes were evaluated at baseline (T0) and at 4 (T2),
Interventions
OTHERTreatment
Myofascial release of various muscle groups Treatment of mobilization of the shoulder joint
Sponsors
University of Cadiz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Double (Participant, Outcomes Assessor) external evaluator
Intervention model description
Randomized controlled longitudinal experimental study
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Be between 20 and 80 years old. * Patients who have been immobilized due to the following diagnoses: Suture of the rotator cuff or fracture of the proximal extremity of the humerus. * Have signed the informed consent of acceptance in the participation of the study
Exclusion criteria
* Present neurological pathology. * Be subdued corticoid therapy. * Have anticoagulant treatment or have had it less than a month ago. * Insulin-dependent diabetic patients. * Patients with hemophilia. * Having diagnosed a psychological or psychiatric pathology. * Non-intervened displaced humerus fractures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional capacity | Baseline | Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome |
| Shoulder joint mobility | Baseline | Goniometer Records |
| Degree of pain | Baseline | Visual Analog Scale. Minimum: 0 Maximum: 10. Higher scores mean a worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pathology of access to the study | Baseline | Suture of the rotator cuff or fracture of the proximal limb of the humerus |
| Age | Baseline | Years |
| Sex | Baseline | Man or woman |
Countries
Spain
Outcome results
None listed