Shoulder pain
Conditions
Interventions
Intervention study Single-arm, quasi-experimental, self-controlled.The research will have 20 subjects.
The search should take place in two days.
Three evaluations will be carried out: a) first day, i
(B) second day, 48 hours after the initial assessment
and c) immediately after the intervention.
Three evaluators will be performe the assessments: one will carry out the evaluation for the screening of the individuals recruited, another evaluator will
2) verification of TrPMs
3) pain threshold at pressure
4) mobility
and 5) isometric strength of the shoulder in the elevation of the arm in the plane of the scapula, medial and lateral rotation of the shoulder.
For the identify of the trigger points the following pr
Other
E02.779
E02.190.599
Sponsors
Universidade Federal do Rio Grande do Norte
Universidade Federal do Rio Grande do Norte
Eligibility
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Presence of at least one active or latent PGM, on the symptomatic side, in one of the following muscles: upper trapezius, lower trapezius, supraspinatus, infraspinatus, minor pectoris and middle deltoid.The subjects should have a history of unilateral shoulder pain, lasting more than one week, located in the proximal anterolateral region of the shoulder, or in the C5 or C6 dermatome region; Least three of the special tests for SIS diagnosis considered positive: Neer test; Hawkins' test; Jobe's test; Painful arch test; External rotation resistance test; Gerber test and Speed biceps test.
Exclusion criteria
Exclusion criteria: Signs and symptoms of bilateral SIS;Primary adhesive capsulitis; Reproduction of shoulder pain which radiates to the entire upper limb; Numbness or tingling in the upper limb or any other symptom in the upper limb during foraminal compression test; History of symptom onset due to glenohumeral displacement or subluxation; Joint deformation in the glenoid or humeral head; Or fracture of the clavicle, scapula or humerus;History of surgical stabilization or repair of the rotator cuff;Groove test or positive seizure test;Signs of complete rupture of the rotator cuff, as evidenced by the positive fall test; Systemic disease involving joints such as rheumatoid arthritis and systemic lupus erythematosus and fibromyalgia, which involves myofascial tissue;Neurological pathologies; Use of analgesics and muscle relaxants 72 hours before the evaluation;Use of corticoid injection 3 months prior to evaluation;Body mass index (BMI)> 28kg /m2;Symptoms of depression, with score 13 in the Beck Depression Inventory;Be there for a period of 1 month without participating in any program of physiotherapeutic treatment, stretching, strengthening or specific resistance exercises for the upper limbs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected endpoint: increased pain pressure threshold verified from a digital algometer that exceeds the values of minimum detectable change (MMD) to 95% of each muscle: 0.6 kgf / cm2, upper trapezius; 0.88 kgf / cm 2, lower trapezoid; 1.06kgf / cm2, infraespinal; 0.74 kgf / cm 2, medium deltoid. The values were obtained through training prior to the study to perform the isometric strength evaluation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected: decrease in the number of trigger points (active and latent), evaluated by the manual identification of the second rater. ;Expected Outcome: increase in pain-free range of motion, assessed through the digital inclinometer. For minimal detectable change (MDC) at 90%, the following will be considered: minimum clinical change of ADM: 3,4 ° for flexion; 9.29 ° for internal rotation and 16.95 ° for external rotation. The values of MDC were obtained through training training prior to the study to perform the isometric strength assessment. ;Expected outcome: increased isometric force of scapular flexion, external rotation and internal rotation. For the minimum detected change (MDC) at 90%, it will be considered: internal rotation of 21.57; external rotation of 15.54; and scapular flexion of 12.78. The values of MDC were obtained through training training prior to the study to perform the isometric strength assessment. | — |
Countries
Brazil
Contacts
Public ContactJose Diego Nascimento
Universidade Federal do Rio Grande do Norte
Outcome results
None listed