Tendinopathy
Conditions
Interventions
Articular Mobilization Group (AMG, 20 participants), which will receive joint mobilizations of glenohumeral and scapula, with 3 sets, 10 repetitions. Articular Mobilization and Ischemic Compression G
however, adding the placebo of the technique of ischemic compression on the trigger points of the upper trapezius muscle, with the finger only resting on the subject's skin (without pressure) by the s
E02.190.599
Sponsors
Universidade Federal de São Carlos
Universidade Federal de São Carlos
Eligibility
Age
25 Years to 65 Years
Inclusion criteria
Inclusion criteria: Rotator cuff tendinopathy diagnosed by ultrasonography; present presence of non-homogeneity or partial injury of the supraspinatus tendon; both sexes; aged 25 to 65 years; have unilateral shoulder pain for at least 3 months; to present a positive result for 3 special shoulder tests of a set of 5 tests such as Neer test, Hawkins test, painfull arc test, Jobe or Empty Test, and external rotation resistance test; not be using anti-inflammatory medication for at least 1 month; not being in physiotherapeutic treatment; present upper trapezius pain in the symptomatic shoulder; as well as present 1 or more active trigger points on the symptomatic shoulder; present shoulder pain equal to or greater than 3 in resting vicsual analogic scale
Exclusion criteria
Exclusion criteria: Complete rotator cuff injury; have undergone surgical intervention on the shoulders; adhesive capsulitis; fibromyalgia; hematoma present in the area to be treated with capillary fragility; glenohumeral instability; pain in the cervical region; cervical radiculopathy; recent tissue repairs; unconsolidated fracture at the site to be treated; history of surgery or trauma to the spine; history of cancer; athletes who perform the sport gesture with the upper limb above the head; present neurological disease; visual and or auditory deficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess pain decreased using the visual analogue scale (pre-intervention, after 6 weeks of treatment and 1-month follow-up), with mean and standard deviation (até 2,68). It will be considered a clinically important improvement if it reaches 1.4 cm on the visual analogue scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assess the increase range of motion (ROM) of abduction in scapular plan the pre and post 6-week intervention and 1-month follow-up, with the digital inclinometer, showing the values in degrees;To evaluate the increase functionality of the upper limb pre, after 6 weeks intervention and at 1 month follow-up, with the DASH questionnaire, presenting the score.;To analyze the decreased muscular activation of the upper trapezius, middle trapezius, lower trapezius, anterior serratus and anterior deltoid muscles in the movement of arm elevation in the scapular plane before and after 6-week intervention and 1-month follow-up; with electromyography, presenting values in RMS (root mean square).;To identify the increase pain pressure threshold of upper trapezius muscle before and after 6-week intervention and 1-month follow-up using the digital algometer, presenting the average value (kg /cm2) ;To analyze the decrease in area, increase percentage of blood flow and hypoechoic region of the trigger points of the superior trapezius muscle before and after intervention of 6 weeks and in the follow-up of 1 month with the use of image ultrasound determining the area in cm2 and percentage of blood flow | — |
Countries
Brazil
Contacts
Public ContactAlyssa Silva
Universidade Federal de São Carlos
Outcome results
None listed