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Completed

NCT Number: NCT04944446

Myofascial Release in Shoulder Pathologies

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.

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Key information

Age range

20 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Nursing and Physiotherapy. University of Cadiz

Cadiz, 11008, Spain

About this study

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),

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Treatment

Other

Myofascial release of various muscle groups Treatment of mobilization of the shoulder joint

Primary outcomes

  1. Functional capacity

    Time frame: Baseline

    Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome

  2. Shoulder joint mobility

    Time frame: Baseline

    Goniometer Records

  3. Degree of pain

    Time frame: Baseline

    Visual Analog Scale. Minimum: 0 Maximum: 10. Higher scores mean a worse outcome

  4. Functional capacity

    Time frame: Change from Baseline at 4 weeks

    Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome

  5. Shoulder joint mobility

    Time frame: Change from Baseline at 4 weeks

    Goniometer Records

  6. Degree of pain

    Time frame: Change from Baseline at 4 weeks

    Visual Analog Scale

Secondary outcomes

  1. Pathology of access to the study

    Time frame: Baseline

    Suture of the rotator cuff or fracture of the proximal limb of the humerus

  2. Age

    Time frame: Baseline

    Years

  3. Sex

    Time frame: Baseline

    Man or woman

Sponsors and collaborators

Lead sponsor

University of Cadiz

Other

Registry information

Official study title

Effectiveness of Myofascial Release in Pathologies of the Shoulder

Important dates

Study start
2018
Primary completion
2020
Study completion
2021
First posted
Jun 29, 2021
Registry last updated
Jun 29, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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