Massage in Treating Painful Shoulder

Pain Clinical Trial

Official title:

Comparison of the Effectiveness of Massage Based on the Tensegrity Rule and Classical Massage in Treating Painful Shoulder

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01307826
• Other study ID #: 27022011KASS
• Status: Completed
• Phase: N/A
• First received: March 2, 2011
• Last updated: March 2, 2011
• Start date: January 2008
• Est. completion date: September 2010

Study information

• Verified date: September 2010
• Source: University School of Physical Education in Wroclaw
• Contact: n/a
• Is FDA regulated: No
• Health authority: POLAND: University School of Physical Education in Wroclaw
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to compare classical massage and massage based on the tensegrity rule in treating people with painful shoulder.

Description:

The joint system of the shoulder girdle is exposed to frequent overloading, which can cause painful shoulder. The therapeutic methods applied in the treatment of painful shoulder syndrome include among others oral pharmacotherapy, joint injections, kinesitherapy, ultrasound, electrotherapy, laser. Manual therapy, chiropractic and surgery could also be used. Attempts have also been made to apply classical massage in treating painful shoulder, although it is not often used due to its low effectiveness.This study compares classical massage and massage based on the tensegrity rule which is not commonly known.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 0
• Est. completion date: September 2010
• Est. primary completion date: June 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• painful shoulder syndrome

Exclusion Criteria:

• acute pain

• previous bones fracture

• bone relocations in the area of the shoulder girdle

• neck spondylosis

• hemiparesis

• rheumatoid arthritis

• any neurological symptoms

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Frozen Shoulder
• Pain
• Shoulder Pain
• Shoulder Pain Syndrome

Intervention

Other:
• massage
session - 20 minutes. Before the massage, palpable evaluation of the selected anatomical structures was carried out - to determine which tissues have the greatest sensitivity and which motor organs show increased tension (by pressing the attachment). In all the examined patients, pain of the following muscle attachments were shown: latissimus muscle of the back major pectoral muscle supraspinous and infraspinous muscles teres minor muscle serratus anterior muscle deltoid muscle The decision which muscles and fascias have to be massaged was made on the basis of the performed evaluation. In most cases the above mentioned tissues (together with other motor system organs which are structurally linked to it) were massaged to relax them. A palpable evaluation of the previously examined points was again performed during the final part, with particular attention paid to painful muscles, in order to analyze the effectiveness of the performed relaxation.
• massage
classical massage (Swedish massage)

Locations

Country	Name	City	State
Poland	University School of Physical Education in Wroclaw	Wroclaw	Wroclaw destrict

Sponsors (1)

Lead Sponsor	Collaborator
University School of Physical Education in Wroclaw

Country where clinical trial is conducted

Poland, 

References & Publications (14)

Andrews JR. Diagnosis and treatment of chronic painful shoulder: review of nonsurgical interventions. Arthroscopy. 2005 Mar;21(3):333-47. Review. — View Citation

Brox JI. Regional musculoskeletal conditions: shoulder pain. Best Pract Res Clin Rheumatol. 2003 Feb;17(1):33-56. Review. — View Citation

Bunker TD, Anthony PP. The pathology of frozen shoulder. A Dupuytren-like disease. J Bone Joint Surg Br. 1995 Sep;77(5):677-83. — View Citation

Bunker TD, Frozen shoulder. Current Orthopaedics 12:193-201, 1998.

Chen CS, Ingber DE. Tensegrity and mechanoregulation: from skeleton to cytoskeleton. Osteoarthritis Cartilage. 1999 Jan;7(1):81-94. Review. — View Citation

Hand C, Clipsham K, Rees JL, Carr AJ. Long-term outcome of frozen shoulder. J Shoulder Elbow Surg. 2008 Mar-Apr;17(2):231-6. Epub 2007 Nov 12. — View Citation

Ingber DE. Opposing views on tensegrity as a structural framework for understanding cell mechanics. J Appl Physiol (1985). 2000 Oct;89(4):1663-70. — View Citation

Ingber DE. Tensegrity and mechanotransduction. J Bodyw Mov Ther. 2008 Jul;12(3):198-200. doi: 10.1016/j.jbmt.2008.04.038. Epub 2008 Jun 16. — View Citation

May S, Greasley A, Reeve S, Withers S. Expert therapists use specific clinical reasoning processes in the assessment and management of patients with shoulder pain: a qualitative study. Aust J Physiother. 2008;54(4):261-6. — View Citation

McMahon PJ, Sallis RE. The painful shoulder. Zeroing in on the most common causes. Postgrad Med. 1999 Dec;106(7):36-8, 41-3, 47-9. — View Citation

Myers TW, Anatomy Trains, Myofascial Meridians for Manual and Movement Therapists. Churchill Livingstone: Edinburgh; 2009.

Stevenson K. Evidence-based review of shoulder pain. Musculoskeletal Care. 2006 Dec;4(4):233-9. Review. — View Citation

Wies J, Treatment of eight patients with frozen shoulder: a case study series. Journal of Bodywork and Movement Therapies 9:58-64, 2004.

Yamada T, Richiert D, Tumminia SJ, Russell P. The tensegrity model applied to the lens: a hypothesis for the presence of the fiber cell ball and sockets. Med Hypotheses. 2000 Jul;55(1):36-9. — View Citation

* Note: There are 14 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	mobility measurement	To assess massage effectiveness, mobility measurements were conducted in each patient. Both were conducted three times	immediately before the first massage session - Test 1, on the day the therapy ended - Test 2 - two weeks after therapy started, and one month after the last massage - Test 3	No
Secondary	McGill Pain Questionnaire (SF-MPQ)	To assess massage effectiveness, McGill Pain Questionnaire (SF-MPQ) were conducted in each patient.	immediately before the first massage session - Test 1, on the day the therapy ended - Test 2 - two weeks after therapy started, and one month after the last massage - Test 3	No