Myofascial Release in Shoulder Pathologies

Rotator Cuff Injuries Clinical Trial

Official title:

Effectiveness of Myofascial Release in Pathologies of the Shoulder

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04944446
• Other study ID #: InesCarmona
• Status: Completed
• Phase: N/A
• Start date: September 15, 2018
• Est. completion date: January 15, 2021

Study information

• Verified date: June 2021
• Source: University of Cadiz
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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),

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: January 15, 2021
• Est. primary completion date: September 5, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 80 Years

Eligibility

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.

Related Conditions & MeSH terms

• Humeral Fractures
• Humerus Fracture
• Rotator Cuff Injuries

Intervention

Other:
• Treatment
Myofascial release of various muscle groups Treatment of mobilization of the shoulder joint

Locations

Country	Name	City	State
Spain	Faculty of Nursing and Physiotherapy. University of Cadiz	Cádiz

Sponsors (1)

Lead Sponsor	Collaborator
University of Cadiz

Country where clinical trial is conducted

Spain, 

References & Publications (5)

Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015 Jan;19(1):102-12. doi: 10.1016/j.jbmt.2014.06.001. Epub 2014 Jun 13. Review. — View Citation

Ajimsha MS, Chithra S, Thulasyammal RP. Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Arch Phys Med Rehabil. 2012 Apr;93(4):604-9. doi: 10.1016/j.apmr.2011.10.012. Epub 2012 Jan 10. — View Citation

Castro-Martín E, Ortiz-Comino L, Gallart-Aragón T, Esteban-Moreno B, Arroyo-Morales M, Galiano-Castillo N. Myofascial Induction Effects on Neck-Shoulder Pain in Breast Cancer Survivors: Randomized, Single-Blind, Placebo-Controlled Crossover Design. Arch P — View Citation

Castro-Sánchez AM, Matarán-Peñarrocha GA, Granero-Molina J, Aguilera-Manrique G, Quesada-Rubio JM, Moreno-Lorenzo C. Benefits of massage-myofascial release therapy on pain, anxiety, quality of sleep, depression, and quality of life in patients with fibrom — View Citation

Rodríguez-Fuentes I, De Toro FJ, Rodríguez-Fuentes G, de Oliveira IM, Meijide-Faílde R, Fuentes-Boquete IM. Myofascial Release Therapy in the Treatment of Occupational Mechanical Neck Pain: A Randomized Parallel Group Study. Am J Phys Med Rehabil. 2016 Ju — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Functional capacity	Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome	Baseline
Primary	Shoulder joint mobility	Goniometer Records	Baseline
Primary	Degree of pain	Visual Analog Scale. Minimum: 0 Maximum: 10. Higher scores mean a worse outcome	Baseline
Primary	Functional capacity	Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome	Change from Baseline at 4 weeks
Primary	Shoulder joint mobility	Goniometer Records	Change from Baseline at 4 weeks
Primary	Degree of pain	Visual Analog Scale	Change from Baseline at 4 weeks
Secondary	Pathology of access to the study	Suture of the rotator cuff or fracture of the proximal limb of the humerus	Baseline
Secondary	Age	Years	Baseline
Secondary	Sex	Man or woman	Baseline