Fascial Release After Arthroscopic Rotator Cuff Repair

Rotator Cuff Tears Clinical Trial

Official title:

The Effect of Fascial Release on Pain, Range of Motion and Functionality After Arthroscopic Rotator Cuff Repair

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06088667
• Other study ID #: Karabuk University 78
• Status: Recruiting
• Phase: N/A
• Start date: July 15, 2023
• Est. completion date: July 30, 2024

Study information

• Verified date: June 2024
• Source: Karabuk University
• Contact: Musa Günes, MsC
• Phone: 05315132482
• Email: musagunes[@]karabuk.edu.tr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Instrument-assisted soft tissue mobilization (IASTM) is a popular treatment method that can be used for myofascial restriction and fascial release. IASTM is used to reduce pain in the area where the pathology is located, increase range of motion (ROM), improve movement function and provide a mobilizing effect. When the literature was examined, no study was found examining the effectiveness of the IASTM technique, which is known to require less effort and stimulate healing compared to manual interventions, in the rehabilitation period after rotator cuff arthroscopic surgery. Therefore, our study aimed to examine the effects of instrument-assisted fascial mobilization given in addition to conventional rehabilitation on long-term pain, function, joint range of motion, fear of movement, and daily living activities in patients who have passed 4 weeks after rotator cuff arthroscopic surgery and are candidates for rehabilitation.

Description:

Rotator cuff (RC) rupture causes shoulder pain, muscle weakness, and decreased shoulder range of motion (ROM). Additionally, fear of movement develops due to shoulder pain, affecting ROM and function. Treatment of RC rupture is initially conservative. In cases where conservative treatment is inadequate, surgical option is preferred. Open, mini-open and arthroscopic repair can be used in surgery. In recent years, arthroscopic repair has been mostly preferred because it causes less pain than other surgical options, has a shorter hospital stay, and does not cause complications. A postoperative rehabilitation program is a crucial component of surgical success. The aim of this program is to reduce pain, increase ROM, and improve patients' functional level and activities of daily living. The postoperative rehabilitation program includes electrophysical agents, manual therapy and exercise.Surgery-related inflammation may restrict fascial tissue. Inflammation changes the mechanical properties of connective tissue, causing adhesions and eventually leading to stiffness. Thus, the slip between fascial surfaces decreases and, accordingly, ROM and function decrease.

Instrument Assisted Soft Tissue Mobilization (IASTM) is used for myofascial restriction and fascial release. IASTM is used to reduce pain in the area where the pathology is located, increase range of motion (ROM), improve movement function and provide a mobilizing effect. However, it is noteworthy that there is a lack of studies examining the long-term effectiveness of fascial mobilization in shoulder pathologies. When the literature was examined, no study was found examining the effectiveness of the IASTM technique, which is known to require less effort and stimulate healing compared to manual interventions, in the rehabilitation period after rotator cuff arthroscopic surgery. Therefore, our study aimed to examine the effects of instrument-assisted fascial mobilization given in addition to conventional rehabilitation on long-term pain, function, range of motion, fear of movement, and daily living activities in patients 4 weeks after rotator cuff arthroscopic surgery.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 34
• Est. completion date: July 30, 2024
• Est. primary completion date: July 15, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Age over 18 years old

• 4 weeks have passed since arthroscopic rotator cuff repair

Exclusion Criteria:

• cervical discopathy,

• shoulder osteoarthritis

• fracture or tumor of the upper extremity,

• adhesive capsulitis,

• shoulder instability,

• thoracic outlet syndrome and

• patients with neurological or mental problems.

• Non-voluntary patients

Related Conditions & MeSH terms

• Rotator Cuff Injuries
• Rotator Cuff Tears

Intervention

Other:
• Fascial mobilization group
In addition to the rehabilitation given to the control group, the fascial release group will be treated with the Graston device to the superficial and deep fascia of the neck and shoulder muscles, biceps and triceps brachii muscles and forearm compartments for 4 weeks.

Locations

Country	Name	City	State
Turkey	Karabuk University, Physiotherapy and Rehabilitation Application and Research Center	Karabük

Sponsors (1)

Lead Sponsor	Collaborator
Karabuk University

Country where clinical trial is conducted

Turkey, 

References & Publications (3)

Coban T, Demirdel E, Yildirim NU, Deveci A. The investigation of acute effects of fascial release technique in patients with arthroscopic rotator cuff repair: A randomized controlled trial. Complement Ther Clin Pract. 2022 Aug;48:101573. doi: 10.1016/j.ct — View Citation

Nikolaidou O, Migkou S, Karampalis C. Rehabilitation after Rotator Cuff Repair. Open Orthop J. 2017 Feb 28;11:154-162. doi: 10.2174/1874325001711010154. eCollection 2017. — View Citation

Pegreffi F, Paladini P, Campi F, Porcellini G. Conservative management of rotator cuff tear. Sports Med Arthrosc Rev. 2011 Dec;19(4):348-53. doi: 10.1097/JSA.0b013e3182148dc6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain severity	Visuel analog scale will be used to evaluate individuals' shoulder pain level.	baseline and 4 weeks post-intervention
Secondary	Range of motion	Joint range of motion will be assessed using a universal goniometer	baseline and 4 weeks post-intervention
Secondary	Kinesiophobia	The Tampa Kinesiophobia Scale (TSK) will be used to measure individuals' fear of movement/reinjury.	baseline and 4 weeks post-intervention
Secondary	Functional level	The Shoulder Pain and Disability Index (SPADI) will be used to evaluate functional disability.	baseline and 4 weeks post-intervention
Secondary	Activities of Daily Living	The Disabilities of the Arm, Shoulder and Hand Scale will be used to evaluate acitivities of daily living.	baseline and 4 weeks post-intervention