Subacromial Impingement Syndrome Clinical Trial
Official title:
Effectiveness of the Stretching of the Teres Major in Patients Suffering From Subacromial Syndrome
The shoulder stability has always been related to the rotator cuff complex, although more and
more is contemplated the Teres Major muscle and its affectation in the shape of the trigger
points within this pathology. As non-invasive measures for the deactivation of these
myofascial points, Travell and Simons recommended the pressure maintained along with muscular
stretch.
Stretching are usually a technique widely used in our practice as physiotherapists and it is
necessary to study its effects in the clinic. As an objective we plan to compare the effect
of passive stretching in short lever according to the Orthopaedic Manual Therapy concept if
it produces better result in the pain, the rank of movement and in the Function, with the
effect of stretching by means of a long lever in affected patients of subacromial syndrome.
This is a randomized controlled study with blind evaluator approved by the Ethical Committee
of the Institut d'Investigació en atenció Primaria Jordi Gol.
After checking the inclusion and exclusion criteria, you will be asked, voluntarily, that the
patient sign informed consent. The variables will then be valued independent and dependent on
the study. It will randomly be assigned to one of the three groups in the study. The 3 groups
receive the protocolized treatment for the service they consist of In superficial
thermotherapy, an educational talk and kinesitherapy. The intervention groups will receive
alternate days, with a total of six sessions, the stretch corresponding to the group to which
they have been assigned.
In the case of the Long Lever Group, the intervention consists in a rotary stretch through
the humerus as a mobile point. And in the case of the Short Lever Group a stretch of
translocation through the scapula as a mobile point.
The main variables used will be: age, side effects, habits involving the shoulder, pain
intensity, pain threshold at pressure and function, among others. The dependent variables
will be measured: pain intensity by means of Analogue Scale Visual, the function through the
Constant-Murley test, the Movement Range with Goniometer and the Pressure Threshold Pain with
a pressure gauge brand Stech.
n/a
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