Shoulder Muscle Massage Shoulder Stiffness

NCT01022827 | Completed Phase 1 DMC

• 1 other identifier: 200905041R
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators investigated the effect and predictors of effectiveness of massage in the treatment of patients with posterior shoulder stiffness. This is a randomized controlled trial study- massage and control (hand touch) two times a week for 4 weeks. A total of 60 patients with posterior shoulder tightness were randomized into 2 groups; 52 of them completed this study (29 for the massage and 23 for the control). Patient sex, age, body mass index, glenohumeral internal rotation range of motion (ROM), duration of symptom, functional status, and muscle stiffness were recorded. Additionally, for the massage group, patients with glenohumeral internal rotation improvement of 20 degrees after massage were considered responsive, and the others were considered nonresponsive. The influences of the aftermentioned factors on the effectiveness of massage were analyzed by multivariate logistric regression. The overall mean internal rotation ROM increased significantly after massage (from 31.9° to 54.9°; P \< 0.001) compared to the control (from 28.7° to 34.9°; P \> 0.05). There were 22 patients in the responsive group and 7 in the nonresponsive group. Among the factors, duration of symptoms, FLEX-SF score, and posterior deltoid stiffness were significant predictors of effectiveness of massage. Massage was an effective treatment for subjects with posterior shoulder stiffness, but was less effective in patients with longer duration of symptoms, higher functional limitation, and less posterior deltoid stiffness.

Conditions

Massage Effect

Keywords

stiff shoulder; massage; muscle stiffness

Outcome Measures

Primary Outcomes (1)

• Range of Motion

  pre and post-massage

Secondary Outcomes (2)

• muscle stiffness

  pre and post-massage

• functional disability

  pre and post-massage

Study Arms (2)

posterior shoulder stiffness massage group

EXPERIMENTAL

The inclusion criteria of patients with glenohumeral internal rotation limitation and posterior shoulder stiffness were: \[1\] limitation of internal rotation ROM compared to the sound side; \[2\] mild glenohumeral joint hypomobility according to joint play assessment; \[3\] stiffness in the posterior shoulder region.

Other: massage

posterior shoulder stiffness placebo group

PLACEBO COMPARATOR

Other: massage

Interventions

massage OTHER

For the massage group, a physical therapist with 8 years of clinical experience in manual therapy provided the massage on the posterior deltoid, infraspinatus, and teres minor of the involved shoulder for 18 minutes \[about 6 minutes for each muscle and order was random\] two times a week for 4 weeks. The techniques of massage included petrissage for 3 minutes and rolling for 3 minutes of soft tissues

posterior shoulder stiffness massage group; posterior shoulder stiffness placebo group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• a limited ROM of internal rotation (internal rotation ROM \< 20% to the sound side), and
• pain and stiffness in the shoulder region for at least 3 months.

You may not qualify if:

• surgery on the particular shoulder,
• rheumatoid arthritis,
• stroke with residual shoulder involvement,
• fracture of the shoulder complex,
• rotator cuff deficiency, and
• resting pain, intolerable pain, or muscle spasm during active and/or passive motion.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan

Location

Related Publications (1)

• Yang JL, Chen SY, Hsieh CL, Lin JJ. Effects and predictors of shoulder muscle massage for patients with posterior shoulder tightness. BMC Musculoskelet Disord. 2012 Mar 27;13:46. doi: 10.1186/1471-2474-13-46.

  PMID: 22449170 DERIVED

MeSH Terms

Interventions

Massage

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• JIU-JENQ LIN, PhD

  School of Physical Therapy, National Taiwan University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 25, 2009
• First Posted: December 1, 2009
• Study Start: October 1, 2009
• Primary Completion: December 1, 2010
• Study Completion: March 1, 2011
• Last Updated: January 5, 2012

Record last verified: 2011-11

Locations

TW (1)