Manual Therapy in Chronic Shoulder Pain Treatment

NCT03416556 | Completed

• 1 other identifier: H1496053548524
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Passive oscillatory mobilizations are often employed by physiotherapists to reduce shoulder pain and increase function. However, there is little data about the neurophysiological effects of these mobilizations. Objectives: To investigate the initial effects of an anteroposterior (AP) shoulder joint mobilization on measures of pain and function in overhead athletes with chronic shoulder pain.

Conditions

Shoulder Pain

Outcome Measures

Primary Outcomes (1)

• Self-reported shoulder pain

  Participants were asked to indicate the intensity of their current shoulder pain using a numeric rating pain scale (NRPS). In this scale, 0 is not pain and 10 is the worse pain possible

  Change from Baseline at 5 minutes after intervention

Secondary Outcomes (4)

• Shoulder disability

  Change from Baseline at 24 hours after treatment

• Shoulder range of movement (ROM)

  Change from Baseline at and 5 minutes after treatment

• Shoulder muscles strength

  Change from Baseline at 5 minutes after treatment

• Pressure pain threshold (PPT)

  Change from Baseline at 5 minutes after treatment

Study Arms (3)

Mobilization to the glenohumeral joint

EXPERIMENTAL

This condition consisted on the application of a passive rhythmic AP mobilization to the glenohumeral joint of the affected shoulder

Procedure: Mobilization to the glenohumeral joint

The manual contact condition

SHAM COMPARATOR

In this condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition.

Procedure: The manual contact condition; Other: No-contact condition

No-contact condition

NO INTERVENTION

There was no manual contact between the therapist and the participant

Interventions

Mobilization to the glenohumeral joint PROCEDURE

The treatment condition consisted on the application of a passive rhythmic AP mobilization to the glenohumeral joint of the affected shoulder. In particular, a Grade III AP glide to the humeral head with the arm positioned in 90º of glenohumeral abduction and full internal rotation was used. The posterior gliding force to the humeral head was applied maintaining the glide at right angles to the plane of movement and at a frequency of 2 Hz which was controlled by means of a metronome. The arm was returned to its original position between each set.

Also known as: Joint Manipulation

Mobilization to the glenohumeral joint

The manual contact condition PROCEDURE

During the manual contact condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition. However, a simulated posterior glide was performed but with minimal pressure actually applied. The number of repetitions and sets were as per the treatment condition.

The manual contact condition

No-contact condition OTHER

During the no-contact condition, the subject remained in the initial starting position thorough the entire session but there was no manual contact between the therapist and the participant. The total treatment time was the same as per the other conditions.

The manual contact condition

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• History of chronic shoulder pain lasting ≥3 months.
• Play overhead sport regularly.

You may not qualify if:

• Had a non-musculoskeletal origin of shoulder pain.
• Previous surgery to the shoulder complex.
• Frozen shoulder.
• Any co-existing inflammatory, infectious or neurological condition.
• The patient from physiotherapy treatment.
• Any evidence of pain referred from the cervical spine to the shoulder

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Clinical University

Alcalá de Henares, Madrid, 2805, Spain

Location

MeSH Terms

Conditions

Shoulder Pain

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Daniel Pecos-Martin, Dr

  Alcala University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: * The participant were assigned to the treatment group with a computer program. * Outcomes assessor did´t know the treatment applied to the participants
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: January 11, 2018
• First Posted: January 31, 2018
• Study Start: February 15, 2018
• Primary Completion: March 15, 2018
• Study Completion: March 15, 2018
• Last Updated: March 27, 2018

Record last verified: 2018-03

Locations

ES (1)