Myofascial Release in Shoulder Pathologies

NCT04944446 | Completed DMC

• 1 other identifier: InesCarmona
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Humerus Fracture; Rotator Cuff Injuries

Keywords

Shoulder; Pathology; Myofascial release; Clinical trial

Outcome Measures

Primary Outcomes (6)

• Functional capacity

  Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome

  Baseline

• Shoulder joint mobility

  Goniometer Records

  Baseline

• Degree of pain

  Visual Analog Scale. Minimum: 0 Maximum: 10. Higher scores mean a worse outcome

  Baseline

• Functional capacity

  Dash Scale. Minimum: 0 Maximum: 100. Higher scores mean a worse outcome

  Change from Baseline at 4 weeks

• Shoulder joint mobility

  Goniometer Records

  Change from Baseline at 4 weeks

• Degree of pain

  Visual Analog Scale

  Change from Baseline at 4 weeks

Secondary Outcomes (3)

• Pathology of access to the study

  Baseline

• Age

  Baseline

• Sex

  Baseline

Study Arms (2)

Group myofascial treatment

EXPERIMENTAL

The trial group will also be referred by the rehabilitating doctor to the physiotherapy room, these patients will be treated by two physiotherapists with training in myofascial release therapy with which they will carry out a treatment protocol that will consist of myofascial release of the shoulder blade angle, subscapularis and global pectoral technique as well as superficial myofascial release of said musculature with a during 12-15 minutes, in addition to a 30-minute session of active kinesitherapy with exercises and mechanotherapy. Same as the control group. These mobilizations are carried out in the absence of pain, although the difference between joint tension or stretching and pain is explained to the patient.

Other: Treatment

Group Kinesitherapy treatment

ACTIVE COMPARATOR

This group will be treated in a protocolized way with techniques such as passive kinesitherapy, active-assisted and active kinesitherapy to win mobility. They consist of mobilizing the affected arm in the movements of flexion (upward), separation (towards the outer side) and rotation, these lateral decubitus (bring the hand to the nape of the neck) and internal (bring the hand to the lower back) trying to win joint amplitude. These mobilizations are performed in the absence of pain, although the difference between joint tension or stretching and pain will be explained to the patient. The treatment will be carried out as usual with a duration of about 12-15 minutes of mobilization and about 30 minutes of active kinesitherapy with exercises and mechanotherapy, these consist of active shoulder mobility exercises. Emphasis will be placed on working with the pain threshold so as not to cause damage or negative nociceptive reactions.

Other: Treatment

Interventions

Treatment OTHER

Myofascial release of various muscle groups Treatment of mobilization of the shoulder joint

Group Kinesitherapy treatment; Group myofascial treatment

Eligibility Criteria

• Age: 20 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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.

Sponsors & Collaborators

• University of Cadiz: lead

Study Sites (1)

Faculty of Nursing and Physiotherapy. University of Cadiz

Cadiz, 11008, Spain

Location

Related Publications (6)

• 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.

  PMID: 25603749 RESULT

• Castro-Martin E, Ortiz-Comino L, Gallart-Aragon 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 Phys Med Rehabil. 2017 May;98(5):832-840. doi: 10.1016/j.apmr.2016.11.019. Epub 2016 Dec 18.

  PMID: 28003133 RESULT

• Rodriguez-Fuentes I, De Toro FJ, Rodriguez-Fuentes G, de Oliveira IM, Meijide-Failde 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 Jul;95(7):507-15. doi: 10.1097/PHM.0000000000000425.

  PMID: 26745225 RESULT

• 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.

  PMID: 22236639 RESULT

• Castro-Sanchez AM, Mataran-Penarrocha 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 fibromyalgia. Evid Based Complement Alternat Med. 2011;2011:561753. doi: 10.1155/2011/561753. Epub 2010 Dec 28.

  PMID: 21234327 RESULT

• Sumariva-Mateos J, Leon-Valenzuela A, Vinolo-Gil MJ, Bautista Troncoso J, Del Pino Algarrada R, Carmona-Barrientos I. Efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization: A randomized, single-blind, controlled trial. Complement Ther Clin Pract. 2022 Aug;48:101580. doi: 10.1016/j.ctcp.2022.101580. Epub 2022 Apr 4.

  PMID: 35397306 DERIVED

MeSH Terms

Conditions

Humeral Fractures; Rotator Cuff Injuries

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Arm Injuries; Wounds and Injuries; Fractures, Bone; Rupture; Shoulder Injuries; Tendon Injuries

Study Officials

• Inés Carmona Barrientos, Dra.

  University of Cádiz

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double (Participant, Outcomes Assessor) external evaluator
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized controlled longitudinal experimental study

Study Record Dates

• First Submitted: September 23, 2020
• First Posted: June 29, 2021
• Study Start: September 15, 2018
• Primary Completion: September 5, 2020
• Study Completion: January 15, 2021
• Last Updated: June 29, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)