Efficacy of Maitland Mobilization in Shoulder Pathology

NCT05030402 | Completed DMC

• 1 other identifier: ULPGC02
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

The shoulder is a mobile structure which generates a lot of pathologies. One of them is rotator cuff tendinosis. On the other hand, it has been investigated that Maitland is effective for reducing pain and for mobility in the cervical and lumbar spine and in joints such as the knee and ankle, however, there are few studies that confirm that it is effective in shoulder pathologies.So here the investigatprs want to study the effectiveness of Maitland as an adjunctive treatment for shoulder pathologies, comparing it with conventional physiotherapy treatment, in relation to the reduction of pain and increased mobility. For that the investigators have a randomized clinical trial with two group.

Conditions

Tendinosis

Keywords

Shoulder; Maitland; Tendinosis

Outcome Measures

Primary Outcomes (3)

• Change of Range of Motion (ROM)

  Active ROM of the affected shoulder is measured using a Mechanic Analysis to assess range of motion. These measurements included abduction, flexion, internal rotation, and external rotation.

  Baseline and 1, 5, and 7 weeks after treatment

• Change of Visual Analog Scale (VAS)

  Visual analogue score (VAS) was done at rest and at shoulder movement. VAS was explained to the patients during assessment as 0 equal no pain and 10 equal worst imaginable pain.

  Baseline and 1, 5, and 7 weeks after treatment

• Change of Disabilities of the Arm, Shoulder and Hand (DASH)

  Disabilities of the Arm, Shoulder and Hand (DASH) was filled by patient during assessment as 0 equal better functionality and 100 equal worst functionality

  Baseline and 1, 5, and 7 weeks after treatment

Secondary Outcomes (2)

• Change of American shoulder and elbow Surgeons" (ASES)

  Baseline and 1, 5, and 7 weeks after treatment

• Change of 36-Item Health Survey (SF-36)

  Baseline and 1, 5, and 7 weeks after treatment

Study Arms (2)

Maitland group

EXPERIMENTAL

31 patients receives tens, SW, Maitland, and exercises. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Procedure: Maitland; Procedure: Tens, exercise, SW

Control group

ACTIVE COMPARATOR

32 receives tens, SW, conventional physiotherapy and exercises as treatment. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Procedure: Tens, exercise, SW; Procedure: Conventional physiotherapy

Interventions

Maitland PROCEDURE

An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Maitland group

Tens, exercise, SW PROCEDURE

An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Control group; Maitland group

Conventional physiotherapy PROCEDURE

An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Control group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Have a shoulder pathology.
• Have a restriction at least of two ranges of movement of the shoulder.
• Sign the consent before starting the study.

You may not qualify if:

• Patients with a history of shoulder or neck surgery.
• Patients with neurological damage such as stroke or disease of Parkinson's, as well as those with rheumatism, osteoporosis, surgical fixation, or malignant tumors.
• Have a radiating pain in shoulder from a cervical injury.
• Pregnant patients.
• Patients who do not sign the consent before starting the study.

Sponsors & Collaborators

• University of Las Palmas de Gran Canaria: lead

Study Sites (1)

GRUPO ICOT Policlínico Las Palmas.

Las Palmas de Gran Canaria, Las Palmas, 35006, Spain

Location

Related Publications (5)

• Haider R, Bashir MS, Adeel M, Ijaz MJ, Ayub A. Comparison of conservative exercise therapy with and without Maitland Thoracic Manipulative therapy in patients with subacromial pain: Clinical trial. J Pak Med Assoc. 2018 Mar;68(3):381-387.

  PMID: 29540872 BACKGROUND

• Hauswirth J, Ernst MJ, Preusser ML, Meichtry A, Kool J, Crawford RJ. Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients. J Back Musculoskelet Rehabil. 2017;30(3):615-623. doi: 10.3233/BMR-160566.

  PMID: 28035910 BACKGROUND

• Cook C, Learman K, Houghton S, Showalter C, O'Halloran B. The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial. Man Ther. 2014 Feb;19(1):18-24. doi: 10.1016/j.math.2013.05.007. Epub 2013 Jun 20.

  PMID: 23791561 BACKGROUND

• Carlson M, Hadlock T. Physical therapist management following rotator cuff repair for a patient with postpolio syndrome. Phys Ther. 2007 Feb;87(2):179-92. doi: 10.2522/ptj.20050200. Epub 2007 Jan 23.

  PMID: 17244697 BACKGROUND

• Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of Different Types of Mobilization Techniques in Patients With Primary Adhesive Capsulitis of the Shoulder: A Systematic Review. Arch Phys Med Rehabil. 2016 May;97(5):815-25. doi: 10.1016/j.apmr.2015.07.025. Epub 2015 Aug 15.

  PMID: 26284892 BACKGROUND

MeSH Terms

Conditions

Tendinopathy

Interventions

Transcutaneous Electric Nerve Stimulation; Exercise

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Tendon Injuries; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Electric Stimulation Therapy; Therapeutics; Physical Therapy Modalities; Rehabilitation; Analgesia; Anesthesia and Analgesia; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Karishma LALWANI MANGTAN

  University of Las Palmas de Gran Canaria (ULPGC)

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 29, 2021
• First Posted: September 1, 2021
• Study Start: September 3, 2020
• Primary Completion: October 31, 2021
• Study Completion: October 31, 2022
• Last Updated: November 30, 2022

Record last verified: 2022-11

Locations

ES (1)