Acute Effects of Fascial Release Technique in Patients With Rotator Cuff Repair

NCT05176028 | Completed

• 1 other identifier: FON 2017/71
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to investigate the acute effects of fascia technique on pain, range of motion, upper extremity functional level, and kinesiophobia in individuals with arthroscopic rotator cuff repair.Thirty volunteers with an arthroscopic rotator cuff repair were included to study. The individuals were randomly divided into two groups. While hot pack, interferential current and exercise program were applied to the classical physiotherapy group, the fascial release technique was applied to the treatment group in addition to the classical physiotherapy program for 2 weeks with 2 sessions per week. Individuals were assessed for pain severity by using Visual Analog Scale, range of motion by goniometer, functional level by SPADI, kinesiophobia by Tampa Kinesiophobia Scale before and after treatment and satisfaction level by using Visual Analogue Scale after treatment.

Conditions

Arthroscopic Rotator Cuff Repair

Keywords

Pain; Arthroscopic Rotator Cuff Repair; Range of Motion; Fascial Release Technique

Outcome Measures

Primary Outcomes (2)

• Pain severity

  Pain is an unpleasant sensation and emotional experience.

  Before treatment, the severity of pain at rest, during activity and at night was evaluated using VAS. The starting point of the line indicated "no pain" and the end point "unbearable pain" using a 10 cm horizontal line.

• Pain severity

  Pain is an unpleasant sensation and emotional experience.

  After treatment, the severity of pain at rest, during activity and at night was evaluated using VAS. The starting point of the line indicated "no pain" and the end point "unbearable pain" using a 10 cm horizontal line.

Secondary Outcomes (2)

• Range of motion

  Before treatment, the active flexion, abduction, internal and external ROM of the individuals was evaluated using a universal goniometer in the supine position.

• Range of motion

  After treatment, the active flexion, abduction, internal and external ROM of the individuals was evaluated using a universal goniometer in the supine position.

Other Outcomes (4)

• Functional level

  Before treatment, SPADI was used to evaluate the functional level consists of a total of 13 items, 5 of which determine the level of pain and 8 items that determine the level of disability.

• Fear of movement

  The scale consists of 17 questions which is about the injury or re-injury in work-related activities and fear-avoidance. A 4-point Likert system is used in the scale after treatment.

• Patient satisfaction

  To determine the level of satisfaction with the treatment they received, it was asked the patients to give a score between 0 (not at all satisfied) and 10 (very satisfied) using VAS after treatment.

Study Arms (2)

Control group

EXPERIMENTAL

conventional physiotherapy

Other: conventional physiotherapy

Intervention group

EXPERIMENTAL

conventional physiotherapy and fascial release

Other: conventional physiotherapy; Other: fascial release

Interventions

conventional physiotherapy OTHER

For individuals of control group, hot pack applied for 20 minutes in the sitting position, Interferential Current was applied for the analgesic effect at a constant 100 Hz frequency on the anterior, posterior, superior and inferior part of the operated shoulder. By increasing the current slowly, the dosage of the current was adjusted to such a degree that the patient could tolerate it.

Control group; Intervention group

fascial release OTHER

Fascial release technique was applied to the patients in the treatment group besides the control group program. The technique was applied to the cervical, thoracolumbar and upper extremity areas until tissue loosening and releasing were felt.

Intervention group

Eligibility Criteria

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

You may qualify if:

• Minimum 18 years old
• patients undergone arthroscopic rotator cuff repair after least six weeks surgery

You may not qualify if:

• cervical discopathy
• shoulder osteoarthritis
• fracture or tumor of upper extremity
• adhesive capsulitis
• shoulder instability
• thoracic outlet syndrome
• neurologic or mental problems

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Ankara Yildirim Beyazit University

Ankara, Dumlupınar, Çubuk, 06760, Turkey (Türkiye)

Location

Related Publications (3)

• Sgroi TA, Cilenti M. Rotator cuff repair: post-operative rehabilitation concepts. Curr Rev Musculoskelet Med. 2018 Mar;11(1):86-91. doi: 10.1007/s12178-018-9462-7.

  PMID: 29399735 BACKGROUND

• Simmonds N, Miller P, Gemmell H. A theoretical framework for the role of fascia in manual therapy. J Bodyw Mov Ther. 2012 Jan;16(1):83-93. doi: 10.1016/j.jbmt.2010.08.001. Epub 2010 Sep 27.

  PMID: 22196432 BACKGROUND

• Kain J, Martorello L, Swanson E, Sego S. Comparison of an indirect tri-planar myofascial release (MFR) technique and a hot pack for increasing range of motion. J Bodyw Mov Ther. 2011 Jan;15(1):63-7. doi: 10.1016/j.jbmt.2009.12.002. Epub 2010 Jan 27.

  PMID: 21147420 BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ertuğrul Demirdel, PhD

  Ankara Yildirim Beyazıt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: Hotpack, interferential current and exercise program were applied to the control group (n=15), the fascia technique was applied to the treatment group (n=15) in addition to the control group program for 2 weeks with 2 sessions per week.

Study Record Dates

• First Submitted: December 3, 2021
• First Posted: January 4, 2022
• Study Start: January 3, 2018
• Primary Completion: July 9, 2018
• Study Completion: July 23, 2018
• Last Updated: January 4, 2022

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)