Mulligan Mobilization vs Transverse Friction Massage in Rotator Cuff Syndrome

NCT05863806 | Completed

• 1 other identifier: REC/01494
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to determine the Effects of Mulligan Mobilization and Transverse Friction Massage in Rotator Cuff Syndrome. Randomized clinical trials will be done at Northwest General Hospital, Peshawar. The sample size is 42. The subjects were divided in two groups, with 21 subjects in Group A and 21 in Group B. Study duration was of 6 months. Sampling technique applied was Non probability Purposive Sampling technique. Both males and females of aged 30-70 years with rotator cuff syndrome from grade (0-3) were included. Tools used in the study are Visual Analogue Scale (VAS), Goniometer, and DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Data was analyzed through SPSS 23.

Conditions

Rotator Cuff Syndrome

Keywords

Mulligan mobilization; Transverse Friction Massage; Rotator cuff syndrome

Outcome Measures

Primary Outcomes (1)

• Change from baseline in Disability of Arm, Shoulder and Hand Questionnaire

  Change from baseline the DASH score at 3rd and 6th week. The DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure is a 30-item, self-report questionnaire that measures physical function and symptoms in people with musculoskeletal disorders of the upper limb. Changes from the baseline, and then at 3rd and 6th week

  6th week

Secondary Outcomes (1)

• Change from baseline in Visual Analogue Scale

  6th week

Study Arms (2)

Mulligan Mobilzation

EXPERIMENTAL

MWM technique was carrying out in flexion, abduction, external and internal rotation directions. For this technique, participants were seated on a stretcher, and the physical therapist is standing opposite of the upper extremity that is treated. The internal hand of the physical therapist stabilizes participants' shoulder girdle and, with the thenar eminence of the other hand, performed a glide of the humeral head (this direction is the most suitable for treating such shoulder limitations). Participants were asked to flex the affected shoulder until the pain started while the physical therapist sustained the gliding force to the humeral head. The single session of MWM technique was last around 20 minutes, in 3 sets of 10 repetitions with a rest interval of 30 seconds between each sets.

Other: Mulligan Mobilzation

Trasverse Friction Massage

ACTIVE COMPARATOR

Transverse Friction Massage technique: Patients in the group B were receiving soft tissue massage (deep friction) is made to bend his/ her elbow to 90o and put forearm behind his/ her back, then lean back in half lying position. Thus arm is fixed in adduction and medial rotation. It was given in transverse direction for 10 - 12 minutes. Transverse friction massage was given twice a week with the gap of days for the first 3 week and then the repetition is increased to 3 to 4 times a week for the rest of duration.

Other: Trasverse Friction Massage

Interventions

Mulligan Mobilzation OTHER

Participants were instructed that MWM, including shoulder movement, must be pain-free and should be immediately stopped if any pain is experienced during the treatment. The single session of MWM technique was last around 20 minutes, in 3 sets of 10 repetitions with a rest interval of 30 seconds between each sets.

Mulligan Mobilzation

Trasverse Friction Massage OTHER

Deep friction massage was given to rotator cuff tendon with the tip of index finger, which is reinforced by middle finger. It was given in transverse direction for 10 - 12 minutes. Transverse friction massage was Given twice a week with the gap of days for the first 3 week and then the repetition is increased to 3 to 4 times a week for the rest of duration.

Trasverse Friction Massage

Eligibility Criteria

• Age: 30 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both Male and Female are included
• Age between 30 to 70
• Partial rupture and suffering from rotator cuff syndrome(differentiation is made on type of tear from grade 0 to 3)
• No shoulder surgery
• Pain on palpation of rotator cuff muscle
• Two or more provocative tests should be positive which is used to rule out the tendonitis and bursitis.

You may not qualify if:

• Multiple shoulder pathologies.
• Bursitis
• Corticosteroid injections last month
• Orthopedic or cardiovascular problem
• Recent myocardial infarction or major shoulder trauma

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Northwest General Hospital and Research Center

Peshawar, Khyber Pakhtunkhwa, 25000, Pakistan

Location

Study Officials

• Muhammad Affan Iqbal, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Asad Khan, MSPT*

  Northwest General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Single (Outcomes Assessor) no
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2023
• First Posted: May 18, 2023
• Study Start: October 1, 2022
• Primary Completion: June 20, 2023
• Study Completion: June 30, 2023
• Last Updated: July 27, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)