The Effects of Myofascial Release Technique

NCT06070493 | Completed

• 1 other identifier: E-77082166-302.08.01-407339
• Study Type: interventional
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to investigate the long-term effects of myofascial release technique on proprioception, pain severity, shoulder range of motion, functional level, flexibility, and muscle strength in patients with rotator cuff injury. The study included 29 individuals with partial rotator cuff injury who were randomly divided into two groups. The control group received a classical physiotherapy program including transcutaneous electrical nerve stimulation, hot pack and exercise, while the treatment group received the same classic physiotherapy program along with the myofascial release technique. All treatments were planned for 4 weeks and a total of 10 sessions. Proprioception, pain severity, shoulder range of motion, functional level, flexibility and muscle strength were assessed before and after the treatment.

Conditions

Rotator Cuff Injuries

Keywords

Myofascial Release Therapy; Proprioception; Shoulder Pain; Rotator Cuff Lesions

Outcome Measures

Primary Outcomes (4)

• Proprioception

  Proprioception is the joint position sense. Shoulder flexion, abduction and external rotation proprioception were measured with a digital inclinometer. Deviations between the targeted angle and the angle performed by the patients were noted.

  Baseline

• Proprioception

  Proprioception is the joint position sense. Shoulder flexion, abduction and external rotation proprioception were measured with a digital inclinometer. Deviations between the targeted angle and the angle performed by the patients were noted.

  After four weeks of treatment

• Pain severity

  Pain is an unpleasant sensation and emotional experience. The severity of pain at rest and during activity was evaluated using visual analog scale. The starting point of the line indicated "no pain" and the end point "unbearable pain" using a 10 cm horizontal line.

  Baseline

• Pain severity

  Pain is an unpleasant sensation and emotional experience. The severity of pain at rest and during activity was evaluated using visual analog scale. The starting point of the line indicated "no pain" and the end point "unbearable pain" using a 10 cm horizontal line.

  After four weeks of treatment

Secondary Outcomes (8)

• Range of motion

  Baseline

• Range of motion

  After four weeks of treatment

• Functional level

  Baseline

• Functional level

  After four weeks of treatment

• Flexibility

  Baseline

Study Arms (2)

Control group

EXPERIMENTAL

classical physiotherapy

Other: classic physiotherapy program

Treatment group

EXPERIMENTAL

classical physiotherapy and myofascial release

Other: classic physiotherapy program; Other: Myofascial release

Interventions

classic physiotherapy program OTHER

For individuals of control group, a hot pack was applied to the shoulder area for 15 minutes, while the individuals were in the sitting position. The conventional mode of transcutaneous electrical nerve stimulation was used. Frequency was adjusted in the range of 50-100 Hz, and the amplitude intensity was adjusted between 10-30 milliampere with the intensity of mild tingling without causing any excessive discomfort or contractions. Electrodes were placed at the anterior, posterior, superior, and inferior of the shoulder region. In the exercise program of the patients, joint range of motion exercises, stretching, scapular stabilization, rotator cuff, and shoulder muscle strengthening exercises were given.

Control group; Treatment group

Myofascial release OTHER

myofascial release technique was applied to the patients in the treatment group besides the control group program. The technique was applied to the lateral neck and shoulder, pectoral region, scapulothoracic area, and arm regions for 5 minutes for optimum benefit.

Treatment group

Eligibility Criteria

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

You may qualify if:

• The diagnosis of partial rotator cuff rupture
• Being between 18-65 years of age

You may not qualify if:

• Shoulder joint surgery
• Local steroid injection to the shoulder within the last 3 months
• Physiotherapy and rehabilitation within the last 3 months
• Cervical discopathy
• Severe shoulder osteoarthritis
• Upper extremity fracture or tumor
• Frozen shoulder
• Shoulder instability
• Thoracic outlet syndrome
• Neurological and mental problems

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, Çankaya, 06490, Turkey (Türkiye)

Location

Related Publications (3)

• Nho SJ, Yadav H, Shindle MK, Macgillivray JD. Rotator cuff degeneration: etiology and pathogenesis. Am J Sports Med. 2008 May;36(5):987-93. doi: 10.1177/0363546508317344. Epub 2008 Apr 15.

  PMID: 18413681 BACKGROUND

• Celik MS, Sonmezer E, Acar M. Effectiveness of proprioceptive neuromuscular facilitation and myofascial release techniques in patients with subacromial impingement syndrome. Somatosens Mot Res. 2022 Jun-Dec;39(2-4):97-105. doi: 10.1080/08990220.2021.2018293. Epub 2022 Jan 7.

  PMID: 34991428 BACKGROUND

• Gunes M, Yana M. Acute effects of thoracolumbar fascia release techniques on range of motion, proprioception, and muscular endurance in healthy young adults. J Bodyw Mov Ther. 2023 Jul;35:145-150. doi: 10.1016/j.jbmt.2023.04.063. Epub 2023 Apr 20.

  PMID: 37330761 BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries; Shoulder Pain

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Zeynep Hazar, PhD

  Gazi 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: The control group received a classical physiotherapy program including transcutaneous electrical nerve stimulation, hot pack and exercise, while the treatment group received the same classic physiotherapy program along with the myofascial release technique. All treatments were planned for 4 weeks and a total of 10 sessions.

Study Record Dates

• First Submitted: September 19, 2023
• First Posted: October 6, 2023
• Study Start: September 19, 2022
• Primary Completion: May 15, 2023
• Study Completion: June 1, 2023
• Last Updated: June 15, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)