Efficacy of Therapeutic Exercise vs. Treatment of Myofascial Trigger Points.

NCT06241404 | Completed

• 1 other identifier: 250124
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Shoulder pain commonly affects the general population, with rotator cuff tendinopathy being the most common cause. the most common cause, with rotator cuff tendinopathy diminishing function and quality of life, leading to a major socio-economic impact. quality of life, leading to a major socio-economic impact. As a result, there are two treatment approaches with potential effectiveness: therapeutic exercise (TE) and myofascial trigger point treatment (TMT). trigger point treatment (TTP). Objective: The main objective of this randomised clinical trial is to determine the efficacy of ET versus treatment of MTPs in shoulder tendinopathies. Methods: For this study, 20 participants were randomly divided into two groups: a ET group, with which a 10-exercise programme was initiated (n = 10), and a PGM group which was given an intervention protocol (n = 10). intervention protocol (n = 10). Both received a total of 10 sessions. Pain intensity pain intensity, pressure pain threshold (PPT) and range of motion (ROM) were assessed before starting and after 10 sessions. and after 10 sessions.

Conditions

Shoulder Tendinopathy

Keywords

shoulder tendinopathy; supraspinatus; infraspinatus; physiotherapy techniques; therapeutic exercise; trigger points

Outcome Measures

Primary Outcomes (2)

• Range of motion

  measurement of shoulder range of motion

  At the end of Session 10 (each Session is 7 days)

• pain intensity

  measured on a VAS scale where 0 is the minimum and 10 is the maximum.

  At the end of Session 10 (each Session is 7 days)

Secondary Outcomes (1)

• pressure pain threshold

  At the end of Session 10 (each Session is 7 days)

Study Arms (2)

therapeutic exercise group

EXPERIMENTAL

patients who have been treated for shoulder tendinopathy by exercise therapy

Procedure: Exercise therapy

trigger points group

ACTIVE COMPARATOR

patients who have been treated for shoulder tendinopathy by trigger point therapy

Procedure: trigger point therapy

Interventions

trigger point therapy PROCEDURE

patients who have been treated for shoulder tendinopathy by trigger point therapy

trigger points group

Exercise therapy PROCEDURE

patients who have been treated for shoulder tendinopathy by exercise therapy

therapeutic exercise group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Signed informed consent form.
• Patients diagnosed by an orthopaedic surgeon with shoulder tendinopathy. tendinopathy.
• Symptoms of shoulder pain lasting more than 3 months.
• Pain on Jobe, Patte and infraspinatus assessment manoeuvres (highlighting abduction and abduction and external rotation).

You may not qualify if:

• Previous shoulder surgery.
• Radiating (non-referred) pain from cervical radiculopathy.
• Shoulder pain associated with other diagnoses (Examples: retractile capsulitis, subacromial syndrome, tendon rupture, posterosuperior conflict, etc.).
• subacromial syndrome, tendon rupture, posterosuperior conflict, etc).
• Patients with multiple pathologies.
• Patients with neurological disorders.

Sponsors & Collaborators

• Universidad Católica de Ávila: lead

Study Sites (1)

Jorge Velázquez Saornil

Ávila, 05001, Spain

Location

Related Publications (8)

• Yoma M, Herrington L, Mackenzie TA. The Effect of Exercise Therapy Interventions on Shoulder Pain and Musculoskeletal Risk Factors for Shoulder Pain in Competitive Swimmers: A Scoping Review. J Sport Rehabil. 2022 Feb 23;31(5):617-628. doi: 10.1123/jsr.2021-0403. Print 2022 Jul 1.

  PMID: 35196648 BACKGROUND

• Jung KM, Choi JD. The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke. Med Sci Monit. 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277.

  PMID: 31256191 BACKGROUND

• Spanhove V, De Wandele I, Malfait F, Calders P, Cools A. Home-based exercise therapy for treating shoulder instability in patients with hypermobile Ehlers-Danlos syndrome/hypermobility spectrum disorders. A randomized trial. Disabil Rehabil. 2023 Jun;45(11):1811-1821. doi: 10.1080/09638288.2022.2076932. Epub 2022 May 24.

  PMID: 35609204 BACKGROUND

• Richmond H, Lait C, Srikesavan C, Williamson E, Moser J, Newman M, Betteley L, Fordham B, Rees S, Lamb SE, Bruce J; PROSPER Study Group. Development of an exercise intervention for the prevention of musculoskeletal shoulder problems after breast cancer treatment: the prevention of shoulder problems trial (UK PROSPER). BMC Health Serv Res. 2018 Jun 18;18(1):463. doi: 10.1186/s12913-018-3280-x.

  PMID: 29914494 BACKGROUND

• Lin IH, Chang KH, Liou TH, Tsou CM, Huang YC. Progressive shoulder-neck exercise on cervical muscle functions in middle-aged and senior patients with chronic neck pain. Eur J Phys Rehabil Med. 2018 Feb;54(1):13-21. doi: 10.23736/S1973-9087.17.04658-5. Epub 2017 Jul 17.

  PMID: 28714658 BACKGROUND

• Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y.

  PMID: 30777064 RESULT

• Eshoj H, Rasmussen S, Frich LH, Hvass I, Christensen R, Jensen SL, Sondergaard J, Sogaard K, Juul-Kristensen B. A neuromuscular exercise programme versus standard care for patients with traumatic anterior shoulder instability: study protocol for a randomised controlled trial (the SINEX study). Trials. 2017 Feb 28;18(1):90. doi: 10.1186/s13063-017-1830-x.

  PMID: 28245853 RESULT

• Villa Munoz T, Velazquez Saornil J, Sanchez Mila Z, Romero-Morales C, Almazan Polo J, Baraja Vegas L, Hugo-Villafane J, Abuin-Porras V. Comparative evaluation of the efficacy of therapeutic exercise versus myofascial trigger point therapy in the treatment of shoulder tendinopathies: a randomised controlled trial. BMJ Open Sport Exerc Med. 2024 Oct 16;10(4):e002043. doi: 10.1136/bmjsem-2024-002043. eCollection 2024.

  PMID: 39430399 DERIVED

MeSH Terms

Interventions

Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

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

Study Record Dates

• First Submitted: January 25, 2024
• First Posted: February 5, 2024
• Study Start: October 1, 2023
• Primary Completion: November 1, 2023
• Study Completion: January 15, 2024
• Last Updated: February 5, 2024

Record last verified: 2024-02

Locations

ES (1)