Fascial Manipulation on Scapulohumeral Rhythm and Proprioception in Patients With Rotator Cuff Tendinitis.

NCT07389252 | Completed

• 1 other identifier: REC/S24C08G30009 Aimen Ibrahim
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is to find the effectiveness of Fascial Manipulation on Scapulohumeral Rhythm and Proprioception in Patients with Rotator cuff tendinitis

Conditions

Rotator Cuff Tendinitis

Keywords

Fascial Manipulation; Scapulohumeral Rhythm; Proprioception; Rotator cuff tendinitis

Outcome Measures

Primary Outcomes (3)

• Lateral scapular slide test (LSST)

  In the LSSTs, the distance from the inferior angle of the scapula to thoracic vertebral spinous process T8 was measured in three positions (shoulder joint 0°, 45°, and 90° abduction) using tape measures

  4 weeks

• Joint position sense test.

  A laser-pointer attached to the index finger during an ART allowed measurement (mm) of JPS by measuring the distance between the target and relocated position. Participants were blindfolded and stood an arm's length (approximately 1 m) away from the wall. Whilst keeping the wrist in neutral and elbow extended, the participant actively moved to the target position (90° glenohumeral flexion), held for 5 seconds, returned their arm to their side and actively returned to the target position. A mean was calculated from three trials to provide an ART score

  4 weeks

• Goniometer

  Participants will be assessed in a standardized supine position to minimize compensatory trunk or scapular movements. Bony landmarks (acromion, humeral epicondyle, mid-axillary line, olecranon process, and ulnar styloid) will be palpated for goniometer alignment. The fulcrum will be placed at the joint axis, the stationary arm aligned with the proximal reference (thorax/sternum), and the moving arm aligned with the distal segment (humerus/ulna).

  4 weeks

Study Arms (2)

Experimental: Fascial Manipulation technique + Conventional PT

EXPERIMENTAL

Fascial Manipulation in Patients with Rotator cuff tendinitis + Conventional therapy

Other: Fascial manipulation technique; Other: Conventional PT

Control: Conventional PT

ACTIVE COMPARATOR

Conventional PT including 1- hot pack (for 15 minutes)2- Periscapular exercises, a. shoulder shrug exercise (3 sets of 10 reps.) b. prone arm hangs (3 sets of 10 reps) 3- shoulder proprioception exercises a. Ball throws (30 reps) six times b. abc's on wall exercise 4- Shoulder stability exercises a. Ts Ys exercise (3 sets) b. side-lying external rotations (3 sets of 10 reps.) Total duration is 3 sessions per week for 4 consecutive weeks.

Other: Conventional PT

Interventions

Fascial manipulation technique OTHER

In initially step the patient in prone position and therapist approach on the same side of the treatment limb. Use the thumb by applying the pressure on the side of the target muscle. The treatment sequence will begin with thumb gradually involve the finger. A single treatment consists of a series of specific sequences of these moves with frequent pauses 2 to 5 minutes. Treatment session duration 15-30 minutes occur 2 days per week, for 4 weeks. Week 1(Fascial Manipulation on the targeted muscle for 5 minutes) week 2(Fascial Manipulation on the targeted muscle for 10 minutes) week 3(Fascial Manipulation on the targeted muscle for 15 minutes) week 4 (Fascial Manipulation on the targeted muscle for 20 minutes) Conventional PT including 1- hot pack (for 15 minutes)2- Periscapular exercises, a. shoulder shrug exercise (3 sets of 10 reps.) b. prone arm hangs (3 sets of 10 reps) 3- shoulder proprioception exercises a. Ball throws (30 reps) six times

Experimental: Fascial Manipulation technique + Conventional PT

Conventional PT OTHER

Conventional PT including 1- hot pack (for 15 minutes)2- Periscapular exercises, a. shoulder shrug exercise (3 sets of 10 reps.) b. prone arm hangs (3 sets of 10 reps) 3- shoulder proprioception exercises a. Ball throws (30 reps) six times b. abc's on wall exercise 4- Shoulder stability exercises a. Ts Ys exercise (3 sets) b. side-lying external rotations (3 sets of 10 reps.) Total duration is 3 sessions per week for 4 consecutive weeks.

Control: Conventional PT; Experimental: Fascial Manipulation technique + Conventional PT

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants falling in this category would be recruited into the study.
• Participants aged 20-45 years.
• Gender: Male and female
• A confirmed diagnosis of rotator cuff tendinitis based on clinical evaluation. (positive Hawkin's test, Jobe test, Empty can test, Hornblower test)
• Persistent shoulder pain for at least 3 months.
• Willingness to provide informed consent and adhere to the study protocol.

You may not qualify if:

• Participants falling in this category would be excluded from the study.
• History of shoulder surgery or severe structural deformities affecting the shoulder joint.
• Recent fracture in the upper limb.
• Recent dislocation in the upper limb.
• Uncontrolled or severe comorbidities (e.g., advanced osteoporosis, cardiovascular disease, uncontrolled diabetes).
• Signs or symptoms of serious underlying pathology such as infection or malignancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Life care Physiotherapy Clinic, Shahmansoor, Swabi

Swabi, Khyber Pakhunkhwa, 23340, Pakistan

Location

Related Publications (8)

• Pascoal AG, van der Helm FF, Correia PP, Carita I. Effects of different arm external loads on the scapulo-humeral rhythm. Clinical biomechanics. 2000;15:S21-S4.

  BACKGROUND

• Bellotti S, Busato M, Cattaneo C, Branchini M. Effectiveness of the Fascial Manipulation Approach Associated with a Physiotherapy Program in Recurrent Shoulder Disease. Life (Basel). 2023 Jun 15;13(6):1396. doi: 10.3390/life13061396.

  PMID: 37374178 BACKGROUND

• Day JA, Stecco C, Stecco A. Application of Fascial Manipulation technique in chronic shoulder pain--anatomical basis and clinical implications. J Bodyw Mov Ther. 2009 Apr;13(2):128-35. doi: 10.1016/j.jbmt.2008.04.044. Epub 2008 Jun 24.

  PMID: 19329049 BACKGROUND

• Moccia D, Nackashi AA, Schilling R, Ward PJ. Fascial bundles of the infraspinatus fascia: anatomy, function, and clinical considerations. J Anat. 2016 Jan;228(1):176-83. doi: 10.1111/joa.12386. Epub 2015 Sep 25.

  PMID: 26403802 BACKGROUND

• Szczurko O, Cooley K, Mills EJ, Zhou Q, Perri D, Seely D. Naturopathic treatment of rotator cuff tendinitis among Canadian postal workers: a randomized controlled trial. Arthritis Rheum. 2009 Aug 15;61(8):1037-45. doi: 10.1002/art.24675.

  PMID: 19644905 BACKGROUND

• Macnab I. Rotator cuff tendinitis. Ann R Coll Surg Engl. 1973 Nov;53(5):271-87. No abstract available.

  PMID: 4759907 BACKGROUND

• 2. Varacallo M, El Bitar Y, Mair SD. Rotator cuff tendonitis. 2018.

  BACKGROUND

• 1. Rechardt M, Shiri R, Karppinen J, Jula A, Heliövaara M, Viikari-Juntura E. Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: a population-based study. BMC musculoskeletal disorders. 2010;11:1-11.

  BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries

Study Officials

• Ramsha Tariq, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Randomized
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 25, 2025
• First Posted: February 5, 2026
• Study Start: August 30, 2025
• Primary Completion: December 30, 2025
• Study Completion: December 30, 2025
• Last Updated: February 5, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)