- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04319250
The Effectiveness Of Ischemic Compression And IASTM In Trigger Point Treatment In Patients With Rotator Cuff Tear
The Effectiveness Of Ischemic Compression And Instrument Assisted Soft Tissue Mobilization In Trigger Point Treatment In Patients With Rotator Cuff Tear
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Istanbul, Turkey
- Istanbul Aydin University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Being between 40-65 years old
- Having been diagnosed with partial RM rupture
- RM rupture in MRI image
- At least 3 ATNs in the shoulder complex
- Hawkins-Kennedy and Empty Can tests positive Symptoms for at least 3 months
Exclusion Criteria:
- Sensory problems in the back and shoulders,
- Shoulder instability
- Osteoarthritis in the shoulder joint area
- Glenoid or bone fracture
- Frozen shoulder pathology
- Massive RM rupture
- Rheumatological joint problems
- Shoulder surgery history
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group 1
Ischemic compression and rehabilitation program applied to the group 1
|
ATNs detected in a total of 13 muscles around the shoulder were applied constant pressure at the level of pain tolerated with the thumb (discomfort severity level 7 to 8 out of 10) and for 90 seconds.
This method was applied twice a week for 6 weeks.
A rehabilitation program consisting of exercises and manual therapy used in the conservative treatment of rotator cuff tear for both groups was applied twice a week for 6 weeks.
|
Active Comparator: Group 2
IASTM and rehabilitation program applied to the group 2
|
A rehabilitation program consisting of exercises and manual therapy used in the conservative treatment of rotator cuff tear for both groups was applied twice a week for 6 weeks.
In order to apply EDYDM in the treatment of ATN, titanium plated stainless steel was divided into two parts, front and back, with two tools. The sweep was applied to the anterior muscle fibers at an angle of 45 ° for 40 seconds. For each TN, continuous pressure was applied with swivel movement at tolerable pain level (discomfort severity level 7 to 8 out of 10) for 1 minute. The back group muscles were applied in the same way. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH)
Time Frame: Change from Baseline at 6 weeks
|
This is a questionnaire that identifies both functionality and symptoms that can be used in arm, elbow and hand problems.
High scores of individuals mean that functional dysfunction is high.
Ratings are made between 0 and 100.
|
Change from Baseline at 6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogue Scale (VAS)
Time Frame: Change from Baseline at 6 weeks
|
The levels of pain felt at rest / activity / night were measured using Visual Analogue Scale (VAS).
|
Change from Baseline at 6 weeks
|
Shoulder Range of Motion (ROM)
Time Frame: Change from Baseline at 6 weeks
|
EHA evaluations of flexion, abduction, internal rotation and external rotation of the shoulder joint were performed in the supine position using the universal goniometer.
|
Change from Baseline at 6 weeks
|
Active trigger points
Time Frame: Change from Baseline at 6 weeks
|
Active trigger points were evaluated by palpation method according to Travell and Simons criteria.
Scalene, upper trapezius, levator scapula, supraspinatus, infraspinatus, subskapularis, teres minor, teres major, deltoid anterior and posterior group fibers, pectoralis major, pectoralis minor, biceps brachii muscles were evaluated with palpation method in terms of trigger point presence.
|
Change from Baseline at 6 weeks
|
Pain Pressure Threshold (PPT)
Time Frame: Change from Baseline at 6 weeks
|
Wagner Force One ™ FDIX" digital algometer was used to evaluate the pain threshold.
Measurements were recorded in kg / cm².
|
Change from Baseline at 6 weeks
|
The American Shoulder and Elbow Surgeons Standardized Shoulder Assesment Form (ASES)
Time Frame: Change from Baseline at 6 weeks
|
This score consists of 1 questioning pain and 10 questions questioning daily life activities.The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function.
|
Change from Baseline at 6 weeks
|
Emotional state
Time Frame: Change from Baseline at 6 weeks
|
The emotional states of the cases were evaluated using the Hospital Anxiety and Depression Scale (HAD), which consists of 14 questions.
(HAD).
This scale has a 7-question anxiety (HAD-A) subscale that evaluates the anxiety state, and a 7-question depression (HAD-D) subscale that evaluates the state of depression, and a four-point likert scale is used to answer the questions.
For the total score of each sub-score, 0-7 points are normal, 8-10 points are at the border, and 11 points are defined as abnormal
|
Change from Baseline at 6 weeks
|
Global Rating of Change (GRC) scale
Time Frame: After 6 weeks treatment
|
Patient Satisfaction was assessed Global Rating of Change (GRC) scale.
The scale used included 5 points (-2: I am much worse.
-1: I am worse, 0: I am the same, +1: I am better, +2: I am much better).
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After 6 weeks treatment
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Büşra Aksan Sadıkoğlu
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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