Comparative Effects of Two Conservative Treatments in Teres Major in Handball Athletes With Shoulder Pain

The aim of the study is to investigate the effects of the dry needling technique and diacutaneous fibrolysis technique in teres major muscles on pain, range of motion, strength extensibility and muscular properties of the soft tissues of the shoulder in athletes with shoulder pain.

Study Overview

• Status: Completed
• Conditions: Shoulder Pain; Athletic Injuries; Dry Needling; Diacutaneous Fibrolysis
• Intervention / Treatment: Other: Diacutaneous Fibrolysis; Other: Dry needling

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Soria, Spain, 42004
    • Sandra Jiménez Jiménez-del-Barrio

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 35 years (Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Athletes with Shoulder pain
• Glenohumeral internal rotation deficit
• Presence of active MTrP in the teres major muscle

Exclusion Criteria:

• Previous surgery in the upper limb
• Previous physiotherapy treatments in the shoulder
• Dry needling contraindications
• Previous dry needling experience to mantain the blinding

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Diacutaneous Fibrolysis; Diacutaneous Fibrolysis in the teres major muscle	Other: Diacutaneous Fibrolysis; Application of diacutaneous fibrolysis in teres major
Experimental: Dry needling; Dry needling based on fast-in fast-out technique in the teres major muscle	Other: Dry needling; Dry needling based on fast-in fast-out technique in the teresa major muscle

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
muscle stiffness	the examiners assess the mechanical properties of the fascial and soft tissues with a myoton	baseline
muscle stiffness	the examiners assess the mechanical properties of the fascial and soft tissues with a myoton	After treatment immediately "1 hour"
muscle stiffness	the examiners assess the mechanical properties of the fascial and soft tissues with a myoton	After treatment, one week follow-up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	the examiners assess the pain intensity using a visual analoigue scale	Baseline
Pain intensity	the examiners assess the pain intensity using a visual analoigue scale	After treatment immediately "1 hour"
Pain intensity	the examiners assess the pain intensity using a visual analoigue scale	After treatment, "one week follow-up"
Range of motion	the examiners assess the shoulder range of motion with an universal goniometer	Baseline
Range of motion	the examiners assess the shoulder range of motion with an universal goniometer	After treatment immediately "1 hour"
Range of motion	the examiners assess the shoulder range of motion with an universal goniometer	After treatment, "one week follow-up"
Extensibility	the examiners assess the extensibility of the posterior part of the tissues of the shoulder using a digital inclinometer	Baseline
Extensibility	the examiners assess the extensibility of the posterior part of the tissues of the shoulder using a digital inclinometer	After treatment immediately "1 hour"
Extensibility	the examiners assess the extensibility of the posterior part of the tissues of the shoulder using a digital inclinometer	After treatment, "one week follow-up"

Collaborators and Investigators

• Sponsor: Universidad de Zaragoza
• Investigators: Study Director: Luis Ceballos Laita, PhD, University of Valladolid

Study record dates

Study Major Dates

• Study Start (Actual): September 10, 2021
• Primary Completion (Actual): October 31, 2021
• Study Completion (Actual): October 31, 2021

Study Registration Dates

• First Submitted: September 2, 2021
• First Submitted That Met QC Criteria: October 4, 2021
• First Posted (Actual): October 15, 2021

Study Record Updates

• Last Update Posted (Actual): August 29, 2023
• Last Update Submitted That Met QC Criteria: August 26, 2023
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain; Athletic Injuries
• Other Study ID Numbers: University of Valladolid.

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No