Effectiveness of a Novel Protocol for Glenohumeral Internal Rotation Deficit in General Population With Shoulder Pain (GIRDTREAT)

Shoulder pain is one of the most common joint problems and disabling complaint in general population., but there is a lack of evidence about the relation between shoulder pain and glenohumeral internal rotation deficit (GIRD) in general population.

This study aimed to determine if the novel proposal for treatment of GIRD could be effectiveness and gain further evidence in the Range of Motion an Pain.

Study Overview

• Status: Completed
• Conditions: Shoulder Pain; Glenohumeral Internal Rotation Deficit
• Intervention / Treatment: Other: Manual therapy and therapeutic exercise

• Study Type: Interventional
• Enrollment (Actual): 35
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Madrid
    • Boadilla del Monte, Madrid, Spain, 28668
      • San Pablo CEU University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Shoulder pain

Exclusion Criteria:

• Patient under 18 years old,
• Pain in both shoulders
• Joint prosthesis in at least one of the two shoulders.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Treatment; The Treatment sequence including joint Manual therapy techniques and soft tissue release techniques is proposed.

Other: Manual therapy and therapeutic exercise; Gliding over the deltoid superficial fascia.; Anterior-Posterior mobilization of the clavicle.; myofascial release of the shoulder joint complex techniques.; Myofascial release external rotation with glenohumeral decoaptation will be carry out in prone position facility the triangular space, quadrangular space and triceps hiatus.; anterior and posterior, superior and inferior glenohumeral inferior glide mobilization in adduction will perform in a prone position to facilitate glenohumeral re centration.; scapular musculature myofascial release including mobilization with a scapulothoracic joint decoaptation, and angular of the scapula.; Supine mobilization of the posterior capsule in 90º shoulder flexion and the adduction. Finally the patient will be instructed to adapt the daily active biological stimulus at home to maximize the benefits of the manual therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
glenohumeral internal rotation	measure in supine position on a physiotherapy bench. The shoulder will held at 90° abduction with 90° flexion in the elbow.	Baseline

Collaborators and Investigators

• Sponsor: CEU San Pablo University
• Investigators: Principal Investigator: Rafael Jácome López, PT, Clinica Universidad de Navarra

Study record dates

Study Major Dates

• Study Start (Actual): October 22, 2021
• Primary Completion (Actual): December 31, 2021
• Study Completion (Actual): January 30, 2022

Study Registration Dates

• First Submitted: October 22, 2021
• First Submitted That Met QC Criteria: November 3, 2021
• First Posted (Actual): November 4, 2021

Study Record Updates

• Last Update Posted (Actual): July 14, 2023
• Last Update Submitted That Met QC Criteria: July 13, 2023
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Keywords: Manual therapy; Therapeutic Exercise; general population.
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Joint Diseases; Musculoskeletal Diseases; Arthralgia; Shoulder Pain
• Other Study ID Numbers: CEU-024

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No