- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05429164
Comparison of the Effectiveness of Different Myofascial Release Techniques for the Pectoralis Minor Muscle
May 31, 2023 updated by: Büşra Aksan Sadıkoğlu, Istanbul University - Cerrahpasa (IUC)
The aim of this study was to compare the effects of self-myofascial release, myofascial release with a physiotherapist and instrument assisted soft tissue mobilization (IASTM) techniques for the pectoralis minor muscle on pectoralis minor muscle length, rounded shoulder posture, glenohumeral joint total rotation range of motion (ROM) and skin temperature in asymptomatic individuals.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
In the literature, the effects of myofascial release and instrument assisted soft tissue mobilization (IASTM) applications on individuals with pectoralis minor muscle are investigated, but the available evidence is insufficient.
In a study conducted in asymptomatic individuals, self-myofascial release was found to be more effective than placebo application in increasing glenohumeral flexion joint range of motion (ROM), improving pectoralis minor length and advanced scapular posture.
However, there was one study comparing the short-term effectiveness of the self-myofascial release method and IASTM methods on pectoralis minor length, glenohumeral total arch movement and skin temperature in individuals with short pectoralis minor, and the results of both applications were found to be similar.
Despite these studies in the current literature, the amount of evidence examining the effectiveness of myofascial release technique performed under the guidance of a physiotherapist in individuals with short pectoralis minor is insufficient.
However, the number of studies comparing the immediate and short-term effects of different myofascial release methods on the pectoralis minor muscle lengthening is few.
Given the limited evidence available, different myofascial release methods may produce different short-term responses on the pectoralis minor muscle, with different results on muscle length, scapular position, glenohumeral total arch motion, and superficial skin temperature.
Therefore, the aim of this study was to compare the effects of 3 different myofascial release techniques on pectoralis minor muscle length, rounded shoulder posture, glenohumeral joint total rotation ROM and skin temperature in asymptomatic individuals.
Study Type
Interventional
Enrollment (Estimated)
45
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Busra Aksan Sadikoglu, PT, MSc
- Phone Number: (0212) 414 15 00
- Email: fztbusraaksan@gmail.com
Study Locations
-
-
-
Istanbul, Turkey
- Recruiting
- Istanbul University-Cerrahpasa
-
Contact:
- Busra Aksan Sadikoglu, PT, MSc
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 35 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- between the ages of 18-35
- Presence of pectoralis minor shortness
- Not having any upper extremity injury in the last 6 months
Exclusion Criteria:
- Presence of upper extremity surgery in the last 12 months
- Presence of neurological disorder in the upper extremity
- Any sensory problems or open wounds around the shoulder
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Self Myofascial Release
Self Myofascial Release only
|
In the self-myofascial release technique, a tennis ball will be placed on the 4th rib on the shoulder side to be applied on the wall, and the participants will be asked to move the ball using their body along the pectoralis minor.
|
Active Comparator: Myofascial Release
Myofascial Release with Physical Therapist Only
|
A slight caudal force will be applied by the physiotherapist until the pectoralis minor muscle meets the comfortable elastic limit of the soft tissue.
|
Active Comparator: Instrument Assisted Soft Tissue Mobilization
Instrument Assisted Soft Tissue Mobilization Only
|
Instrument-assisted soft tissue mobilization will be performed with the specified instruments for the pectoralis minor muscle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pectoralis minor length
Time Frame: Baseline (first assessment)
|
The length of the pectoralis minor muscle will be evaluated by the physiotherapist by calculating the pectoralis minor index (PMI), which is an objective evaluation method.
In the calculation of PMI, the distance between the inferomedial of the coracoid process and the caudal edge of the 4th rib in the sternum will be evaluated with a tape measure to measure the length of the pectoralis minor muscle, and the values will be recorded in centimeters.
Then, the measured pectoralis minor muscle length value will be calculated by dividing the participant's height in centimeters multiplied by 100.
The reference value for PMI is 7.44%.
|
Baseline (first assessment)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pectoralis minor length
Time Frame: Immediately after the intervention (second assessment)
|
The length of the pectoralis minor muscle will be evaluated by the physiotherapist by calculating the pectoralis minor index (PMI), which is an objective evaluation method.
In the calculation of PMI, the distance between the inferomedial of the coracoid process and the caudal edge of the 4th rib in the sternum will be evaluated with a tape measure to measure the length of the pectoralis minor muscle, and the values will be recorded in centimeters.
Then, the measured pectoralis minor muscle length value will be calculated by dividing the participant's height in centimeters multiplied by 100.
The reference value for PMI is 7.44%.
|
Immediately after the intervention (second assessment)
|
rounded shoulder posture
Time Frame: Baseline (first assessment)
|
The distance between the posterior border of the acromion and the table will be measured using a ruler while the patient is lying on her back, and the values will be recorded in cm
|
Baseline (first assessment)
|
rounded shoulder posture
Time Frame: Immediately after the intervention (second assessment)
|
The distance between the posterior border of the acromion and the table will be measured using a ruler while the patient is lying on her back, and the values will be recorded in cm.
|
Immediately after the intervention (second assessment)
|
glenohumeral joint total rotation ROM
Time Frame: Baseline (first assessment)
|
The total value of the internal and external rotation angles of the glenohumeral joint will be measured with a digital inclinometer.
After the inclinometer is placed on the patient's forearm, the glenohumeral joint total ROM will be recorded by passively externally and internally rotating the arms in the 90° flexion-90° abduction position.
|
Baseline (first assessment)
|
glenohumeral joint total rotation ROM
Time Frame: Immediately after the intervention (second assessment)
|
The total value of the internal and external rotation angles of the glenohumeral joint will be measured with a digital inclinometer.
After the inclinometer is placed on the patient's forearm, the glenohumeral joint total ROM will be recorded by passively externally and internally rotating the arms in the 90° flexion-90° abduction position.
|
Immediately after the intervention (second assessment)
|
skin temperature
Time Frame: Baseline (first assessment)
|
An infrared skin thermometer will be used to measure skin temperature.
|
Baseline (first assessment)
|
skin temperature
Time Frame: Immediately after the intervention (second assessment)
|
An infrared skin thermometer will be used to measure skin temperature.
|
Immediately after the intervention (second assessment)
|
number of trigger points
Time Frame: Baseline (first assessment)
|
The presence of myofascial trigger points in the pectoralis minor muscle will be evaluated manually according to the Travel and Simons criteria.
The total number will be recorded.
|
Baseline (first assessment)
|
number of trigger points
Time Frame: Immediately after the intervention (second assessment)
|
The presence of myofascial trigger point (MTN) in the pectoralis minor muscle will be evaluated manually according to the Travel and Simons criteria.
The total number will be recorded.
|
Immediately after the intervention (second assessment)
|
pressure pain threshold
Time Frame: Baseline (first assessment)
|
In order to evaluate the pain threshold of the pectoralis minor muscle, a pressure algometer (Baseline Push-Pull Force Gauge®, Fabrication Enterprises, Inc.) that can measure the pressure in pounds (Lb) and kilograms (kg), with a 1 cm diameter circular rubber disc attached to the piston at the end, will be used.
Measurements will be recorded in kg/cm².
|
Baseline (first assessment)
|
pressure pain threshold
Time Frame: Immediately after the intervention (second assessment)
|
In order to evaluate the pain threshold of the pectoralis minor muscle, a pressure algometer (Baseline Push-Pull Force Gauge®, Fabrication Enterprises, Inc.) that can measure the pressure in pounds (Lb) and kilograms (kg), with a 1 cm diameter circular rubber disc attached to the piston at the end, will be used.
Measurements will be recorded in kg/cm².
|
Immediately after the intervention (second assessment)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
August 1, 2022
Primary Completion (Estimated)
August 1, 2023
Study Completion (Estimated)
August 1, 2023
Study Registration Dates
First Submitted
June 14, 2022
First Submitted That Met QC Criteria
June 20, 2022
First Posted (Actual)
June 23, 2022
Study Record Updates
Last Update Posted (Estimated)
June 2, 2023
Last Update Submitted That Met QC Criteria
May 31, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IstanbulUC-2022
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
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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