Manual Therapy in Chronic Shoulder Pain Treatment
2018年3月25日 更新者：Prof. Dr. Daniel Pecos Martín、University of Alcala
The Initial Effects on Pain, Pain Sensitivity, Range of Motion and Muscle Strength of an Anteroposterior Mobilization of the Glenohumeral Joint in Overhead Athletes With Chronic Shoulder Pain
Background: Passive oscillatory mobilizations are often employed by physiotherapists to reduce shoulder pain and increase function. However, there is little data about the neurophysiological effects of these mobilizations.
Objectives: To investigate the initial effects of an anteroposterior (AP) shoulder joint mobilization on measures of pain and function in overhead athletes with chronic shoulder pain.
調査の概要
状態
完了
条件
詳細な説明
Design: Double-blind, controlled, within-subjects repeated-measures design Method: Thirty-one overhead athletes with chronic shoulder pain participated.
The effects of a 9-min, AP mobilization of the glenohumeral joint were compared with manual contact and no-contact interventions.
Pressure pain threshold (PPT), range of movement (ROM), muscle strength, self-reported pain, and disability were measured immediately before and after each intervention.
研究の種類
介入
入学 (実際)
31
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Madrid
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Alcala de Henares、Madrid、スペイン、2805
- Clinical University
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年～60年 (大人)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- History of chronic shoulder pain lasting ≥3 months.
- Play overhead sport regularly.
Exclusion Criteria:
- Had a non-musculoskeletal origin of shoulder pain.
- Previous surgery to the shoulder complex.
- Frozen shoulder.
- Any co-existing inflammatory, infectious or neurological condition.
- The patient from physiotherapy treatment.
- Any evidence of pain referred from the cervical spine to the shoulder
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：クロスオーバー割り当て
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Mobilization to the glenohumeral joint
This condition consisted on the application of a passive rhythmic AP mobilization to the glenohumeral joint of the affected shoulder
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The treatment condition consisted on the application of a passive rhythmic AP mobilization to the glenohumeral joint of the affected shoulder.
In particular, a Grade III AP glide to the humeral head with the arm positioned in 90º of glenohumeral abduction and full internal rotation was used.
The posterior gliding force to the humeral head was applied maintaining the glide at right angles to the plane of movement and at a frequency of 2 Hz which was controlled by means of a metronome.
The arm was returned to its original position between each set.
他の名前：
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偽コンパレータ：The manual contact condition
In this condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition.
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During the manual contact condition the therapist positioned the patient in a mid-range position of glenohumeral abduction and internal rotation and applied the hands to the same contact point as in the treatment condition.
However, a simulated posterior glide was performed but with minimal pressure actually applied.
The number of repetitions and sets were as per the treatment condition.
During the no-contact condition, the subject remained in the initial starting position thorough the entire session but there was no manual contact between the therapist and the participant.
The total treatment time was the same as per the other conditions.
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介入なし：No-contact condition
There was no manual contact between the therapist and the participant
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Self-reported shoulder pain
時間枠：Change from Baseline at 5 minutes after intervention
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Participants were asked to indicate the intensity of their current shoulder pain using a numeric rating pain scale (NRPS).
In this scale, 0 is not pain and 10 is the worse pain possible
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Change from Baseline at 5 minutes after intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Shoulder disability
時間枠：Change from Baseline at 24 hours after treatment
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The DASH is comprised of 30 items (disability/symptom section) and two optional sections related to the impact of pathology on work and sports.
Each item is scored from 1 to 5 with increasing values representing more severity of symptoms.
The total score for the disability/symptoms section ranges from 30 to 150, but it is then transformed to a scale from 0 (better score possible) to 100 (worse score possible).
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Change from Baseline at 24 hours after treatment
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Shoulder range of movement (ROM)
時間枠：Change from Baseline at and 5 minutes after treatment
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Active elevation in the scapular plane and passive glenohumeral internal and external rotation were measured using a Standard BASELINE ® 12-inch plastic goniometer following previous guidelines.
The 0 degrees of movement is worse and 180 degrees is the better
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Change from Baseline at and 5 minutes after treatment
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Shoulder muscles strength
時間枠：Change from Baseline at 5 minutes after treatment
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Isometric strength of the shoulder internal and external rotator musculature was measured using a portable hand-held dynamometer (Nicholas Manual Muscle Tester, Lafayette Instruments, USA).
Normal external rotation strength is 20 Newtons and 27 newton in internal rotation strength
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Change from Baseline at 5 minutes after treatment
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Pressure pain threshold (PPT)
時間枠：Change from Baseline at 5 minutes after treatment
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The PPT was measured using an analogue Fisher algometer (Force Dial model FDK, Wagner Instruments) with a surface area at the round tip of 1cm2.
The algometer probe tip was applied perpendicular to the skin at a rate of 1kg/cm2/s until the first onset of pain.
The PPT value is specific in each subject.The minimal clinically important difference is 2Kg/cm
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Change from Baseline at 5 minutes after treatment
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Daniel Pecos-Martin, Dr、Alcala University
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2018年2月15日
一次修了 (実際)
2018年3月15日
研究の完了 (実際)
2018年3月15日
試験登録日
最初に提出
2018年1月11日
QC基準を満たした最初の提出物
2018年1月29日
最初の投稿 (実際)
2018年1月31日
学習記録の更新
投稿された最後の更新 (実際)
2018年3月27日
QC基準を満たした最後の更新が送信されました
2018年3月25日
最終確認日
2018年3月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
肩凝りの臨床試験
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Mobilization to the glenohumeral jointの臨床試験
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