Manual Therapy in Chronic Shoulder Pain Treatment
2018년 3월 25일 업데이트: 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.
연구 개요
상태
완전한
정황
상세 설명
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.
연구 유형
중재적
등록 (실제)
31
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
-
-
Madrid
-
Alcala de Henares, Madrid, 스페인, 2805
- Clinical University
-
-
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 (성인)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
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
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 크로스오버 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: 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
|
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.
다른 이름들:
|
|
가짜 비교기: 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.
|
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.
|
|
간섭 없음: No-contact condition
There was no manual contact between the therapist and the participant
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Self-reported shoulder pain
기간: Change from Baseline at 5 minutes after intervention
|
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
|
Change from Baseline at 5 minutes after intervention
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Shoulder disability
기간: Change from Baseline at 24 hours after treatment
|
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).
|
Change from Baseline at 24 hours after treatment
|
|
Shoulder range of movement (ROM)
기간: Change from Baseline at and 5 minutes after treatment
|
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
|
Change from Baseline at and 5 minutes after treatment
|
|
Shoulder muscles strength
기간: Change from Baseline at 5 minutes after treatment
|
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
|
Change from Baseline at 5 minutes after treatment
|
|
Pressure pain threshold (PPT)
기간: Change from Baseline at 5 minutes after treatment
|
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
|
Change from Baseline at 5 minutes after treatment
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Daniel Pecos-Martin, Dr, Alcala University
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2018년 2월 15일
기본 완료 (실제)
2018년 3월 15일
연구 완료 (실제)
2018년 3월 15일
연구 등록 날짜
최초 제출
2018년 1월 11일
QC 기준을 충족하는 최초 제출
2018년 1월 29일
처음 게시됨 (실제)
2018년 1월 31일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2018년 3월 27일
QC 기준을 충족하는 마지막 업데이트 제출
2018년 3월 25일
마지막으로 확인됨
2018년 3월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
어깨 통증에 대한 임상 시험
-
University Hospital, Angers모병
-
Bingol UniversityAtaturk University아직 모집하지 않음수술 전 불안 | 두려움 | PAIN
-
Weill Medical College of Cornell UniversityNew York University; National Center for Complementary and Integrative Health (NCCIH)모병
-
Istanbul University모병Masticatory Muscle Pain | 근시 통증 증후군 (MP)칠면조
-
Istanbul University모병이갈이 | 근막 통증 증후군 | Masticatory Muscle Pain | 현지 근육통터키 (Türkiye)