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Teres Major Muscle and Subacromial Impingement Syndrome

NCT ID: NCT02374125

Last Updated: 2015-02-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2015-12-31

Brief Summary

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There is not a clear understanding of the origin of symptoms perceived by patients with impingement of the soft tissue structures of the subacromial space. Tendinopathy, tendon rupture or other pathologies, are present in asymptomatic subjects and subjects with symptoms and structural integrity can also be found.

Patients diagnosed with subacromial impingement syndrome frequently have myofascial trigger points in the teres major muscle. Travell and Simons reported that the symptoms caused by trigger points in this muscle are similar to those experienced by patients diagnosed with impingement syndrome, but a literature search provides few results regarding relationship between subacromial impingement syndrome and presence of myofascial trigger points in the teres major muscle.

This study aims to provide evidence of the results that can be obtained with a specific approach of teres mayor muscle by two manual techniques, Trigger Point Pressure Release and Diacutaneous Fibrolysis, in subjects with subacromial impingement syndrome, a condition that still representing both a diagnostic and therapeutic challenge. Secondary objective is to compare the outcomes between both techniques to select for each patient the most appropriate to their needs and characteristics.

Detailed Description

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Conditions

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Trigger Points in Teres Major Muscle Subacromial Impingement Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Fibrolysis Group

Actual Diacutaneous Fibrolysis and protocolized physiotherapy

Group Type EXPERIMENTAL

Diacutaneous Fibrolysis

Intervention Type DEVICE

Applied only around teres major muscle.

Protocolized physiotherapy

Intervention Type OTHER

Exercises, TENS and cryotherapy

Pressure Group

Trigger Point Pressure Release and protocolized physiotherapy

Group Type EXPERIMENTAL

Trigger Point Pressure Release

Intervention Type OTHER

Applied only in teres major muscle trigger points.

Protocolized physiotherapy

Intervention Type OTHER

Exercises, TENS and cryotherapy

Control Group

Protocolized physiotherapy

Group Type ACTIVE_COMPARATOR

Protocolized physiotherapy

Intervention Type OTHER

Exercises, TENS and cryotherapy

Interventions

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Diacutaneous Fibrolysis

Applied only around teres major muscle.

Intervention Type DEVICE

Trigger Point Pressure Release

Applied only in teres major muscle trigger points.

Intervention Type OTHER

Protocolized physiotherapy

Exercises, TENS and cryotherapy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18 years and over
* Clinical diagnosis of Subacromial Impingement Syndrome.
* Detectable trigger points in teres major muscle.
* Sign informed consent form.

Exclusion Criteria

* Diacutaneous Fibrolysis contraindications
* Previous shoulder surgery (\<1year)
* Language barriers or cognitive issues that limit their ability to provide informed consent and participate in research.
* Patients with a pending litigation or court claim.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martín Barra

Role: PRINCIPAL_INVESTIGATOR

IDIAP JORDI GOL

Locations

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Catalan Health Institut. Sant Ildefons Rehabilitation Service

Cornellà de Llobregat, Barcelona, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Martin Barra

Role: CONTACT

Email: [email protected]

Facility Contacts

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Martín Barra

Role: primary

Other Identifiers

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P14/033

Identifier Type: -

Identifier Source: org_study_id