Manual Therapy in Chronic Shoulder Pain Treatment

NCT ID: NCT03416556

Last Updated: 2018-03-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 31 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-02-15
• Study Completion Date: 2018-03-15

Brief Summary

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.

Detailed Description

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.

Conditions

Shoulder Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

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

Group Type: EXPERIMENTAL

Mobilization to the glenohumeral joint

Intervention Type: PROCEDURE

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.

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.

Group Type: SHAM_COMPARATOR

The manual contact condition

Intervention Type: PROCEDURE

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.

No-contact condition

Intervention Type: OTHER

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.

No-contact condition

There was no manual contact between the therapist and the participant

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Mobilization to the glenohumeral joint

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.

Intervention Type: PROCEDURE

The manual contact 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.

Intervention Type: PROCEDURE

No-contact 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.

Intervention Type: OTHER

Other Intervention Names

Joint Manipulation

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Alcala

OTHER

Sponsor Role: lead

Responsible Party

Prof. Dr. Daniel Pecos Martín

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Daniel Pecos-Martin, Dr

Role: PRINCIPAL_INVESTIGATOR

Alcala University

Locations

Clinical University

Alcalá de Henares, Madrid, Spain

Countries

Spain

Provided Documents

Document Type: Study Protocol

View Document

Other Identifiers

H1496053548524

Identifier Type: -

Identifier Source: org_study_id