Efficacy of Therapeutic Exercise vs. Treatment of Myofascial Trigger Points.

NCT ID: NCT06241404

Last Updated: 2024-02-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2024-01-15

Brief Summary

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Background: Shoulder pain commonly affects the general population, with rotator cuff tendinopathy being the most common cause.

the most common cause, with rotator cuff tendinopathy diminishing function and quality of life, leading to a major socio-economic impact.

quality of life, leading to a major socio-economic impact. As a result, there are two treatment approaches with potential effectiveness: therapeutic exercise (TE) and myofascial trigger point treatment (TMT).

trigger point treatment (TTP).

Objective: The main objective of this randomised clinical trial is to determine the efficacy of ET versus treatment of MTPs in shoulder tendinopathies.

Methods: For this study, 20 participants were randomly divided into two groups: a ET group, with which a 10-exercise programme was initiated (n = 10), and a PGM group which was given an intervention protocol (n = 10).

intervention protocol (n = 10). Both received a total of 10 sessions. Pain intensity pain intensity, pressure pain threshold (PPT) and range of motion (ROM) were assessed before starting and after 10 sessions.

and after 10 sessions.

Detailed Description

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Conditions

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Shoulder Tendinopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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therapeutic exercise group

patients who have been treated for shoulder tendinopathy by exercise therapy

Group Type EXPERIMENTAL

Exercise therapy

Intervention Type PROCEDURE

patients who have been treated for shoulder tendinopathy by exercise therapy

trigger points group

patients who have been treated for shoulder tendinopathy by trigger point therapy

Group Type ACTIVE_COMPARATOR

trigger point therapy

Intervention Type PROCEDURE

patients who have been treated for shoulder tendinopathy by trigger point therapy

Interventions

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trigger point therapy

patients who have been treated for shoulder tendinopathy by trigger point therapy

Intervention Type PROCEDURE

Exercise therapy

patients who have been treated for shoulder tendinopathy by exercise therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent form.
* Patients diagnosed by an orthopaedic surgeon with shoulder tendinopathy. tendinopathy.
* Symptoms of shoulder pain lasting more than 3 months.
* Pain on Jobe, Patte and infraspinatus assessment manoeuvres (highlighting abduction and abduction and external rotation).

Exclusion Criteria

* Previous shoulder surgery.
* Radiating (non-referred) pain from cervical radiculopathy.
* Shoulder pain associated with other diagnoses (Examples: retractile capsulitis, subacromial syndrome, tendon rupture, posterosuperior conflict, etc.).

subacromial syndrome, tendon rupture, posterosuperior conflict, etc).

* Patients with multiple pathologies.
* Patients with neurological disorders.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Católica de Ávila

OTHER

Sponsor Role lead

Responsible Party

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JORGE VELAZQUEZ SAORNIL

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Jorge Velázquez Saornil

Ávila, , Spain

Site Status

Countries

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Spain

References

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Yoma M, Herrington L, Mackenzie TA. The Effect of Exercise Therapy Interventions on Shoulder Pain and Musculoskeletal Risk Factors for Shoulder Pain in Competitive Swimmers: A Scoping Review. J Sport Rehabil. 2022 Feb 23;31(5):617-628. doi: 10.1123/jsr.2021-0403. Print 2022 Jul 1.

Reference Type BACKGROUND
PMID: 35196648 (View on PubMed)

Jung KM, Choi JD. The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke. Med Sci Monit. 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277.

Reference Type BACKGROUND
PMID: 31256191 (View on PubMed)

Spanhove V, De Wandele I, Malfait F, Calders P, Cools A. Home-based exercise therapy for treating shoulder instability in patients with hypermobile Ehlers-Danlos syndrome/hypermobility spectrum disorders. A randomized trial. Disabil Rehabil. 2023 Jun;45(11):1811-1821. doi: 10.1080/09638288.2022.2076932. Epub 2022 May 24.

Reference Type BACKGROUND
PMID: 35609204 (View on PubMed)

Richmond H, Lait C, Srikesavan C, Williamson E, Moser J, Newman M, Betteley L, Fordham B, Rees S, Lamb SE, Bruce J; PROSPER Study Group. Development of an exercise intervention for the prevention of musculoskeletal shoulder problems after breast cancer treatment: the prevention of shoulder problems trial (UK PROSPER). BMC Health Serv Res. 2018 Jun 18;18(1):463. doi: 10.1186/s12913-018-3280-x.

Reference Type BACKGROUND
PMID: 29914494 (View on PubMed)

Lin IH, Chang KH, Liou TH, Tsou CM, Huang YC. Progressive shoulder-neck exercise on cervical muscle functions in middle-aged and senior patients with chronic neck pain. Eur J Phys Rehabil Med. 2018 Feb;54(1):13-21. doi: 10.23736/S1973-9087.17.04658-5. Epub 2017 Jul 17.

Reference Type BACKGROUND
PMID: 28714658 (View on PubMed)

Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y.

Reference Type RESULT
PMID: 30777064 (View on PubMed)

Eshoj H, Rasmussen S, Frich LH, Hvass I, Christensen R, Jensen SL, Sondergaard J, Sogaard K, Juul-Kristensen B. A neuromuscular exercise programme versus standard care for patients with traumatic anterior shoulder instability: study protocol for a randomised controlled trial (the SINEX study). Trials. 2017 Feb 28;18(1):90. doi: 10.1186/s13063-017-1830-x.

Reference Type RESULT
PMID: 28245853 (View on PubMed)

Villa Munoz T, Velazquez Saornil J, Sanchez Mila Z, Romero-Morales C, Almazan Polo J, Baraja Vegas L, Hugo-Villafane J, Abuin-Porras V. Comparative evaluation of the efficacy of therapeutic exercise versus myofascial trigger point therapy in the treatment of shoulder tendinopathies: a randomised controlled trial. BMJ Open Sport Exerc Med. 2024 Oct 16;10(4):e002043. doi: 10.1136/bmjsem-2024-002043. eCollection 2024.

Reference Type DERIVED
PMID: 39430399 (View on PubMed)

Other Identifiers

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250124

Identifier Type: -

Identifier Source: org_study_id

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