The purpose is to evaluate the effectiveness of fascial manipulation treatment in terms to reduce pain and improve physical functionality after rotator's cuff surgery. The technique involves deep friction manipulation of fascia's specific spots. Distant from surgical site.
To evaluate the effectiveness of fascial manipulation treatment associated with standard physiotherapies treatment in rotator's cuff surgery patients, we'll randomize about 60 patients for arm's of study. Both arm's will receive 10 standard physiotherapies treatments in 2 weeks while the experimental arm will receive 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration. To evaluate the effectiveness of fascial manipulation treatment we'll use 2 type of outcome measure and we will compare the result of both arms of study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
• 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration.
10 standard treatments in 2 weeks * Deltoid and infraspinatus muscles electrotherapy * Chair for passive continue mobilization at allowed range of motion (ROM). ½ h per day * Scar massage * Upper limb, cervical spine and scapula massages * Passive and assisted/active shoulder mobilization exercises * Scapula micro-mobilizations * Gleno-humeral decoaptation * Elbow, wrist and hand active mobilization * Proprioceptive exercise with and without the aid of the mirror
Istituto Ortopedico Rizzoli
Bologna, Italy
visual analogue scale (VAS)mean
we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with follow up (30 days from surgery)
Time frame: Change from baseline in pain at the end of the rehabilitation cycle (two weeks)
Constant Murley score
Constant Murley score for range of motion and shoulder function assessment.
Time frame: Change from baseline in range of motion at the end of the rehabilitation cycle (two weeks)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.