Real Versus Sham Manual Therapy for RCRSP

University of Alcala45 enrolled

Overview

A convenience sample of subjects with RCRSP recruited through announcements at the Benemerita Universidad Autonoma de Puebla will be treated with an exercise program with sham or real manual therapy for 5 weeks. The hypothesis of the present study is that the addition of manual therapy to a therapeutic exercise program produces better benefits in comparison to the same exercise program with sham manual therapy procedures in the management of patients with RCRSP.

The objective of this study is to demonstrate that the combination of manual therapy and therapeutic exercise achieves better results in the management of the patient with shoulder pain. For this, manual therapy techniques in the thoracic region and in the shoulder together with a therapeutic exercise program will be applied. The investigators will compare this intervention protocol with placebo manual therapy techniques and the same therapeutic exercise protocol.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Shoulder Pain

Interventions

Manual therapy thoracic spineOTHER

Manual therapy mobilization directed to the costovertebral joint.

Manual therapy glenohumeral jointOTHER

Manual therapy mobilization directed to the glenohumeral joint.

Sham thoracic manual therapyOTHER

Sham manual therapy directed to the costovertebral joint.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * unilateral shoulder pain of non-traumatic origing lasting more than three months. * Pain evoked with active shoulder movements. * Pain and weakness evoked with manual muscle strength tests for abduction and/or external rotation. * Minimal or no rest pain (less than 3 points in a numeric pain rating scale). Exclusion Criteria: * Other shoulder pathologies than RCRSP. * Systemic diseases. * Neural symptoms. * Neck pain. * Radiculopathy. * To have been treated for shoulder pain in the last three months.

Locations (1)

Ruben Fernandez-Matias

Alcalá de Henares, Spain

Outcomes

Primary Outcomes

Shoulder Pain and Disability Index (SPADI)

The SPADI points from 0 (no disability) to 130 (maximum degree of disability)

Time frame: Change from Baseline at 17- week

Secondary Outcomes

Pain intensity measured with a visual analogue scale

10-cm scale where 0 is no pain and 10 is the worst pain imaginable

Time frame: Change from Baseline at 17-week

Pain-free range of movement of the shoulder

Flexion, extension, abduction, internal rotation and external rotation measured with a two-arm goniometer

Time frame: Change from Baseline at 17-week

Data from ClinicalTrials.gov

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