Comparative Effects of Two Procedures for the Management of Posterior Shoulder Tightness

Federal University of Health Science of Porto Alegre22 enrolled

Overview

This study aims to compare the effects of a self-stretch procedures versus a clinician applied musculoskeletal procedure in individuals with posterior shoulder tightness.

Posterior shoulder mobility has been considered a contributing factor to shoulder related movement dysfunction. There is evidence indicating that posterior shoulder tightness (PST) might be present in individuals with impingement related symptoms, post-operative conditions and overhead athletes. Several studies have investigated the effects of musculoskeletal procedures (joint mobilisations and stretch) in subjects with posterior shoulder tightness (PST). This cross-over design aims to compare the differences between a well-established procedure - the crossbody stretch - versus mobilisation with movement, on range of motion and pain pressure threshold of asymptomatic individuals with unilateral PST.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Posterior Shoulder Tightness

Interventions

Cross-body stretch (CBS)OTHER

CBS is a self administered stretch that aims to stretch posterior shoulder structures

Mobilisation with movement (MWM)OTHER

WMW is a musculoskeletal procedure that aims to improve restricted and/or painful range of movement

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Asymptomatic individuals without any history of shoulder pain necessitating medical attention. * Presence of unilateral restriction of at least 10 degrees of internal rotation deficit during the internal rotation mobility test in 90 degrees of shoulder abduction. Exclusion Criteria: * Asymptomatic individuals that present with shoulder pain on the assessment day. * Individuals with chronic conditions not affecting the shoulder. * Individuals with clinical depression. * Individuals that used analgesic and/or anti-inflammatory medication in the previous 24 hours of assessment. * Individuals with fibromialgia. * Individuals engaged in overhead sports.

Locations (1)

Faculdades Integradas de Taquara

Taquara, Rio Grande do Sul, Brazil

Outcomes

Primary Outcomes

Horizontal adduction

Horizontal adduction in 90 degrees of shoulder flexion

Time frame: change immediately after the intervention

Internal rotation

Internal rotation at 90 degrees of shoulder abduction

Time frame: change immediately after the intervention

Secondary Outcomes

Mechanical sensitivity

Pain pressure threshold with an algometer (Wagner instruments, FPX 25)

Time frame: change immediately after the intervention

Data from ClinicalTrials.gov

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