Real Versus Sham Manual Therapy for RCRSP

University of Alcala

Status: Completed

Conditions: Shoulder Pain

Treatments: Other: Sham thoracic manual therapy; Other: Sham glenohumeral manual therapy; Other: Manual therapy thoracic spine; Other: Therapeutic exercise; Other: Manual therapy glenohumeral joint

Study type: Interventional

Funder types: Other

Identifiers

NCT04440046

2/111/729

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 45 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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45 participants in 3 patient groups

Real manual therapy

Experimental group

Description:

Real manual therapy directed to the thoracic spine and glenohumeral joint added to a therapeutic exercise program

Treatment:

Other: Therapeutic exercise

Other: Manual therapy thoracic spine

Other: Manual therapy glenohumeral joint

Sham thoracic manual therapy

Sham Comparator group

Description:

Sham manual therapy directed to the thoracic spine with real manual therapy directed to the glenohumeral joint added to the same therapeutic exercise program performed in the real manual therapy group

Treatment:

Other: Sham thoracic manual therapy

Other: Therapeutic exercise

Other: Manual therapy glenohumeral joint

Sham manual therapy

Sham Comparator group

Description:

Sham manual therapy directed to the thoracic spine and glenohumeral joint added to the same therapeutic exercise program performed in the real manual therapy group

Treatment:

Other: Sham glenohumeral manual therapy

Other: Sham thoracic manual therapy

Other: Therapeutic exercise