The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome

University of Nove de Julho

Status: Completed

Conditions: Shoulder Impingement Syndrome

Treatments: Other: manual therapy; Device: diadynamic current

Study type: Interventional

Funder types: Other

Identifiers

NCT02735967

50917515.3.0000.5511

Details and patient eligibility

About

The aim of this study will be to evaluate the effects of the use of manual therapy and diadynamic in muscle trigger points in the upper trapezius muscle in individuals diagnosed with shoulder impingement syndrome, unilateral shoulder as functional capacity, pain intensity and pain threshold the pressure.

Enrollment: 60 patients

Sex: All

Ages: 18 to 59 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of anterior lateral and unilateral shoulder pain
• with more than 3 months duration
• intensity of at least 4 points on the Numerical Rating Pain Scale
• positivity in at least 2 of 3 orthopedic tests for impingement syndrome: Neer, Hawkins or Jobe
• Associated with these characteristics volunteers should submit myofascial trigger points unilateral and active, centrally located in the trapezius muscle descending fibers associated with painful shoulder

Exclusion criteria

• diagnosis of bilateral impingement syndrome shoulder
• fibromyalgia
• muscle injury
• history of trauma on the shoulder
• ruptured tendons
• ligamentous laxity
• symptoms of numbness and / or tingling in the upper limbs
• corticosteroid injection use shoulder
• making use of anti-inflammatory
• they performed surgery or physical therapy treatment in the last 6 months in the affected shoulder.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 3 patient groups

Group manual therapy + diadynamic

Experimental group

Description:

Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications. Through an electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF), 4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.

Treatment:

Device: diadynamic current

Other: manual therapy

Group manual therapy

Active Comparator group

Description:

Initially, the positional release techniques will be performed while maintaining this position for 90 seconds procedure is repeated 3 times. Then, the therapist performs the ischemic compression technique on the myofascial trigger point, the compression is maintained for 90 seconds by 3 replications.

Treatment:

Other: manual therapy

Group diadynamic

Active Comparator group

Description:

An electrotherapy device were applied diadynamic in that myofascial trigger point previously marked. 4 minutes from the fixed two-phase mode will be applied (DF),4 minutes long periods (LP) and 4 minutes short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.

Treatment:

Device: diadynamic current