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

Primary Purpose

Shoulder Impingement Syndrome

Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
manual therapy
diadynamic current
Sponsored by
University of Nove de Julho
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Shoulder Impingement Syndrome

Eligibility Criteria

18 Years - 59 Years (Adult)All SexesDoes not accept 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.

Sites / Locations

  • Cid André Fidelis de Paula Gomes

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Active Comparator

Arm Label

Group manual therapy + diadynamic

Group manual therapy

Group diadynamic

Arm 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.

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.

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.

Outcomes

Primary Outcome Measures

shoulder disability
questionnaire of quality of life developed to assess pain and associated with specific inability to shoulder disorders.

Secondary Outcome Measures

intensity of pain
the Numerical rating pain scale, a simple, easily administered scale evaluates
level of pressure pain
Pressure Pain Threshold in the shoulder with algometer dynamometer.

Full Information

First Posted
April 2, 2016
Last Updated
July 18, 2016
Sponsor
University of Nove de Julho
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1. Study Identification

Unique Protocol Identification Number
NCT02735967
Brief Title
The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome
Official Title
The Use of Diadynamic in Association With a Manual Therapy Program for Patients With Impingement Syndrome: a Randomized Blind Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
March 2016 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
June 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Nove de Julho

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Shoulder Impingement Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group manual therapy + diadynamic
Arm Type
Experimental
Arm 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.
Arm Title
Group manual therapy
Arm Type
Active Comparator
Arm 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.
Arm Title
Group diadynamic
Arm Type
Active Comparator
Arm 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.
Intervention Type
Other
Intervention Name(s)
manual therapy
Intervention Description
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.
Intervention Type
Device
Intervention Name(s)
diadynamic current
Intervention Description
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 minute short periods (CP), the first and second intensely in the sensitive line and the third motor threshold, both supportable according to each patient.
Primary Outcome Measure Information:
Title
shoulder disability
Description
questionnaire of quality of life developed to assess pain and associated with specific inability to shoulder disorders.
Time Frame
Change from Baseline in the Shoulder Pain and Disability Index at 4 weeks
Secondary Outcome Measure Information:
Title
intensity of pain
Description
the Numerical rating pain scale, a simple, easily administered scale evaluates
Time Frame
Change from Baseline in The Numerical rating pain scale at 4 weeks
Title
level of pressure pain
Description
Pressure Pain Threshold in the shoulder with algometer dynamometer.
Time Frame
change from Baseline in ThePressure Pain Threshold at 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
59 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Facility Information:
Facility Name
Cid André Fidelis de Paula Gomes
City
São Paulo
ZIP/Postal Code
01415000
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
Yes
Links:
URL
http://www.uninove.br
Description
Related Info

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

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