Effectiveness of a Novel Protocol for Glenohumeral Internal Rotation Deficit in General Population With Shoulder Pain (GIRDTREAT)

Effectiveness of a Novel Protocol for Glenohumeral Internal Rotation Deficit in General Population With Shoulder Pain

Effectiveness of a Novel Protocol for Glenohumeral Internal Rotation Deficit in General Population With Shoulder Pain

Shoulder pain is one of the most common joint problems and disabling complaint in general population., but there is a lack of evidence about the relation between shoulder pain and glenohumeral internal rotation deficit (GIRD) in general population. This study aimed to determine if the novel proposal for treatment of GIRD could be effectiveness and gain further evidence in the Range of Motion an Pain.

The Treatment sequence including joint Manual therapy techniques and soft tissue release techniques is proposed.

Gliding over the deltoid superficial fascia. Anterior-Posterior mobilization of the clavicle. myofascial release of the shoulder joint complex techniques. Myofascial release external rotation with glenohumeral decoaptation will be carry out in prone position facility the triangular space, quadrangular space and triceps hiatus. anterior and posterior, superior and inferior glenohumeral inferior glide mobilization in adduction will perform in a prone position to facilitate glenohumeral re centration. scapular musculature myofascial release including mobilization with a scapulothoracic joint decoaptation, and angular of the scapula. Supine mobilization of the posterior capsule in 90º shoulder flexion and the adduction. Finally the patient will be instructed to adapt the daily active biological stimulus at home to maximize the benefits of the manual therapy

measure in supine position on a physiotherapy bench. The shoulder will held at 90° abduction with 90° flexion in the elbow.

Inclusion Criteria: Shoulder pain Exclusion Criteria: Patient under 18 years old, Pain in both shoulders Joint prosthesis in at least one of the two shoulders.