Effects of IASTM in the Treatment of Adhesive Capsulitis
Condition: Pain, Shoulder; Adhesion; Shoulder; Myofacial Pain
MeSH terms: Bursitis; Shoulder Pain; Facial Pain
Study type: Interventional

Summary: 
      This study aimed to determine the effects of IASTM in combination with exercise in frozen
      shoulder. Thirty-five patients with phase II frozen shoulder included in this single-blind,
      randomized study. Patients were divided into two groups. In the first group exercise
      programme (Group 1) and in the second group IASTM in combination with exercise programme
      (Group 2) were applied for twelve sessions (two days per week for six week). The primary
      outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) score and secondary
      outcomes were the visual analogue scale (VAS), the range of motion (ROM), The Constant score
      and Short- Form-36 (SF-36). Outcome measures were performed at baseline, after the 6th
      session and the 12th session.
    

Detailed description: 
      Instrument Assisted Soft Tissue Mobilization (IASTM) is a popular treatment for myofascial
      restriction based on the logic developed by James Cyriax. IASTM is applied using specially
      designed instruments to provide a mobilizing effect on soft tissue (eg scar tissue,
      myofascial adhesion) to reduce pain, improve joint range of motion and function. IASTM can
      help improve fibroblast proliferation and promote normal collagen sequencing, however, there
      is no enough study evaluating the results of IASTM use in patients with frozen shoulders in
      the literature. This study aimed to determine the effects of IASTM in combination with
      exercise in the treatment of frozen shoulder. Therefore, it was hypothesized that exercise
      programme combined with IASTM are more effective in improving pain, range of motion (ROM),
      and functionality than are the exercise programme alone.
    

Intervention name(s): Standard Exercise; Instrument Assisted Soft Tissue Mobilization (IASTM); Home Exercise
Intervention type(s): Other; Other; Other
Intervention description(s): Glenohumeral exercises, scapulothoracic exercises, stretching exercises and mobilization exercises were performed under the supervision of a physiotherapist two days per week for six weeks at the clinical setting (Celik and Kaya Mutlu, 2016).; IASTM treatment was applied to the posterior-anterior-middle deltoid, latissimus dorsi, teres major, teres minor, supraspinatus and infraspinatus muscle fibers, superficial and deep fascia. IASTM was applied in parallel and vertical direction to the muscle fibers treated with the instrument at a 45° angle, each technique (SWEEP, BRUSH (straight short steps) techniques) for 20 seconds (Ikeda, Otsuka, Kawanishi, and Kawakami, 2019). It was performed two days per week for six weeks.; Hme exercise program consisted of glenohumeral exercises, scapulothoracic exercises, stretching exercises and mobilization exercises.
It was asked to perform two days per week for six weeks.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Adhesive capsulitis; Function; Pain; Exercise