Functional Massage of Teres Major Muscle

Study Overview
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Brief Summary
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Purpose: Subacromial impingement syndrome is the most common shoulder condition. Myofascial trigger points in teres major muscle can be associated with this syndrome. The investigators objective is to find out if adding manual therapy specifically for teres major trigger points can produce better results in these patients. Method: A randomized controlled pilot study was carried out. Fifty people were randomly assigned to one of two groups: intervention group or control group. Both groups received a protocolized physical therapy treatment while the intervention group additionally received manual therapy for teres major trigger points.

Official Title
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Effectiveness of Functional Massage of the Teres Major Muscle in Patients With Subacromial Impingement Syndrome. A Randomized Controlled Pilot Study

Conditions
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Subacromial Impingement Syndrome, Trigger Points

Intervention / Treatment
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* Other: Functional Massage
* Other: Protocolized physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 years and over Clinical diagnosis of Subacromial Impingement Syndrome. Detectable trigger points in teres major muscle. Sign informed consent form. Exclusion Criteria: Presence of wounds or cutaneous alterations in the shoulder region Previous surgery in the shoulder Presence of acute inflammatory process in the shoulder (< 7 days), Being involved in litigation or compensation processes Not having a domain of the language that could make the informed consent not understandable.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Treated with protocolized physiotherapy and functional massage | Other: Functional Massage<br>* The functional massage is a manual therapy technique, indicated in cases of painful muscle tightness that combines a rhythmical and non painful passive joint mobilization in the direction of muscle stretching together with compression/decompression of the muscle to be treated.<br>Other: Protocolized physiotherapy<br>* therapeutic exercises, analgesic electrotherapy and cryotherapy<br>|
| Experimental: Control group<br>Treated with protocolized physiotherapy | Other: Protocolized physiotherapy<br>* therapeutic exercises, analgesic electrotherapy and cryotherapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pain Intensity (visual analogue scale) | Using a Visual analogue scale | Change from baseline to 3 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Function (Abbreviated Constant-Murley score) | Using the Abbreviated Constant-Murley score | Change from baseline to 3 weeks | 
| Change in Active Range of Motion | Flexion, extension, abduction, external rotation and internal rotation | Change from baseline to 3 weeks |