Physiotherapist Approach to Shoulder's Diseases, Differences Between Fascial Manipulation and Standard Exercises

Study Overview
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Brief Summary
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The study purpose is to compare the effects of Fascial Manipulation added to standard exercises protocol versus the simple exercises protocol.

Detailed Description
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The shoulder degenerative diseases are recurring in hospital employees. The early approach, as we see in literature, has high probability to reduce the pain and the disfunction in the long term. In particular stretching and strengthening exercises are the standard protocol applied. The Fascial Manipulation is a manual therapy that works on the connective tissue, by increasing mobility and reducing pain. We have added the Fascial Manipulation to prove if it make a faster recovery and a pain reduction in the short and the middle term.

Official Title
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Physiotherapist Approach to Shoulder's Diseases, Differences Between Fascial Manipulation and Standard Exercise

Conditions
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Shoulder Pain, Manual Therapy

Intervention / Treatment
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* Other: Fascial Manipulation
* Other: Standard exercises protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: shoulder pain and acute and relapse in six months positive results in two orthopedic testes Exclusion Criteria: Degenerative diseases and neurological diseases Rheumatological Diseases and cancer fracture of the humerus, scapula and collarbone documented injury of rotator cuff. cortisones therapy in action

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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
Interventional Model Description: Participants are assigned to one of two or more groups in parallel for the duration of the study are evaluated in parallel against a control group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Standard Group<br>The subjects will be treated with a standard protocol of stretching and strengthening exercises , we require them to do the exercises by themselves during five weeks, one a day. To make sure that they will do the protocol, we'll give them a diary to sign the daily section. | Other: Standard exercises protocol<br>* Stretching and strengthening exercises<br>|
| Experimental: Intervention group<br>The subjects will be treated with the same protocol of the Standard Group, but in two section, they will receive a Fascial Manipulation approach. | Other: Fascial Manipulation<br>* Fascial Manipulation is a manual therapy that focused on deep muscular fascial.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder Pain | VNS scale in the Apley 'Scratch Test | Before and after the first treatment. A week after the enrollment. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| shoulder' function | Constant Morley Scale | Before and after the first treatment. A week after the enrollment. | 
| shoulder' function | Constant Morley Scale | Before and after the fifth treatment, after five weeks. This will be the last treatment | 
| shoulder' function | Constant Morley Scale | A month later the last treatment, as follow up | 
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | Before and after the first treatment. A week after the enrollment. | 
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | Before and after the fifth treatment, after five weeks.This will be the last treatment | 
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | A month later the last treatment, as follow up | 
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | Before and after the first treatment. A week after the enrollment. | 
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | Before and after the fifth treatment, after five weeks. This will be the last treatment | 
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | A month later the last treatment, as follow up |