Effectiveness of Fascial Manipulation in Rotator's Cuff Surgery Patients

Study Overview
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Brief Summary
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The purpose is to evaluate the effectiveness of fascial manipulation treatment in terms to reduce pain and improve physical functionality after rotator's cuff surgery. The technique involves deep friction manipulation of fascia's specific spots. Distant from surgical site.

Detailed Description
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To evaluate the effectiveness of fascial manipulation treatment associated with standard physiotherapies treatment in rotator's cuff surgery patients, we'll randomize about 60 patients for arm's of study. Both arm's will receive 10 standard physiotherapies treatments in 2 weeks while the experimental arm will receive 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration. To evaluate the effectiveness of fascial manipulation treatment we'll use 2 type of outcome measure and we will compare the result of both arms of study.

Official Title
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Effectiveness of Fascial Manipulation in Early Rehabilitation Treatment of Rotator's Cuff Surgery Patients. A Randomized Trial.

Conditions
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Cuff Rotator Syndrome

Intervention / Treatment
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* Other: fascial manipulation
* Other: standard physiotherapies treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Rotator's cuff surgery patients that have been operated within the past 4/5 weeks Age between 18 to 65 years old Exclusion Criteria: Patients with traumatic shoulder's injury that involved bone's fractures. Severe underlying pathologies like rheumatic, neurological and cardio pathologies that affect the correct shoulder treatment Patients on anticoagulant treatment

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: fascial manipulation<br> | Other: fascial manipulation<br>* • 3 manual intervention on deep fascial tissues, according to fascial manipulation technique, providing a specific motor and manual assessment, and a deep manual intervention over specific fascial alteration.<br>Other: standard physiotherapies treatment<br>* 10 standard treatments in 2 weeks Deltoid and infraspinatus muscles electrotherapy Chair for passive continue mobilization at allowed range of motion (ROM). ½ h per day Scar massage Upper limb, cervical spine and scapula massages Passive and assisted/active shoulder mobilization exercises Scapula micro-mobilizations Gleno-humeral decoaptation Elbow, wrist and hand active mobilization Proprioceptive exercise with and without the aid of the mirror<br>|
| Active Comparator: standard treatment<br> | Other: standard physiotherapies treatment<br>* 10 standard treatments in 2 weeks Deltoid and infraspinatus muscles electrotherapy Chair for passive continue mobilization at allowed range of motion (ROM). ½ h per day Scar massage Upper limb, cervical spine and scapula massages Passive and assisted/active shoulder mobilization exercises Scapula micro-mobilizations Gleno-humeral decoaptation Elbow, wrist and hand active mobilization Proprioceptive exercise with and without the aid of the mirror<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analogue scale (VAS)mean | we'll compare the baseline data (the first evaluation), with data at the end of the treatment, and with follow up (30 days from surgery) | Change from baseline in pain at the end of the rehabilitation cycle (two weeks) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Constant Murley score | Constant Murley score for range of motion and shoulder function assessment. | Change from baseline in range of motion at the end of the rehabilitation cycle (two weeks) |