Clinical trial NCT05064774: The Efficacy of Myofascial Release at the Cervicothoracic Region in Patients With Rotator Cuff Repairs
Official title: The Efficacy of Myofascial Release at the Cervicothoracic Region in Patients With Rotator Cuff Repairs: A Randomized Controlled Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Rotator Cuff Tears
Keywords: myofascial release
rotator cuff tears
physiotherapy
rotator cuff repair
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2021-10-01
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomised controlled study this study was conducted with rotator cuff tear patients who underwent arthroscopic rotator cuff treatment.

The patients' pain intensity, joint range of motion, flexibility of shoulder muscles, grip and muscle strength, shoulder function evaluations and physical characteristics, age, differences between body mass index were evaluated with Mann Whitney-U test.Measurements before and after treatment were evaluated with the Wilcoxon test. Friedman test was performed for the measurements made at postoperative 3, 7, and 12 weeks before in-group treatment. Bonferoni correction was done for possible differences.
Primary purpose: TREATMENT

Brief summary: this study was conducted the patients with rotator cuff tears who underwent rotator cuff repair surger.The patients were randomly divided into 2 groups and a total of 20 subjects were randomized in a single block order using RandomAllocation Software 1.0.0 by simple randomization.All evaluation and treatment was done by the same physiotherapist.The first group was included in the traditional treatment program after rotator cuff repair, while the second group was included in the myofascial release program, 2 sessions a week between the 4th and 7th weeks, in addition to the traditional treatment.

Detailed description: Patients in the 2 groups undergoing rc repair were also included in a similar physiotherapy program.Immobilization with a sling was made for 4-6 weeks after surgery. In addition to physiotherapy in group 2, myofascial release therapy was applied to the upper trapezius, sternocloidomastoideus, pectoral muscles (major, minor) 2 days a week between the 4th and 7th weeks after surgery, in addition to the conventional treatment. Myofascial treatment took 30-45 minutes per session.

Eligibility criteria: Inclusion Criteria:

* aged betweeen 18-65
* diagnosed with RC tear

Exclusion Criteria:

* wanting to leave the study
* not participating in assessments and/or treatments
* presence of massive tears
* accompanying nerve injuries,
* presence of labral lesion,
* diagnosed psychological problems,
* central nervous system problems
* those with any rheumatological and orthopedic diseases
* individuals who have had previous surgery on the same shoulder

Primary outcomes:
measure: pain intensity
timeFrame: 12 weeks
measure: function
timeFrame: 12 weeks
measure: quality of life ındex
timeFrame: 12 weeks
Secondary outcomes:
measure: grip strength
timeFrame: 12 weeks
measure: flexibility
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Pamukkale University
state: Pamukkale
Study officials:
affiliation: Pamukkale University
name: Sumeyye CILDAN UYSAL
role: PRINCIPAL_INVESTIGATOR
References:
citation: Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. Int J Sports Phys Ther. 2011 Mar;6(1):51-8.
citation: LeBauer A, Brtalik R, Stowe K. The effect of myofascial release (MFR) on an adult with idiopathic scoliosis. J Bodyw Mov Ther. 2008 Oct;12(4):356-63. doi: 10.1016/j.jbmt.2008.03.008. Epub 2008 Jun 4.
citation: Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972 Jan;54(1):41-50. No abstract available.