Clinical trial NCT05030402: Efficacy of Maitland Mobilization in Shoulder Pathology
Official title: Effec of Maitland in Shoulder Pathology
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Tendinosis
Keywords: Shoulder
Maitland
Tendinosis
Lead sponsor: University of Las Palmas de Gran Canaria
Sponsor class: OTHER
First posted: 2021-09-01
Enrollment: 63
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The shoulder is a mobile structure which generates a lot of pathologies. One of them is rotator cuff tendinosis. On the other hand, it has been investigated that Maitland is effective for reducing pain and for mobility in the cervical and lumbar spine and in joints such as the knee and ankle, however, there are few studies that confirm that it is effective in shoulder pathologies.So here the investigatprs want to study the effectiveness of Maitland as an adjunctive treatment for shoulder pathologies, comparing it with conventional physiotherapy treatment, in relation to the reduction of pain and increased mobility. For that the investigators have a randomized clinical trial with two group.

Detailed description: Group 1 receives tens, SW, conventional physiotherapy and exercises as treatment. Group 2 receives tens, SW, Mailtland, and exercises. An assessment is carried out at the beginning of the treatment, at the end and 2-4 weeks after finishing the treatment. The EVA ASES, DASH and SF-36 scales are included and the biomechanics study is used for the range of mobility.

Eligibility criteria: Inclusion Criteria:

* Have a shoulder pathology.
* Have a restriction at least of two ranges of movement of the shoulder.
* Sign the consent before starting the study.

Exclusion Criteria:

* Patients with a history of shoulder or neck surgery.
* Patients with neurological damage such as stroke or disease of Parkinson's, as well as those with rheumatism, osteoporosis, surgical fixation, or malignant tumors.
* Have a radiating pain in shoulder from a cervical injury.
* Pregnant patients.
* Patients who do not sign the consent before starting the study.

Primary outcomes:
measure: Change of Range of Motion (ROM)
timeFrame: Baseline and 1, 5, and 7 weeks after treatment
measure: Change of Visual Analog Scale (VAS)
timeFrame: Baseline and 1, 5, and 7 weeks after treatment
measure: Change of Disabilities of the Arm, Shoulder and Hand (DASH)
timeFrame: Baseline and 1, 5, and 7 weeks after treatment
Secondary outcomes:
measure: Change of American shoulder and elbow Surgeons" (ASES)
timeFrame: Baseline and 1, 5, and 7 weeks after treatment
measure: Change of 36-Item Health Survey (SF-36)
timeFrame: Baseline and 1, 5, and 7 weeks after treatment
Other outcomes:
Locations:
city: Las Palmas de Gran Canaria
country: Spain
facility: GRUPO ICOT Policlínico Las Palmas.
state: Las Palmas
Study officials:
affiliation: University of Las Palmas de Gran Canaria (ULPGC)
name: Karishma LALWANI MANGTAN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Haider R, Bashir MS, Adeel M, Ijaz MJ, Ayub A. Comparison of conservative exercise therapy with and without Maitland Thoracic Manipulative therapy in patients with subacromial pain: Clinical trial. J Pak Med Assoc. 2018 Mar;68(3):381-387.
citation: Hauswirth J, Ernst MJ, Preusser ML, Meichtry A, Kool J, Crawford RJ. Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients. J Back Musculoskelet Rehabil. 2017;30(3):615-623. doi: 10.3233/BMR-160566.
citation: Cook C, Learman K, Houghton S, Showalter C, O'Halloran B. The addition of cervical unilateral posterior-anterior mobilisation in the treatment of patients with shoulder impingement syndrome: a randomised clinical trial. Man Ther. 2014 Feb;19(1):18-24. doi: 10.1016/j.math.2013.05.007. Epub 2013 Jun 20.
citation: Carlson M, Hadlock T. Physical therapist management following rotator cuff repair for a patient with postpolio syndrome. Phys Ther. 2007 Feb;87(2):179-92. doi: 10.2522/ptj.20050200. Epub 2007 Jan 23.
citation: Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of Different Types of Mobilization Techniques in Patients With Primary Adhesive Capsulitis of the Shoulder: A Systematic Review. Arch Phys Med Rehabil. 2016 May;97(5):815-25. doi: 10.1016/j.apmr.2015.07.025. Epub 2015 Aug 15.