Clinical trial NCT05429164: Comparison of the Effectiveness of Different Myofascial Release Techniques for the Pectoralis Minor Muscle
Official title: Comparison of the Effectiveness of Different Myofascial Release Techniques for the Pectoralis Minor Muscle
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pectoralis Minor Muscle Tension
Muscle Shortness
Mobility Limitation
Forward Scapular Posture
Rounded Shoulder Posture
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2022-06-23
Enrollment: 39
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study was to compare the effects of self-myofascial release, myofascial release with a physiotherapist and instrument assisted soft tissue mobilization (IASTM) techniques for the pectoralis minor muscle on pectoralis minor muscle length, rounded shoulder posture, glenohumeral joint total rotation range of motion (ROM) and skin temperature in asymptomatic individuals.

Detailed description: In the literature, the effects of myofascial release and instrument assisted soft tissue mobilization (IASTM) applications on individuals with pectoralis minor muscle are investigated, but the available evidence is insufficient. In a study conducted in asymptomatic individuals, self-myofascial release was found to be more effective than placebo application in increasing glenohumeral flexion joint range of motion (ROM), improving pectoralis minor length and advanced scapular posture. However, there was one study comparing the short-term effectiveness of the self-myofascial release method and IASTM methods on pectoralis minor length, glenohumeral total arch movement and skin temperature in individuals with short pectoralis minor, and the results of both applications were found to be similar. Despite these studies in the current literature, the amount of evidence examining the effectiveness of myofascial release technique performed under the guidance of a physiotherapist in individuals with short pectoralis minor is insufficient. However, the number of studies comparing the immediate and short-term effects of different myofascial release methods on the pectoralis minor muscle lengthening is few. Given the limited evidence available, different myofascial release methods may produce different short-term responses on the pectoralis minor muscle, with different results on muscle length, scapular position, glenohumeral total arch motion, and superficial skin temperature. Therefore, the aim of this study was to compare the effects of 3 different myofascial release techniques on pectoralis minor muscle length, rounded shoulder posture, glenohumeral joint total rotation ROM and skin temperature in asymptomatic individuals.

Eligibility criteria: Inclusion Criteria:

* between the ages of 18-35
* Presence of pectoralis minor shortness
* Not having any upper extremity injury in the last 6 months

Exclusion Criteria:

* Presence of upper extremity surgery in the last 12 months
* Presence of neurological disorder in the upper extremity
* Any sensory problems or open wounds around the shoulder

Primary outcomes:
measure: pectoralis minor length
timeFrame: Baseline (first assessment)
Secondary outcomes:
measure: pectoralis minor length
timeFrame: Immediately after the intervention (second assessment)
measure: rounded shoulder posture
timeFrame: Baseline (first assessment)
measure: rounded shoulder posture
timeFrame: Immediately after the intervention (second assessment)
measure: glenohumeral joint total rotation ROM
timeFrame: Baseline (first assessment)
measure: glenohumeral joint total rotation ROM
timeFrame: Immediately after the intervention (second assessment)
measure: skin temperature
timeFrame: Baseline (first assessment)
measure: skin temperature
timeFrame: Immediately after the intervention (second assessment)
measure: number of trigger points
timeFrame: Baseline (first assessment)
measure: number of trigger points
timeFrame: Immediately after the intervention (second assessment)
measure: pressure pain threshold
timeFrame: Baseline (first assessment)
measure: pressure pain threshold
timeFrame: Immediately after the intervention (second assessment)
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
Study officials:
References: