Treatment of myofascial trigger points in common shoulder disorders by physical therapy: A randomized controlled trial [ISRCTN75722066] |
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Authors: | Carel Bron Michel Wensing Jo LM Franssen Rob AB Oostendorp |
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Institution: | (1) Research Centre for Allied Health Sciences, Centre for Quality of Care Research, Radboud University Medical Centre, Nijmegen, The Netherlands;(2) Centre for Quality of Care Research, Radboud University Medical Centre, Nijmegen, The Netherlands;(3) Private Practice for Physical therapy for Neck, Shoulder and Upper Extremity Disorders, Groningen, The Netherlands;(4) Dutch Institute for Allied Health Care, Amersfoort, The Netherlands |
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Abstract: | Background Shoulder disorders are a common health problem in western societies. Several treatment protocols have been developed for the
clinical management of persons with shoulder pain. However available evidence does not support any protocol as being superior
over others. Systematic reviews provide some evidence that certain physical therapy interventions (i.e. supervised exercises
and mobilisation) are effective in particular shoulder disorders (i.e. rotator cuff disorders, mixed shoulder disorders and
adhesive capsulitis), but there is an ongoing need for high quality trials of physical therapy interventions. Usually, physical
therapy consists of active exercises intended to strengthen the shoulder muscles as stabilizers of the glenohumeral joint
or perform mobilisations to improve restricted mobility of the glenohumeral or adjacent joints (shoulder girdle). It is generally
accepted that a-traumatic shoulder problems are the result of impingement of the subacromial structures, such as the bursa
or rotator cuff tendons. Myofascial trigger points (MTrPs) in shoulder muscles may also lead to a complex of symptoms that
are often seen in patients diagnosed with subacromial impingement or rotator cuff tendinopathy. Little is known about the
treatment of MTrPs in patients with shoulder disorders. |
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