Efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization: A randomized,single-blind,controlled trial
Affiliation:
1. Servicio de Rehabilitación, Hospital Puerto Real, Cádiz, Spain;2. Departamento Materno-Infantil, Facultad de Medicina, Universidad de Cádiz, Spain;3. Servicio de Rehabilitación, Hospital Puerta del Mar, Cádiz, Spain;4. Grupo de Investigación iRehab. Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Cádiz, Spain;5. Departamento de Fisioterapia, Facultad de Enfermería y Fisioterapia, Universidad de Cádiz. Spain;1. Department of Pharmacognosy, School of Pharmacy, Medicinal Plants and Natural Products Research Center, Hamadan University of Medical Sciences, Hamadan, Iran;2. Department of Internal Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran;3. Department of Pharmacology and Toxicology, School of Pharmacy, Medicinal Plants and Natural Products Research Center, Hamadan University of Medical Sciences, Hamadan, Iran;4. Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran;1. Department of Marriage and Family Therapy, Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA;2. Department of Obstetrics and Gynecology, University of California, Irvine, Orange, CA, USA;3. Department of Psychology, Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA;1. Center for the Human Animal Bond, Purdue University, West Lafayette, IN, USA;2. Janssen Pharmaceuticals, Titusville, NJ, USA;3. Department of Statistics, Purdue University, West Lafayette, IN, USA;4. Human Development and Family Studies, Purdue University, West Lafayette, IN, USA;5. Department of Psychological Sciences, Purdue University, West Lafayette, IN, USA;1. School of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, China;2. Department of Rehabilitation Medicine, Second Affiliated Hospital, Zhejiang University, Hangzhou, Zhejiang, China;1. Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, 518060, China;2. Faculty of Education, University of Macau, Macau, China;3. Department of Neurology, Medical Faculty, Otto von Guericke University, Leipziger Str. 44, 39120, Magdeburg, Germany;4. Department of Sport, Exercise and Health, University of Basel, Grosse Allee 6, 4052, Basel, Switzerland;5. Swiss Center for Affective Sciences, University of Geneva, Switzerland;6. Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Switzerland;7. Department of Psychology, Center for Cognitive and Brain Health, Northeastern University, Boston, MA, United States;8. Beckman Institute, University of Illinois at Urbana-Champaign, Champaign, IL, United States;1. McLaren Health Care, Flint, MI, USA;2. Michigan State University, East Lansing, MI, USA;3. Faculty of Medicine, Alexandria University, Alexandria, Egypt;4. Detroit Medical Center/Sinai Grace Hospital, Detroit, MI, USA;5. Wayne State University, Detroit, MI, USA;6. Faculty of Medicine, Cairo University, Cairo, Egypt;7. Faculty of Medicine, Sohag University, Sohag, Egypt;8. Rochester Regional/Unity Hospital, Rochester, NY, USA
Abstract:
BackgroundThe best physiotherapeutic approach in shoulder pathology that generates prolonged immobilization is still uncertain. Kinesitherapy remains the most widely used option. Myofascial therapy is a therapeutic approach in which the aim is to release fascial tension and regain mobility although its efficacy in shoulder pathology has not been sufficiently studied. This Prospective, single-blind randomized controlled trial in a university hospital setting aimed to compare the efficacy of myofascial therapy and kinesitherapy in improving function in shoulder pathology with prolonged immobilization.MethodsPatients were randomly assigned to a control group or to the intervention group.Both groups completed a therapeutic exercise program. Main Outcome Measures: The QuickDash questionnaire was the primary outcome, Pain Visual Analog Scale and the Range Of Motion of the shoulder were the secondary outcomes. The outcomes were evaluated at baseline (T0), at 4 (T2), 8 (T2), and 12 weeks (T3)Results44 participants were included. In the analysis of evolution over time, a significant improvement in functionality and range of motion measurements was observed in both groups (p < 0.05), although at 12 weeks only Myofasical Group achieved a clinically and statistically significant reduction in pain. Comparative analysis at 12 weeks revealed no statistically significant differences between the two therapies in the variables explored.ConclusionsBoth, myofascial therapy and kinesitherapy can improve function, mobility, and pain in patients with painful shoulder associated with prolonged immobilization, with no significant differences between therapies, although in the medium term only myofascial therapy achieves a clinically and statistically significant improvement in pain.Trial registrationTrial registration: ClinicalTrials.gov NCT04944446.
