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The study purpose is to compare the effects of Fascial Manipulation added to standard exercises protocol versus the simple exercises protocol.
The shoulder degenerative diseases are recurring in hospital employees. The early approach, as we see in literature, has high probability to reduce the pain and the disfunction in the long term.
In particular stretching and strengthening exercises are the standard protocol applied.
The Fascial Manipulation is a manual therapy that works on the connective tissue, by increasing mobility and reducing pain.
We have added the Fascial Manipulation to prove if it make a faster recovery and a pain reduction in the short and the middle term.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Group | Active Comparator | The subjects will be treated with a standard protocol of stretching and strengthening exercises , we require them to do the exercises by themselves during five weeks, one a day. To make sure that they will do the protocol, we'll give them a diary to sign the daily section. |
|
| Intervention group | Experimental | The subjects will be treated with the same protocol of the Standard Group, but in two section, they will receive a Fascial Manipulation approach. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fascial Manipulation | Other | Fascial Manipulation is a manual therapy that focused on deep muscular fascial. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain | VNS scale in the Apley 'Scratch Test | Before and after the first treatment. A week after the enrollment. |
| Measure | Description | Time Frame |
|---|---|---|
| shoulder' function | Constant Morley Scale | Before and after the first treatment. A week after the enrollment. |
| shoulder' function | Constant Morley Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Massimo Busato, first level | Azienda Ospedaliera Bolognini di Seriate Bergamo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AO Bolognini | Seriate | Bergamo | 24068 | Italy |
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| ID | Term |
|---|---|
| D020069 | Shoulder Pain |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
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Participants are assigned to one of two or more groups in parallel for the duration of the study are evaluated in parallel against a control group.
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The outcome assessor will be a statistic techinician, with any knowledge about the group composition and the rehabilitative intervention.
| Standard exercises protocol | Other | Stretching and strengthening exercises |
|
| Before and after the fifth treatment, after five weeks. This will be the last treatment |
| shoulder' function | Constant Morley Scale | A month later the last treatment, as follow up |
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | Before and after the first treatment. A week after the enrollment. |
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | Before and after the fifth treatment, after five weeks.This will be the last treatment |
| Range of Movement of the shoulder | Bubble Inclinometer used in the flexion, abduction and external rotation movement | A month later the last treatment, as follow up |
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | Before and after the first treatment. A week after the enrollment. |
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | Before and after the fifth treatment, after five weeks. This will be the last treatment |
| The shoulder's muscular strength | dynamometer survey in flexion and abduction movement | A month later the last treatment, as follow up |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |