Fascial Distortion Model Manual Therapy and Painful Shoulder Syndrome

Fascial Distortion Model Manual Therapy and Painful Shoulder Syndrome

Relatively new method of diagnosing and treating dysfunction of the musculoskeletal system is Fascial Distortion Model. It is manual therapy developed by emergency physician and an osteopath Stephen P. Typaldos.

Disfunction are diagnosed based on verbal and physical descriptions, palpations, anamnesis. As a result of examination, It can be found one or more of six different distortions. The aim of the study is to examine the effectiveness of FDM manual therapy in comparison to manual therapy using the Mulligan Concept method and traditional physiotherapy in patients with shoulder dysfunction who have undergone previous rehabilitation and who have not achieved satisfactory results. Patients will receive five treatments with one day brake between each treatment. The patient's condition will be evaluated before the first treatment, two weeks after the last treatment, and also after three months. As a outcome of the occurring phenomenon, structural changes are planned at the level of the fascial system in the studied region. The obtained results may influence the current views on diseases of the musculoskeletal system, as well as on the method of diagnosing and treating shoulder joint dysfunction.

Inclusion Criteria:

• diagnosis of dysfunction in the shoulder joint based on an orthopedic and/or physiotherapeutic examination confirmed by X-ray and ultrasound imaging,
• patients undergoing prior rehabilitation / pharmacotherapy / surgical intervention without satisfactory results,
• limitation of mobility and / or pain in the shoulder complex,

Exclusion Criteria:

• coexistence of neoplastic diseases,
• symptoms from the cervical spine
• pregnancy,
• aneurysms,
• osteitis,
• arthritis
• deep veins thrombosis of upper limbs,
• resignation from the study / therapy,
• skin damage, hematomas.