Effectiveness of a Novel Protocol for Glenohumeral Internal Rotation Deficit in General Population With Shoulder Pain

NCT05108311 — Not applicable, Completed, 35 participants, CEU San Pablo University

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Registry	NCT05108311, acronym GIRDTREAT
Status	Completed
Phase	Not applicable
Study type	Interventional; na, single group, masking: none, treatment
Enrollment	35 (Actual)
Sponsor	CEU San Pablo University (Other)
Conditions	Shoulder Pain, Glenohumeral Internal Rotation Deficit
Interventions	Manual therapy and therapeutic exercise (Other)
Dates	start 2021-10-22, primary completion 2021-12-31, completion 2022-01-30, first posted 2021-11-04, last updated 2023-07-14
Locations	1 site in Spain

-Summary

Shoulder pain is one of the most common joint problems and disabling complaint in general population., but there is a lack of evidence about the relation between shoulder pain and glenohumeral internal rotation deficit (GIRD) in general population.

This study aimed to determine if the novel proposal for treatment of GIRD could be effectiveness and gain further evidence in the Range of Motion an Pain.

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+Arms and interventions

Arm	Type	Interventions	Description
Treatment	Experimental	Other: Manual therapy and therapeutic exercise	The Treatment sequence including joint Manual therapy techniques and soft tissue release techniques is proposed.

Manual therapy and therapeutic exercise (Other): 1. Gliding over the deltoid superficial fascia. 2. Anterior-Posterior mobilization of the clavicle. 3. myofascial release of the shoulder joint complex techniques. 4. Myofascial release external rotation with glenohumeral decoaptation will be carry out in prone position facility the triangular space, quadrangular space and triceps hiatus. 5. anterior and posterior, superior and inferior glenohumeral inferior glide mobilization in adduction will perform in a prone position to facilitate glenohumeral re centration. 6. scapular musculature myofascial release including mobilization with a scapulothoracic joint decoaptation, and angular of the scapula. 7. Supine mobilization of the posterior capsule in 90º shoulder flexion and the adduction. Finally the patient will be instructed to adapt the daily active biological stimulus at home to maximize the benefits of the manual therapy

+Outcome measures

Primary outcomes

glenohumeral internal rotation [Baseline]: measure in supine position on a physiotherapy bench. The shoulder will held at 90° abduction with 90° flexion in the elbow.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Shoulder pain

Exclusion Criteria:

* Patient under 18 years old,
* Pain in both shoulders
* Joint prosthesis in at least one of the two shoulders.

+Locations (1)

Facility	City	Country	Status
San Pablo CEU University	Boadilla del Monte, Madrid	Spain

+Investigators

Rafael Jácome López, PT, Principal investigator, Clinica Universidad de Navarra, Universidad de Navarra