Health-related outcomes with supervised exercise and myofascial release versus only supervised exercise in subacromial pain syndrome: a randomized controlled single-blind study

Autor: Yongzhong Li, Xuan Li, Haixin Song, Yiqun Shou, Qian Fang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Sports Science, Medicine and Rehabilitation, Vol 16, Iss 1, Pp 1-11 (2024)
Druh dokumentu: article
ISSN: 2052-1847
DOI: 10.1186/s13102-024-00960-z
Popis: Abstract Background Myofascial tissue plays a critical role in shoulder joint mobility disorders. Myofascial release therapy (MFR) is frequently utilized to restore the extensibility of fascial tissue and is considered beneficial for various clinical conditions such as low back pain and ankle injuries. However, no studies have yet evaluated the effects of MFR on periscapular muscles activation and shoulder mobility in patients with subacromial pain syndrome(SAPS). Objective The purpose of this study was to compare the effectiveness of MFR combined with supervised exercise(SE) and SE alone in patients with SAPS. Design Assessor-blinded randomized controlled trial. Setting Sir Run Run Shaw Hospital, Zhejiang University School of Medicine. Subjects Subacromial pain syndrome patients. Methods Fifty participants were divided into two groups: SE group and MFR + SE group, each group 25 cases. Both treatment methods were performed 5 times a week for 4 weeks. Main measures Shoulder pain severity was assessed by visual analog scale (VAS); shoulder range of motion (ROM) by a goniometer; functionality by shoulder Pain and Disability Index (SPADI); and periscapular muscles activation by sEMG. All measurements were evaluated both pre- and post-treatment. Results An ANOVA analysis indicated no significant group by time interactions for flexion ROM and resting VAS (p > 0.05). However, significant group by time interactions were found for SPADI, abduction and external rotation ROM, and activity VAS (p
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