Research as to the effect of a set of osteopathic manipulative techniques to improve ROM and decrease pain in frozen shoulder: a double blinded randomized placebo controlled clinical trial
Item
- Title
- Research as to the effect of a set of osteopathic manipulative techniques to improve ROM and decrease pain in frozen shoulder: a double blinded randomized placebo controlled clinical trial
- Title
- Onderzoek naar het direct effect van een set van osteopathische technieken voor een verbeterde mobiliteit en een verminderde pijn bij frozen shoulder: een dubbel blind gerandomiseerde placebo gecontroleerde klinische test.
- Author(s)
- Depraetere Sofie
- Abstract
- BACKGROUND: Frozen shoulder (FS) is found to be a common health problem that leads to impairments in activity and participation in daily life. It’s an inflammatory disorder in the glenohumeral joint without a specific cause. FS is the most common patho-anatomical disorder among women between 40 and 65 years old. OBJECTIVE: Evaluation of the short-term effect of treatment of a set of osteopathic techniques in patients with FS. METHOD: Subjects were randomly assigned to an experimental intervention group (OT) or a placebo group (P). The OT group received a set of osteopathic techniques. The P group received a sham ultrasound intervention at the level of the affected shoulder. Four treatments were performed with a three day interval to evaluate the pre-measurements (T1M1) and a post-measurements (T4M2). The DASH, SPADI, SST and SRQ questionnaires were used to investigate quality of life (QoL). The NRS was used to investigate pain and the ROM to measure the range of motion. RESULTS: Patients (N=28), 52 ± 14,27years of age; BMI 25,88 ± 4,82, with frozen shoulder were included in the study. Mann-Whitney U (MW-U) test showed that both groups were comparable for variables as age, length, SPADI, and SRQ at intake. MW-U test showed no difference for age (p=0,678) and BMI (p=0,876) for gender. The OT group showed a significant Wilcoxon Signed Ranks test for ROM and NRS before and after treatment. OT group: flexion T4M2-T1M1 p=0,001; retroflexion T4M2-T1M1: p=0,002; abduction T4M2-T1M1: p=0,001: internal rotation T4M2-T1M1: p=0,001; external rotation T4M2-T1M1: p=0,001: NRS T4M2-T1M1: p=0,004. P group: flexion T4M2-T1M1: p=0,928; retroflexion T4M2-T1M1: p=0,028; abduction T4M2-T1M1: p=0,849: internal rotation T4M2-T1M1: p=0,179; external rotation T4M2-T1M1: p=0,178: NRS T4M2-T1M1: p=0,206. MW-U test shows a significant difference between the OT and P group for flexion: p< 0,001; retroflexion p=0,004; abduction p<0,001; internal rotation p<0,001; external rotation p<0,001; NRS p=0,039. DISCUSSION: According to previous studies a short term effect in FS on the level of collagen is impossible. Therefore the treatment effects must have another explanation. Maybe the fascial release can be an explication. Future studies including assessment on the long-term are needed. A longer timeframe between the different interventions can be considered. CONCLUSION: This study shows a significant difference between the OT group and the P group for ROM and in pain valued with NRS after a set of osteopathic techniques.
- presented at
- FICO
- Date Accepted
- 2020
- Date Submitted
- 20.4.2020 17:45:00
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 1
- Submitted by:
- 83739
- Pub-Identifier
- 16635
- Inst-Identifier
- 1169
- Keywords
- Frozen Shoulder, adhesive capsulitis, osteopathy, range of motion, pain
- Recommended
- 0
- Item sets
- Thesis
Depraetere Sofie, “Research as to the effect of a set of osteopathic manipulative techniques to improve ROM and decrease pain in frozen shoulder: a double blinded randomized placebo controlled clinical trial”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathicresearch.com/s/orw/item/1980