Fascial Distortion Model Manual Therapy and Painful Shoulder Syndrome

Summary

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.

Conditions

• Shoulder Pain

Interventions

OTHER

Fascial Distortion Model

Patients will receive manual treatment according to FDM procedures: 1. Triggerbands - therapist put a pressure by the thumb along the presented pathway. 2. Continuum Distortions - therapist put a pressure by the thumb at the exact place of feeling of pain. 3. Folding Distortions - therapist conduct traction or compression of the affected joint. 4. Herniated Triggerpoint - therapist put a pressure by the thumb at the place where HTP occurs. 5. Cylinder Distortions - therapist compress and stretch by the hands affected area. 6. Tectonic Fixation - Therapist compress and stretch affected area by the hands or tools like vacuum bubble.

OTHER

Mulligan Concept

Patients will receive manual treatment according to Mulligan Concept procedures: MWM- Mobilization With Movement- application can be defined as the application of a sustained passive force/glide. NAG - Natural Apophyseal Glide - application can be defined as the oscillatory mobilization techniques from the middle to the end of the range of motion. SNAG- Sustained Natural Apophyseal Glide- They are weight bearing techniques: all procedures are done with the patient sitting or in standing. They are mobilisations with active movement followed by passive over pressure.

OTHER

Traditional physiotherapy

Patients will receive traditional physiotherapy: Exercises, laser treatment, magnetic field therapy, ultrasound treatment, light treatment

Sponsors & Collaborators

• Józef Piłsudski University of Physical Education

  lead OTHER

Principal Investigators

• Bartosz Molik, Professor · Józef Piłsudski University of Physical Education

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

40 Years

Max Age

86 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-05-25

Primary Completion

2019-08-30

Completion

2020-12-31