Efectividad del masaje funcional en el síndrome de impingement subacromial

Abstract

ObjectiveIn our clinical practice, functional massage offers good results in the treatment of patients diagnosed of subacromial impingement syndrome and presence of teres major muscle trigger points. Our aim is to check the teres major functional massage results on pain, function and mobility in patients diagnosed of subacromial impingement syndrome. Material and methodsExperimental multicentre (two centers) randomized study of single-blind case series. A total of 38 participants were randomly divided into two groups. One physiotherapist in each center provided all the participants a protocolized treatment in daily sessions for three weeks and those assigned to Functional Massage Group also received five minutes of Functional Massage of the teres major muscle daily. Those assigned to the Passive Mobilization Group received five minutes of passive mobilization towards muscle stretch daily. ResultsThe Functional Massage Group achieved a statistically significant improvement in all outcome variables. The Passive Mobilization Group achieved statistically significant improvement in all variables except for the movements of extension and external rotation. The comparison between the groups, the best improvement of the Functional Massage Group reached statistical significance, and the best improvement in abduction, extension and external rotation reached small to moderate clinical significance. Subjects in the Functional Massage Group showed better satisfaction with the results. ConclusionsIn this study, Functional Massage of trigger points in teres major muscle provides better clinical outcomes than passive mobilization towards the muscle stretch.