PMID- 37374178 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230701 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 13 IP - 6 DP - 2023 Jun 15 TI - Effectiveness of the Fascial Manipulation Approach Associated with a Physiotherapy Program in Recurrent Shoulder Disease. LID - 10.3390/life13061396 [doi] LID - 1396 AB - Shoulder pain is a serious clinical disease frequently related to absence from work. It is characterized by pain and stiffness, probably connected to the presence of an inflammatory substrate involving gleno-humeral capsule and collagen tissues. A physiotherapy program has shown to be effective for the conservative treatment of this disorder. Our aim is to assess if a manual treatment directed to fascial tissues could obtain better improvement regarding pain, strength, mobility, and function. A total of 94 healthcare workers with recurrent shoulder pain were recruited and then randomized in two groups: the control group (CG) underwent a five-session physiotherapy program; the study group (SG) underwent three sessions of physiotherapy and two sessions of fascial manipulation (FM) technique. At the end of the treatment phase, both groups improved every outcome. Despite few statistical differences between groups, at the follow-up visit, a greater percentage of subjects in SG overcame the minimal clinical important difference (MCID) in every outcome. We conclude that FM is effective for treatment of shoulder pain and further studies should better assess how to manage this treatment to obtain better results. FAU - Bellotti, Silvia AU - Bellotti S AD - Independent Researcher, 24029 Bergamo, Italy. FAU - Busato, Massimo AU - Busato M AD - Independent Researcher, 24060 Bergamo, Italy. FAU - Cattaneo, Carla AU - Cattaneo C AD - ASST Bergamo Est, 24068 Seriate, Italy. FAU - Branchini, Mirco AU - Branchini M AUID- ORCID: 0009-0005-3384-1943 AD - Independent Researcher, 40131 Bologna, Italy. LA - eng PT - Journal Article DEP - 20230615 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC10304770 OTO - NOTNLM OT - MCID (minimal clinical important difference) OT - fascial manipulation OT - physiotherapy program OT - shoulder pain COIS- The authors declare no conflict of interest. EDAT- 2023/06/28 06:42 MHDA- 2023/06/28 06:43 PMCR- 2023/06/15 CRDT- 2023/06/28 01:25 PHST- 2023/05/09 00:00 [received] PHST- 2023/06/03 00:00 [revised] PHST- 2023/06/06 00:00 [accepted] PHST- 2023/06/28 06:43 [medline] PHST- 2023/06/28 06:42 [pubmed] PHST- 2023/06/28 01:25 [entrez] PHST- 2023/06/15 00:00 [pmc-release] AID - life13061396 [pii] AID - life-13-01396 [pii] AID - 10.3390/life13061396 [doi] PST - epublish SO - Life (Basel). 2023 Jun 15;13(6):1396. doi: 10.3390/life13061396.