Influence of a standardized treatment of intrathoracic fascia on idiopathic shoulder complaints | The International Academy of Osteopathy IAO

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Influence of a standardized treatment of intrathoracic fascia on idiopathic shoulder complaints


Author: Mario Bombach
Supervisor: Henryk Lexy

Background: Up to 66,7% of all people have suffered from shoulder disorders at some point in their life of which some could not be helped with standard therapies.

Objective: In this study, the effect of standard treatments of intra-thoracic fascia on idiopathic shoulder disorders were analysed. To show the change of the symptoms of idiopathic shoulder disorders, the influence of pain, mobility and strength should be compared.

Method: The clinical phase was based on the Cross-over design method with a total of six test subjects. Two of the subjects exhibited bilateral shoulder disorders whereby a total of eight shoulder data points were taken. During the eight week intervention phase five standard techniques for intra-thoracic fascia mobilisation were performed. Additionally, directly after the intra-thoracic fascia mobilization, five standard techniques from the Body Adjustment Concept were also performed. During the eight week control phase the test subjects received only treatment from these five techniques from the Body Adjustment Concept. Data covering parameters such as ability for everyday life, active and passive mobility, strength and pain were taken to show the changes over time. For this analysis the study used the DASH-Score the Constant-Score as well the standard passive mobility measurement of the shoulder.

Results: The results of the described study showed a positive influence from intrathoracic fascia mobilization on idiopathic shoulder disorders. The combined analysis of the intervention phase on the test subjects of group A and B the DASH-Score and Constant-Scores presented a more positive development trend than the control phases. While the strength and pain scores showed no differences between the intervention and control phases, the results of both active and passive abduction displayed improvement within the intervention periods in comparison to the control phases.

Conclusions: Idiopathic shoulder disorders can be positively influenced though the use of standard intra-thoracic fascia treatments. The data collected in this study serves as a basis for further research in the field of intra-thoracic fascia mobilization and idiopathic shoulder disorders. These results must be followed up with further research studies involving a larger test subject group to prove or falsify this data.