Evidence map›Paper›PMID 41918014›Full record

ArticleBMC sports science, medicine & rehabilitation2026

Effects of different frequencies of percussion massage therapy on pain, range of motion, functionality, joint position sense, and quality of life in individuals with rotator cuff tears: a randomized controlled trial.

Emre Dansuk, Burak Menek, Beyza Nur Erayata, Merve Yılmaz Menek

Registry-linked trialAbstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06899945 (The Effects of Vibration Therapy at Different Frequencies on Pain, Range of Motion, Functionality, Joint Position Sense, and Quality of Life in Individuals With Rotator Cuff Syndrome), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06899945 nacompletednot on this map

The Effects of Vibration Therapy at Different Frequencies on Pain, Range of Motion, Functionality, Joint Position Sense, and Quality of Life in Individuals With Rotator Cuff Syndrome

TypeinterventionalSponsorMedipol UniversityRan2025 to 2025Enrolled45ConditionsRotator Cuff Syndrome, Vibration TherapyArmsa percussion massage gun (Hypervolt device (Hyperice, CA, USA)), conventional physiotherapy program
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emre DansukDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey. edansuk@medipol.edu.tr.ORCID http://orcid.org/0000-0003-4415-8101
Burak MenekDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5206-0254
Beyza Nur ErayataDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0009-0000-8316-5932
Merve Yılmaz MenekDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-6993-7983

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRotator cuff tears often cause persistent pain, limited mobility, impaired proprioception, and functional decline. While conventional physiotherapy (CT) is the standard treatment, percussion massage therapy (PMT) has emerged as a vibration-based modality that may enhance neuromuscular activation and sensorimotor function. However, optimal PMT frequency parameters remain unclear. This randomized controlled trial examined the effects of two PMT frequencies (16.7 Hz and 33 Hz), combined with CT, on pain, range of motion (ROM), joint position sense (JPS), functionality, and quality of life in individuals with partial rotator cuff tears.

methodsForty-eight adults with supraspinatus partial tears were screened, and 45 were randomized into three groups: CT (n = 15), PMT at 16.7 Hz + CT (n = 15), and PMT at 33 Hz + CT (n = 15). Interventions were applied for three weeks. Primary outcomes included JPS (60° flexion and abduction). Secondary outcomes included Visual Analog Scale (VAS) for resting and activity-related pain, active ROM in all planes, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, and Rotator Cuff Quality of Life (RC-QoL). Assessments were conducted pre- and post-intervention.

resultsAll groups showed significant improvements (p < 0.05), but both PMT groups demonstrated substantially greater gains than CT alone. The 33 Hz group showed the largest improvements, including + 71.7° flexion, + 77.0° abduction, and marked reductions in VAS-activity (r = − 0.89) and DASH (d = − 2.59). The 16.7 Hz group also improved significantly (flexion + 65.0°, abduction + 72.0°; DASH d = − 2.10). No between-group differences were observed in JPS, although all groups improved meaningfully.

conclusionsPMT at both 16.7 Hz and 33 Hz, when added to CT, significantly improved pain, ROM, functional disability, and quality of life in individuals with rotator cuff tears, outperforming CT alone. Frequency-specific differences were not evident for proprioception, suggesting that additional sensorimotor training may be needed to optimize JPS recovery. PMT appears to be a safe and effective adjunct in shoulder rehabilitation.

trial registrationProspectively registered in the ClinicalTrials.gov registry (NCT06899945) on 21/03/2025.

Indexed as

Joint position sensePercussion massage therapyPhysiotherapyRotator cuff tear

Identifiers

PMID41918014
PMCPMC13045102

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.