Effectiveness of Kaltenborn Mobilizations Versus Muscle Energy Technique in Adhesive Capsulitis.

Adhesive Capsulitis of Shoulder Clinical Trial

Official title:

Effectiveness of Kaltenborn Mobilizations Versus Muscle Energy Technique in Adhesive Capsulitis.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05189626
• Other study ID #: 142/IREF/RMU/2021
• Status: Recruiting
• Phase: N/A
• Start date: December 6, 2021
• Est. completion date: March 31, 2022

Study information

• Verified date: January 2022
• Source: Health Education Research Foundation (HERF)
• Contact: Waqar Ahmed Awan, PhD
• Phone: +923335348846
• Email: president[@]herf.org.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Total of 30 patients are selected according to inclusion criteria by convenient sampling and randomly allocated by sealed envelop method into two groups. Group 1 is treated with Muscle energy technique(Post isometric relaxation) and Group 2 is treated with Grade II,III Kaltenborn mobilizations and both groups also receives conventional therapy in form of Codman exercise and Wall ladder exercises.Data will be collected at baseline then after 2 weeks and after 4 weeks of intervention.

Description:

The purpose of study is to determine effectiveness of muscle energy techniques(Post Isometric relaxation) and Kaltenborn mobilizations and to compare the effectiveness of both techniques on pain and functional disability in patients with Adhesive capsulitis.Several studies about the effects of Maitland mobilizations and Muscle energy technique have been conducted. Evidence regarding the comparison of Kaltenborn mobilizatuons and post isometric relaxation is sparse. There has been no work regarding effectiveness of these two techniques in improving pain and functional disability in patients of Adhesive capsulitis.

Kaltonborn Mobilizations involves the application of a passive sustained stretch technique to enhance joint mobility without articular surface suppression. The forces applied to increase joint mobility are graded from I-III. Grade I applies a distraction of minor intensity that hardly causes stress within the joint capsule; it is often used to decrease pain. Grade II refers to a force that stretches the periarticular tissue; such stimulus is colloquially referred to as "taking up the slack." Finally, Grade III force causes enough distraction or gliding so that joint capsule can sufficiently stretch; it is often used for enhancing ROM.

MET is unique in its application as the client provides the initial effort while the practitioner facilitates the process. One of the main uses of this method is to normalize joint range, rather than increase flexibility, and techniques can be used on any joints with restricted Range of Motion (ROM) identified during the passive assessment. The main effects of MET can be explained by two distinct physiological processes: Post Isometric Relaxation (PIR) and Reciprocal Inhibition (RI). Post isometric contraction decrease muscle tone in single group of muscle after brief period of submaximal isometric contraction of same muscle.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 30
• Est. completion date: March 31, 2022
• Est. primary completion date: March 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 60 Years

Eligibility

Inclusion Criteria:

• Age between 20 and 60 years.

• Duration of complaint for more than 3 months.

• Gender: Both Male and Female.

• Patients with idiopathic frozen shoulder

• Patients having restriction in more than 2 ranges

• Patients with diabetes

Exclusion Criteria:

• Shoulder dislocation, fracture or labral tear.

• Shoulder girdle motor control deficit associated with neurological disorder.

• Any bony deformities acquired or congenital in glenohumeral joint.

• Patients with language barrier.

Related Conditions & MeSH terms

• Adhesive Capsulitis of Shoulder
• Bursitis

Intervention

Other:
• Muscle energy technique
Post Isometric relaxation(muscle energy technique) 3 days/ week for 4 weeks
• Kaltonborn mobilizations
Kaltonborn mobilizations grade II and III will be performed on Glenohumeral joints 3 days/ week for 4 weeks.

Locations

Country	Name	City	State
Pakistan	Holy family hospital	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Health Education Research Foundation (HERF)

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Shoulder pain and disability index	Shoulder pain and disability index is used to measure pain and functional disability level. Total scores range from 0 to 130 with a percentage score of 0 indicating less shoulder disability and 100 indicating more shoulder dysfunction	4 weeks
Primary	Universal goniometer	universal goniometer is used to measure shoulder range of motion.	4 weeks