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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT05151783
Other study ID # 818-II
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date December 10, 2021
Est. completion date January 20, 2022

Study information

Verified date November 2021
Source University of Lahore
Contact Muhammad sh butt
Phone 00923338175571
Email pt.shazib198@yahoo.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Adhesive capsulitis is painful movement restricted condition linked with pain, restricted range of motion and difficulty in performing daily life activities. Multiple treatment options are there for its treatment. However, role of peripheral neuromuscular facilitation in this regimen is still under consideration.


Description:

Adhesive Capsulitis or peri-arthritis or Frozen Shoulder is self-limiting condition of unknown etiology that usually affects middle aged population of 40-70 years and rarely it occur secondary to rheumatoid arthritis, osteoarthritis, trauma or immobilization of shoulder joint. It is characterized by development of dense adhesions, capsular thickening and restrictions which limits active and passive shoulder range of motion (ROM) with scapular dyskinesia.The aim of the of the study is to investigate the effects of scapular proprioceptive neuromuscular techniques with routine physical therapy on pain, scapular dyskinesia, shoulder ranges of motion and functionality in patients with adhesive capsulitis. Proper functioning of upper extremities requires both motion and stability of scapula on thorax. Prolonged immobilization of shoulder joint leads to ankylosis of joint and scapular dyskinesia. This study will help with a positive effect by using a non-invasive, less painful, cost effective and time saving approach of scapular proprioceptive neuromuscular facilitation techniques among joint mobilization and other therapeutic approaches like intra articular injections and manipulation under anesthesia on alleviating pain, muscle strength, shoulder ranges of motion and early restoration of normal functioning of shoulder joint.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 48
Est. completion date January 20, 2022
Est. primary completion date January 10, 2022
Accepts healthy volunteers No
Gender All
Age group 40 Years to 70 Years
Eligibility Inclusion Criteria: - Diagnosed cases of stage II & III adhesive capsulitis - Referred by orthopedic physician - Duration of stage approximately 1 month - Both male and female - Age: 40-70 years Exclusion Criteria: - Recent history of trauma - Dislocation or fractures of shoulder - History of diabetes and hypertension - Congenital shoulder deformity - Previous surgery patients - Patients with diagnosed cardiovascular disease - Patients with malignancy

Study Design


Related Conditions & MeSH terms


Intervention

Other:
conventional physiotherapy
Control group receivewill routine physical therapy including modalities like ultrasound (3 MHz continuous type; duration 10 minutes), heat modalities (apply to the involved region of shoulder joint shoulder for 10 minutes), shoulder ROM exercises, capsular stretching, and joint mobilization 5 times per week for four weeks. Duration of session will be 40 minutes. All Maitland mobilization will be given in supine position. After giving glenohumeral (GH) joint distraction, GH caudal glide, GH dorsal glide, and GH ventral glide were given at a rate of 2-3/second oscillations for 1-2 minutes to patients. Grade I or II rhythmic oscillations will be applied in pain free movement.
PNF technique
Group will receive scapular PNF techniques with routine physical therapy explained above For PNF techniques, patients will be lying on unaffected shoulder. In this group, 20 repetitions of diagonal scapular Pattern (Anterior Elevation and Posterior Depression and Posterior Elevation and Anterior Depression) with 20 sec rest period will be given to patients. Preparatory instructions for the desired movement will be given to patients at the start of procedure. PNF facilitation techniques of RI (Rhythmic initiation) & repeated contractions will be used in all patterns

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
University of Lahore

References & Publications (6)

Balci NC, Yuruk ZO, Zeybek A, Gulsen M, Tekindal MA. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. J Phys Ther Sci. 2016 Apr;28(4):1219-27. — View Citation

Ebadi S, Forogh B, Fallah E, Babaei Ghazani A. Does ultrasound therapy add to the effects of exercise and mobilization in frozen shoulder? A pilot randomized double-blind clinical trial. J Bodyw Mov Ther. 2017 Oct;21(4):781-787. doi: 10.1016/j.jbmt.2016.1 — View Citation

Eckert AJ, Plaumann M, Pehlke S, Beck C, Mühldorfer S, Weickert U, Laimer M, Pfeifer M, Stechemesser L, Holl R. Idiopathic Frozen Shoulder in Individuals with Diabetes: Association with Metabolic Control, Obesity, Antidiabetic Treatment and Demographic Characteristics in Adults with Type 1 or 2 Diabetes from the DPV Registry. Exp Clin Endocrinol Diabetes. 2021 Aug 23. doi: 10.1055/a-1543-8559. [Epub ahead of print] — View Citation

Mishra N, Mishra A and Charaniya P. Effect of scapular proprioceptive neuromuscular facilitation on pain and disability in patients with adhesive capsulitis. Int J Yoga 2019; 4: 995-1000.

Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. eCollection 2021 Apr. Review. — View Citation

Prasanna KJ, Rajeswari R and Sivakuma V. Effectiveness of scapular proprioceptive neuromuscular facilitation (pnf) techniques in adhesive capsulitis of the Shoulder Joint. J Physiother Res 2017; 1: 9.

Outcome

Type Measure Description Time frame Safety issue
Primary change in pain intensity pain measured by visual analogue scale where o represents no pain and 10 represents severe pain Baseline data will be collected and then at 2nd week and 4th week.
Primary change in shoulder Range of motion shoulder range of motion through goniometer Baseline data will be collected and then at 2nd week and 4th week.
Primary change in shoulder functional activities shoulder functional activities by simple shoulder function test Baseline data will be collected and then at 2nd week and 4th week.
Primary change in scapular mobility scapular mobility through lateral scapular slide test Baseline data will be collected and then at 2nd week and 4th week.
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