Bowen's Technique in Patients With Adhesive Capsulitis

Adhesive Capsulitis Clinical Trial

Official title:

Effectiveness of Bowen's Technique in Patients With Adhesive Capsulitis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04852939
• Other study ID #: REC/00859 Ferwa Tahrim
• Status: Completed
• Phase: N/A
• Start date: October 14, 2020
• Est. completion date: July 10, 2021

Study information

• Verified date: August 2021
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Description:

The application of the Bowen technique, producing significant results, will be opted in treatment for the better, improved, and innovative noninvasive management of Adhesive Capsulitis. This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 74
• Est. completion date: July 10, 2021
• Est. primary completion date: June 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 60 Years

Eligibility

Inclusion Criteria:

• Both genders
• Age 25 to 60 years
• History of worsening shoulder pain
• Painful movement from at least 3 month
• Grade 2 & 3 adhesive capsulitis
• Both Diabetic and non-diabetic
• Limited Ranges in capsular pattern

Exclusion Criteria:

• Fracture
• Trauma
• Dislocation
• Ongoing physical therapy treatment
• Cortisone injection prior 3 months

Related Conditions & MeSH terms

• Adhesive Capsulitis
• Bursitis

Intervention

Other:
• Bowen's technique
Initially, cup move is performed which requires a vertically rolling Bowen move over the posterior border of the deltoid muscle above the axillary crease. The subject's arm is held flexed at 90 degrees at mid-chest height. Then, the elbow is slowly and passively moved in the direction of the opposite shoulder. After maximal adduction of the arm, the therapist firmly taps the lateral aspect of the shoulder with the heel of his/her hand. The arm is then carried back to the original start position, where the therapist gently moves superiorly and slightly laterally over the anterior fibers of the deltoid. The arm is then carefully lowered. The therapist strives to undertake a minimum of moves and procedures to trigger the body's own self-healing powers and assess how much pressure to use and where and when to perform a move to release the build-up of stress. 40-minute sessions thrice a week for 6 weeks.
• Conventional physical therapy
Hot pack and transcutaneous electrical nerve stimulator (TENS) for 15 minutes. Pendulum stretch, 10 revolutions. Cross body stretch, 4 repetitions. Towel stretch/hand behind the back, 4 repetitions. Isometric internal and external rotation exercises. 40-minute sessions thrice a week for 6 weeks.

Locations

Country	Name	City	State
Pakistan	Railway General Hospital	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (8)

Carter B. A pilot study to evaluate the effectiveness of Bowen technique in the management of clients with frozen shoulder. Complement Ther Med. 2001 Dec;9(4):208-15. — View Citation

Ewald A. Adhesive capsulitis: a review. Am Fam Physician. 2011 Feb 15;83(4):417-22. Review. — View Citation

Hand GC, Athanasou NA, Matthews T, Carr AJ. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007 Jul;89(7):928-32. — View Citation

Marr M, Baker J, Lambon N, Perry J. The effects of the Bowen technique on hamstring flexibility over time: a randomised controlled trial. J Bodyw Mov Ther. 2011 Jul;15(3):281-90. doi: 10.1016/j.jbmt.2010.07.008. Epub 2010 Sep 15. — View Citation

Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2011 Sep;19(9):536-42. Review. — View Citation

Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).

Sathe S, Khurana SK, Damke U, Agrawal PV. To Compare the Effects of Maitland Mobilization with Conventional Physiotherapy in Adhesive Capsulitis. Int J Cur Res Rev| Vol. 2020;12(14).

Wong PL, Tan HC. A review on frozen shoulder. Singapore Med J. 2010 Sep;51(9):694-7. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Goniometer	A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position of joints. Intra-class Correlation Coefficients (ICC= 0.94)	6th week
Primary	Numeric Pain Rating Scale	Numerical Pain Rating Scale (NPRS) the Numerical Rating Scale (NPRS-11) is an 11-points scale for self-report of pain. It is the most commonly used unidimensional pain scale. Interclass correlation coefficient (ICC: 0.74)	6th week
Primary	Shoulder Pain and Disability Index (SPADI):	self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. Intra-class correlation coefficient (ICC = 0.89)	6th week