Comparative Effects of Myofascial Arm Pull Technique and Post Isometric Relaxation on Pain, Range of Motion and Functional Disability in Adhesive Capsulitis After Mastectomy

Adhesive Capsulitis Clinical Trial

Official title:

Comparative Effects of Myofascial Arm Pull Technique and Post Isometric Relaxation on Pain, Range of Motion and Functional Disability in Adhesive Capsulitis After Mastectomy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05779878
• Other study ID #: REC_FSD_00319
• Status: Recruiting
• Phase: N/A
• Start date: March 9, 2023
• Est. completion date: June 30, 2023

Study information

• Verified date: March 2023
• Source: Riphah International University
• Contact: Sahreen Anwar, Ph.D
• Phone: 00923346591705
• Email: sahreenanwar[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Adhesive capsulitis (AC) also known as frozen shoulder typically manifests to decrease range of motion (ROM) and function and increase pain in shoulder .Objective of the study is To compare the effects of Myofascial Arm Pull Technique and Post-isometric Relaxation on Pain, Range of Motion and functional disability in adhesive capsulitis after mastectomy. The study design will be a Randomized Clinical Trial that will be used to compare the effects of Myofascial arm pull technique with post isometric relaxation. Subject with adhesive capsulitis meeting the predetermined inclusion & exclusion criteria will be divided into two groups. Pre assessment will be done using numeric pain rating scale NPRS for pain , shoulder pain and disability index (SPADI) tool for disability and Goniometer for Range of motion. Consent will be taken from patients by consent form the patients. They will be divided into two groups randomly by Random Number Generator table: Group A and Group B. For common treatment, both the groups will receive Ultrasound with a dosage of 1 MHz in frequency, continuous mode and 1.5 W/ cm2 of intensity for 10 minutes of treatment duration and Movement with mobilization will be applied for 15 times in 3 sets, and a 1- minute rest period was provided between each set. Group A will be given Post isometric relaxation technique with ultrasonic therapy. Group B will be given myofascial arm pull technique with ultrasonic. Total intervention protocol will be given for four weeks of duration 3 sessions per week with total 12 sessions. In Post isometric relaxation technique the therapist will slowly provide resistance in the direction of flexion, abduction, or external rotation, and without the subject intending to move for 15 minutes/ day, 3 times/week for 12 weeks. Similarly, myofascial arm pull technique the therapist will hold arm of the subject firmly and initial stretch will be applied in abduction and external rotation for 8-10 times in each session per day for 3 days/week for 4 weeks. Outcome measures will be measured at baseline, after 2 weeks and after 4 weeks. Data analysis will be done by SPSS version 25.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: June 30, 2023
• Est. primary completion date: June 9, 2023
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 25 Years to 50 Years

Eligibility

Inclusion Criteria:

• Only Female gender
• Age between 25 to 50 years with post mastectomy.
• Diagnosis of breast cancer (grade 1to3 b).
• Post mastectomy state at least 6 months.
• Shoulder pain that began after the breast cancer surgery

Exclusion Criteria:

• Bilateral breast cancer.
• History of neurologic deficits affecting shoulder functioning during daily activites.
• On numeric pain rating scale pain will be less than 5.

Related Conditions & MeSH terms

• Adhesive Capsulitis
• Bursitis

Intervention

Other:
• Post Isometric Relaxation
Post-isometric relaxation (PIR) is a soft tissue stretching technique used by many health care professionals to lengthen both acute and chronic short muscles.
• Myofascial arm pull technique
Myofascial therapy is described as the promotion of psychophysiological, neurological and structural adaptive capability as multiplexed via the myofascial system. Fascia covers all body structures, particularly muscles and their constituent myofibrils

Locations

Country	Name	City	State
Pakistan	Allied Hospital	Faisalabad	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Sahreen Anwar

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain in Shoulder Joint	Pain will be measured by using Numeric pain rating scale	4 weeks
Primary	Range of motion in all planes	Range of motions in all planes will be measured by using goniometer	4 weeks
Primary	Functional disability	Functional disability will be measured by using Shoulder Pain and Disability Index	4 weeks