Effects of Scapular Proprioceptive Neuromuscular Facilitation on Pain and Range of Motion in Patients With Adhesive Capsulitis

Adhesive Capsulitis Clinical Trial

Official title:

Effects of Scapular Proprioceptive Neuromuscular Facilitation on Pain and Range of Motion in Patients With Adhesive Capsulitis

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05889065
• Other study ID #: FUI/CTR/2023/8
• Status: Active, not recruiting
• Phase: N/A
• Start date: August 1, 2022
• Est. completion date: July 1, 2023

Study information

• Verified date: May 2023
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The term ''frozen shoulder'' is defined as a clinical condition with restricted active and passive range of motion (ROM) in all directions, including flexion, abduction, and rotation.The objective of the study is to determine the effects of Scapular proprioceptive neuromuscular facilitation and conventional physical therapy among patients with adhesive capsulitis.The study will be a randomized controlled trial (single-blinded parallel study), consisting of 2 groups- interventional group A and interventional group B.Group A will be given conventional physical therapy and group B will be given conventional physical therapy alongwith scapular PNF.Scapular PNF exercises are not included in our routine PT treatment programs and there is limited literature related to the PNF techniques. These techniques help develop muscular strength and endurance, joint stability, mobility, neuromuscular control and coordination all of which are aimed at improving the overall functional ability of patients.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 32
• Est. completion date: July 1, 2023
• Est. primary completion date: June 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 80 Years

Eligibility

Inclusion Criteria:

• Cases diagnosed with adhesive capsulitis, both primary and secondary origin.

• Stage two and stage three of adhesive capsulitis.

• Unilateral adhesive capsulitis.

• Both males and females of the age group 40 years and above.

Exclusion Criteria:

• History of shoulder surgery or manipulation under anesthesia,

• Local corticosteroid injection administration to the affected shoulder within the last 3 months.

• Severe musculoskeletal, neurological and cardiovascular conditions.

Related Conditions & MeSH terms

• Adhesive Capsulitis
• Bursitis

Intervention

Procedure:
• Conventional Physical Therapy
group A will receive conventional physical therapy including 10 ultrasound(1.5w/cm2 ,3 MHz continuous type, duration 10 minutes),hot packs (on affected region of shoulder for 10 minutes),shoulder ROM, stretching exercises, and joint mobilization five times per week for two weeks with 40 minutes duration of each session. Maitland mobilization will be given in supine position. · After giving glenohumeral joint distraction, caudal, dorsal, and ventral glides will be given at a rate of 2-3 oscillation/second for 1 to 2 minutes to patients. Grade I or II rhythmic oscillations will be applied in free range.
• PNF techniques
In this group 20 repetitions of diagonal scapular pattern (anterior elevation and posterior depression, posterior elevation and anterior depression) with 20 seconds rest period will be given to subjects. PNF techniques of rhythmic initiation and repeated contractions will be used in all patterns, applied for 40 minutes.

Locations

Country	Name	City	State
Pakistan	Foundation University Islamabad	Islamabad	Federal

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Shoulder Pain	Shoulder Pain will be measured on the basis of visual analogue scale of 0-100mm. A higher score signifies greater pain.	2 weeks
Secondary	Shoulder range of motion (ROM)	Shoulder range of motion (ROM) will be measured through goniometer. A higher score signifies greater range.	2 weeks
Secondary	Scapular mobility	scapular mobility will be measured through lateral slide test (LSST)	2 weeks