Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

Adhesive Capsulitis Clinical Trial

Official title:

Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05903768
• Other study ID #: Riphah IU Maria Safdar
• Status: Completed
• Phase: N/A
• Start date: November 1, 2022
• Est. completion date: June 20, 2023

Study information

• Verified date: March 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this research is to determine the effects of capsular stretching versus passive joint mobilization on Pain, range of motion and Quality of life in patients with Idiopathic Adhesive capsulitis.

Description:

In reference study, patients with Adhesive capsulitis were given the option to examine the immediate effects of posterior capsule stretching and scapular mobilization. They came to the conclusion that extending the posterior capsule improved shoulder range of motion. Current study will assess all shoulder movements and also showing effect on Quality of life of patients with adhesive capsulitis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: June 20, 2023
• Est. primary completion date: June 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 50 Years

Eligibility

Inclusion Criteria:

Both genders

• Age : 30-50 years

• Pain and Restricted movements of shoulder.

• Patient With Adhesive Capsulitis of Stage 2

Exclusion Criteria:

• Patient with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis ,infection or gout

• Patient with any severe trauma, Shoulder dislocation, subluxation or ligament injury of the shoulder

• Fractures of the shoulder

• Peripheral neurological involvement in the upper extremity.

Related Conditions & MeSH terms

• Adhesive Capsulitis
• Bursitis

Intervention

Other:
• Mobilization
Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Maitland's Mobilization: Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets)
• Cyriax capsular stretching
Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Anterior, Posterior and inferior capsular stretching would be performed. Each stretch should be held15-30 seconds and repeated 2 to 4 times.

Locations

Country	Name	City	State
Pakistan	Lady reading hospital	Peshawar	Khyber Pakhtunkhwa

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (5)

Eckert AJ, Plaumann M, Pehlke S, Beck C, Muhldorfer 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. 2022 Jul;130(7):468-474. doi: 10.1055/a-1543-8559. Epub 2021 Aug 23. — View Citation

Janela D, Costa F, Molinos M, Moulder RG, Lains J, Francisco GE, Bento V, Cohen SP, Correia FD. Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study. J Pain Res. 2022 Jan 8;15:53-66. doi: 10.2147/JPR.S343308. eCollection 2022. — View Citation

Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M. Frozen shoulder: MR arthrographic findings. Radiology. 2004 Nov;233(2):486-92. doi: 10.1148/radiol.2332031219. Epub 2004 Sep 9. — View Citation

Paul A, Rajkumar JS, Peter S, Lambert L. Effectiveness of sustained stretching of the inferior capsule in the management of a frozen shoulder. Clin Orthop Relat Res. 2014 Jul;472(7):2262-8. doi: 10.1007/s11999-014-3581-2. Epub 2014 Mar 25. — View Citation

Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, Fisher M, Kelly IG. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):748-51. doi: 10.1016/j.jse.2007.02.133. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric Pain rating scale	The Numeric Pain rating scale is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.	4th week
Primary	Range of motion (shoulder flexion)	changes in shoulder flexion Range of motion from baseline to final session was measured	4th week
Primary	Range of motion (shoulder extension)	changes in shoulder extension Range of motion from baseline to final session was measured	4th week
Primary	Range of motion (shoulder abduction)	changes in shoulder abduction Range of motion from baseline to final session was measured	4th week
Primary	Range of motion (shoulder external rotation)	changes in shoulder external rotation Range of motion from baseline to final session was measured	4th week
Primary	Range of motion (internal rotation)	changes in shoulder internal rotation Range of motion from baseline to final session was measured	4th week