Effectiveness of Pragmatic Shoulder Technique VS Traditional Physical Therapy

Shoulder Pain Clinical Trial

— PSTVSTPT  

Official title:

Effectiveness of Pragmatic Shoulder Techniques in Comparison With Traditional Physical Therapy in Patients With Shoulder Pathologies

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04859387
• Other study ID #: Rec-2020-F-002
• Status: Completed
• Phase: N/A
• Start date: April 15, 2020
• Est. completion date: September 23, 2020

Study information

• Verified date: April 2021
• Source: Helping Hand Institute of Rehabilitation Sciences
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Isolated and combined effectiveness of pragmatic protocols on shoulder range of motion had been investigated and found effective in healthy participants. To our knowledge, there was insufficient literature to support the comparison between pragmatic and traditional protocols in the treatment of shoulder pathologies.

Description:

Different physical therapy treatments are being used for shoulder pathologies which include modalities (hot pack, TENS), ROM exercises, stretching, strengthening, soft tissue mobilization and set of pragmatic manual techniques.The set of pragmatic manual therapies are novel techniques (comprises of acromioclavicular mobilization, serratus anterior stretch, thoracic manipulation, RC facilitation, and PCS) and its isolated effectiveness on ROM in healthy subjects has been investigated and found effective. These studies recommended the use of a pragmatic protocol for the prevention and rehabilitation of shoulder injuries and pathologies (unpublished data).As per our knowledge there is insufficient literature to support the comparison of the effectiveness of a set of pragmatic protocols with traditional interventions. Our research is proposed to compare the efficacy of pragmatic interventions with that of traditional interventions in patients with shoulder pathology and their effect on the quality of life.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 49
• Est. completion date: September 23, 2020
• Est. primary completion date: July 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Functional movement score 1 and 2 or limitation in Range of motion of Abduction, internal rotation, external rotation, RUBB, and RDBN. All or only one of the limitations in comparison with the unaffected shoulder joint.

Exclusion Criteria:

• Patients with shoulder instability. Functional movement score 3 and 0. Individuals with recent fractures of fewer than 6 weeks duration. Cancerous Growth around the shoulder girdle. Breast cancer and undergoing chemotherapy and radiotherapy. RA arthritis patients. Long-term use of steroids and severe osteoporosis.

Related Conditions & MeSH terms

• Bursitis
• Frozen Shoulder
• Shoulder Capsulitis
• Shoulder Impingement
• Shoulder Impingement Syndrome
• Shoulder Injuries
• Shoulder Pain

Intervention

Other:
• set of pragmatic shoulder technique
Group A received pragmatic intervention which includes Pectoralis major and minor stretch, AC joint mobilization, rotator cuff facilitation for subscapularis and infraspinatus, serratus anterior stretch, thoracic manipulation and posterior capsular stretch.
• traditional physical therapy
Group B received traditional interventions which includes modalities such as TENS and hot pack, soft tissue mobilization, joint mobilization, stretching and strengthening etc. other than pragmatic intervention

Locations

Country	Name	City	State
Pakistan	Helping hand Institute of Rehabilitation Sciences Trust	Mansehra	KPK

Sponsors (1)

Lead Sponsor	Collaborator
Helping Hand Institute of Rehabilitation Sciences

Country where clinical trial is conducted

Pakistan, 

References & Publications (2)

Keramat KU, Babar MN. Serratus Anterior Stretch: A Novel Intervention and Its Effect on the Shoulder Range of Motion. J Sport Rehabil. 2021 Jan 8:1-4. doi: 10.1123/jsr.2020-0121. [Epub ahead of print] — View Citation

Keramat KU, Naveed Babur M. Pragmatic posterior capsular stretch and its effects on shoulder joint range of motion. BMJ Open Sport Exerc Med. 2020 Sep 9;6(1):e000805. doi: 10.1136/bmjsem-2020-000805. eCollection 2020. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	shoulder Range of motion	will be measured in degrees by digital inclinometer	5 days
Primary	functional movements	will be measured in centimeters by inchi tape	5 days