Shoulder Mobilization Following Supra Scapular Nerve Block in Adhesive Capsulitis

NCT03791892 | Completed DMC

• 1 other identifier: RiphahI Wajeeha
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 2

Brief Summary

Those shoulder patients who fulfill inclusion criteria are divided into two groups. Supervised exercises will be performed by both groups. Kaltenborn mobilization will be applied to patient in experimental group only. Assessment will be done on baseline, 7th and post visit. A total 38 subjects were included in study who met inclusion criteria. Number of patients in both groups was 19.

Conditions

Adhesive Capsulitis

Keywords

Adhesive capsulitis; suprascapular nerve; shoulder mobilization

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale

  NPRS) is a scale used to find the level of pain intensity. At the time of treatment session intensity of pain is mainly the center of attention of the treatment. This pain scale is used in routine in clinical setting during the application of treatment procedure to evaluate the intensity of pain. NPRS has good validity and reliability. In our study we evaluate the status of pain in shoulder in individuals with adhesive capsulitis. The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects the whole number (0-10). '0' indicates no pain whereas '10' indicates extreme pain. In our study NPRS values are taken at base line, 7th visit and post visit

  change from baseline.This tool is used to measure pain intensity

• Goniometer

  In physical therapy goniometer is utilized to measures range of movement joint angles in the body.

  change from baseline.This tool is used to measure shoulder ranges

Secondary Outcomes (1)

• SHOULDER PAIN AND DISABILITY INDEX (SPADI)

  change from baseline.This tool is used to measure shoulder disability

Study Arms (2)

Shoulder mobilization Group

EXPERIMENTAL

Kaltenborn mobilization will be applied to patient in experimental group only.

Other: Shoulder mobilization Group

Conventional treatment Group

ACTIVE COMPARATOR

Application of conventional treatment that includes stretching and strengthening exercises of shoulder.

Other: Conventional Treatment Group

Interventions

Shoulder mobilization Group OTHER

Suprascapular nerve block administered every week to both groups. Joint mobilization (3 sets / 40 seconds hold / 30 seconds interval) Stretching exercises (3 sets / 30 seconds hold / 10 seconds interval) Strengthening exercises ( 3 sets / 15 reps)

Shoulder mobilization Group

Conventional Treatment Group OTHER

Suprascapular nerve block administered every week to both groups. Daily Stretching exercises (3 sets / 30 seconds hold / 10 seconds interval) Daily Strengthening exercises ( 3 sets / 15 reps)

Conventional treatment Group

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 40 to 70 years
• Both male and female
• Unilateral cases.
• Grade 1 and 2 phase of adhesive shoulder

You may not qualify if:

• Traumatic /fracture in upper extremity
• Patients with malignancy
• Post-operative shoulder
• Patient under steroid therapy
• Bilateral cases.
• Grade 3 stage of frozen shoulder.
• Patient with sever osteo-arthritis
• Patient with diabetes

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Imran Amjad

Islamabad, Punjab Province, 46000, Pakistan

Location

Riphah International University

Islamabad, 44000, Pakistan

Location

Related Publications (7)

• Tighe CB, Oakley WS Jr. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J. 2008 Jun;101(6):591-5. doi: 10.1097/SMJ.0b013e3181705d39.

  PMID: 18475240 BACKGROUND

• Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005 Nov 12;331(7525):1124-8. doi: 10.1136/bmj.331.7525.1124. No abstract available.

  PMID: 16282408 BACKGROUND

• Cho CH, Song KS, Kim BS, Kim DH, Lho YM. Biological Aspect of Pathophysiology for Frozen Shoulder. Biomed Res Int. 2018 May 24;2018:7274517. doi: 10.1155/2018/7274517. eCollection 2018.

  PMID: 29992159 BACKGROUND

• Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010 Nov;38(11):2346-56. doi: 10.1177/0363546509348048. Epub 2010 Jan 28.

  PMID: 20110457 BACKGROUND

• Siegel LB, Cohen NJ, Gall EP. Adhesive capsulitis: a sticky issue. Am Fam Physician. 1999 Apr 1;59(7):1843-52.

  PMID: 10208704 BACKGROUND

• Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ. 2005 Dec 17;331(7530):1453-6. doi: 10.1136/bmj.331.7530.1453.

  PMID: 16356983 BACKGROUND

• Baums MH, Spahn G, Nozaki M, Steckel H, Schultz W, Klinger HM. Functional outcome and general health status in patients after arthroscopic release in adhesive capsulitis. Knee Surg Sports Traumatol Arthrosc. 2007 May;15(5):638-44. doi: 10.1007/s00167-006-0203-x. Epub 2006 Oct 10.

  PMID: 17031613 BACKGROUND

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• imran Amjad, phd*

  Associate Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Experimental

Study Record Dates

• First Submitted: December 31, 2018
• First Posted: January 3, 2019
• Study Start: December 15, 2018
• Primary Completion: April 30, 2019
• Study Completion: April 30, 2019
• Last Updated: May 16, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)