Cyriax Inferior Capsule Stretching in Idiopathic Adhesive Capsulitis

NCT04157387 | Completed DMC

• 1 other identifier: RiphahIU Ramsha Tariq
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of study is to find out the effectiveness of cyriax capsular stretching in idiopathic adhesive capsulitis and to find out the combined effect of capsular stretching's, mobilization and conservative treatment on pain and Range of Motion (ROM) in idiopathic adhesive capsulitis.

Conditions

Adhesive Capsulitis

Keywords

Adhesive Capsulitis; Cyriax Manual Therapy; Stretching

Outcome Measures

Primary Outcomes (3)

• Goniometer

  Changes from the baseline, Measure the available range of motion or the position of the shoulder joint - typically this is a measure of passive motion like External Rotation, External Rotation and Internal Rotation.

  3rd week

• Visual Analogue Scale (VAS)

  Changes from the baseline, Normative values are not presented so by using a ruler , the score is calculated by measure the distance on 10cm line between the "no pain" point and the patient's mark, provide a range of score from 0-100. A higher score indicates greater pain intensity.

  3rd Week

• Shoulder pain and disability index (SPADI)

  Changes from the Baseline, SPADI is a self-administered questionnaire that aims to measure pain and disability associated with shoulder disease. It consists of two dimensions, one for pain and second for functional activities. The pain element consists of five questions regarding severity of pain and to measure the degree of severity that an individual faced during various activities of daily life that involve upper extremity use. There are eight questions. Each subscale is summed up and a total SPADI score is expressed as a percentage.Total pain score : --/50 ×100 = %, Total disability score: --/80 × 100 = %, Total SPADI score: --/130 × 100 = %. A score of 0 indicates best 100 indicates worst. A higher score shows more disability.

  3rd week

Study Arms (2)

Cyriax inferior capsular stretching + Manual Therapy

EXPERIMENTAL

Cyriax inferior capsular stretching \+ Electrotherapy Manual therapy : Kaltenborn grade 1 and 2 Mobilization Active ROM exercises : Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction

Other: Cyriax inferior capsular stretching + Manual Therapy

Manual Therapy

ACTIVE COMPARATOR

Analgesic short-wave diathermy Manual Therapy: Kalternbon grade 1 and 2 Mobilization :, Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction.

Other: Manual therapy

Interventions

Cyriax inferior capsular stretching + Manual Therapy OTHER

Electro-therapy 10mins Manual therapy : Kalternbon grade 1 and 2 Mobilization : Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets), Active ROM exercises : 10 reps x 3 sets Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction (10reps x 2 sets ,each) Cyriax inferior capsular stretching

Cyriax inferior capsular stretching + Manual Therapy

Manual therapy OTHER

Before starting capsule stretching technique, Analgesic short-wave diathermy may be given for 10 minutes. Kalternbon grade 1 and 2 Mobilization : Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets), Home plan include :, wall walking exercises, pendulum exercises ,towel stretch exercises, Cross Body Adduction (10reps x 2 sets ,each)

Manual Therapy

Eligibility Criteria

• Age: 30 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Idiopathic Adhesive capsulitis phase 1 and phase 2
• Follow capsular pattern ( ER \> Abduction\> IR)

You may not qualify if:

• Adhesive capsulitis phase 3
• Any intrinsic etiology i.e. rheumatoid arthritis,
• infection,
• gout,
• haemarthrosis or
• tumor or Arthritis in stage III or in stage II with a spastic end-feel

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International university

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Abdul Ghafoor Sajjad, Phd*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: November 6, 2019
• First Posted: November 8, 2019
• Study Start: January 1, 2018
• Primary Completion: June 30, 2018
• Study Completion: June 30, 2018
• Last Updated: January 10, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)