The Effect of Mirror Therapy in Patients With Frozen Shoulder

NCT04454632 | Completed

• 1 other identifier: Dr. Lutfi Kirdar Hospital
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study compares mirror therapy and visual feedback treatment with the control group in frozen shoulder patients.

Conditions

Pain; Frozen Shoulder

Keywords

Frozen Shoulder; visual feedback; proprioception; pain insensitivity; shoulder pain

Outcome Measures

Primary Outcomes (5)

• Visual Analog Scale (VAS)

  Pain intensity was obtained using a Visual Analog Scale (VAS). VAS is usually a horizontal line, 10 cm in length, anchored by word descriptors at each end with "No Pain" (score of zero) on the left side up to "severe pain" on the right side. The patient was asked to mark the line point that represented his or her worst pain in the past week during daily rutine.

  Change from Baseline, 6 weeks and 10 weeks

• Range of Motion (ROM)

  Range of motion is the measurement of the amount of movement around a joint as a flexion, abduction, external rotation and internal rotation (degree). Measurement performed with universal goniometer.

  Change from Baseline, 6 weeks and 10 weeks

• Proprioception

  Proprioception is the sense of self-movement and body position. A joint position error test (JPET) was used for proprioception measurement. JPET is a deviation of the ability to reposition the joint to the target position which fifty percent of active flexion ROM.

  Change from Baseline, 6 weeks and 10 weeks

• Shoulder Pain and Disability Index (SPADI)

  The shoulder pain and disability index is a self-administered questionnaire that consists of two dimensions, one for pain and the other one for functional activities on the shoulder. The total score is defining as a percent. 0 for best score 100 for worst score.

  Change from Baseline, 6 weeks and 10 weeks

• Modified Constant-Murley Score (CMS)

  The modified Constant-Murley score is a questionnaire for shoulder injuries that consists of four dimensions, pain, activities of daily living, range of movement, and power. Pain and activities of daily living are considered subjective scores therefore the range of movement and power considered objective score. 100 for best score 0 for worst score.

  Change from Baseline, 6 weeks and 10 weeks

Study Arms (3)

Mirror therapy group

EXPERIMENTAL

The number of participants in this group is anticipated to be 12. In addition to basic treatment, the mirror therapy group bilateral exercised with the affected arm behind the mirror for 10 minutes after every session. Participants in this group perform three exercises as glenohumeral flexion, abduction, and rotation.

Other: Mirror therapy

Visual feedback group

EXPERIMENTAL

The number of participants in this group is anticipated to be 12. In addition to basic treatment, the visual feedback group bilateral exercised by seeing both arms in the mirror for 10 minutes after every session. Participants in this group perform three exercises as glenohumeral flexion, abduction, and rotation while seeing both arms in the mirror.

Other: Visual feedback

Control group

NO INTERVENTION

The number of participants in this group is anticipated to be 12. In addition to basic treatment, the control group bilateral exercised without a mirror for 10 minutes after every session. Participants in this group perform three exercises as glenohumeral flexion, abduction, and rotation while seeing both arms in the mirror.

Interventions

Mirror therapy OTHER

affected arm stay behind the mirror while exercising

Mirror therapy group

Visual feedback OTHER

visual feedback from mirror

Visual feedback group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals who were diagnosed with "Unilateral Frozen Shoulder" by the specialist;
• Normal radiological imaging;
• Aged between 18-75 years old;
• Symptoms persist for 2-12 months.

You may not qualify if:

• If patients had following comorbidities: rotator cuff injury, cervical radiculopathy, romatological diseases, neurological diseases, fracture, tumour, congenital deformities, dislocation or sublocation, surgery in the shoulder, uncontrolled hypertension or diabetes mellitus;
• Pregnancy;
• Patients who had previously received physical therapy;
• Patients having problems in the perception of tests and exercises were excluded from this study

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Dr. Lutfi Kirdar City Hospital

Istanbul, Kartal, 34865, Turkey (Türkiye)

Location

Related Publications (2)

• Baskaya MC, Ercalik C, Karatas Kir O, Ercalik T, Tuncer T. The efficacy of mirror therapy in patients with adhesive capsulitis: A randomized, prospective, controlled study. J Back Musculoskelet Rehabil. 2018;31(6):1177-1182. doi: 10.3233/BMR-171050.

  PMID: 30056414 RESULT

• Sato K, Fukumori S, Matsusaki T, Maruo T, Ishikawa S, Nishie H, Takata K, Mizuhara H, Mizobuchi S, Nakatsuka H, Matsumi M, Gofuku A, Yokoyama M, Morita K. Nonimmersive virtual reality mirror visual feedback therapy and its application for the treatment of complex regional pain syndrome: an open-label pilot study. Pain Med. 2010 Apr;11(4):622-9. doi: 10.1111/j.1526-4637.2010.00819.x. Epub 2010 Mar 1.

  PMID: 20202141 RESULT

Related Links

• Mirror therapy in frozen shoulder
• visual feedback therapy

MeSH Terms

Conditions

Pain; Bursitis; Agnosia; Shoulder Pain

Interventions

Mirror Movement Therapy; Feedback, Sensory

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Joint Diseases; Musculoskeletal Diseases; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases; Arthralgia

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics; Biofeedback, Psychology; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Feedback, Psychological; Feedback, Physiological; Homeostasis; Physiological Phenomena

Study Officials

• TUGBA KURU ÇOLAK, Assoc. Prof.

  Marmara University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 25, 2020
• First Posted: July 1, 2020
• Study Start: February 15, 2018
• Primary Completion: May 29, 2019
• Study Completion: June 27, 2019
• Last Updated: June 10, 2021

Record last verified: 2020-06

Locations

TU (1)