NCT04852939

Brief Summary

This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
74

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 14, 2020

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

April 20, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 21, 2021

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2021

Completed
25 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 10, 2021

Completed
Last Updated

August 6, 2021

Status Verified

August 1, 2021

Enrollment Period

8 months

First QC Date

April 20, 2021

Last Update Submit

August 5, 2021

Conditions

Adhesive Capsulitis

Keywords

Adhesive capsulitisShoulderPainBowen technique

Outcome Measures

Primary Outcomes (3)

  • Goniometer

    A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position of joints. Intra-class Correlation Coefficients (ICC≥ 0.94)

    6th week

  • Numeric Pain Rating Scale

    Numerical Pain Rating Scale (NPRS) the Numerical Rating Scale (NPRS-11) is an 11-points scale for self-report of pain. It is the most commonly used unidimensional pain scale. Interclass correlation coefficient (ICC: 0.74)

    6th week

  • Shoulder Pain and Disability Index (SPADI):

    self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. Intra-class correlation coefficient (ICC ≥ 0.89)

    6th week

Study Arms (2)

Bowen's Technique

EXPERIMENTAL

Bowen's Technique

Other: Bowen's technique

Conventional Physical Therapy

ACTIVE COMPARATOR

Conventional Physical Therapy including stretching and strengthening exercises

Other: Conventional physical therapy

Interventions

Bowen's techniqueOTHER

Initially, cup move is performed which requires a vertically rolling Bowen move over the posterior border of the deltoid muscle above the axillary crease. The subject's arm is held flexed at 90 degrees at mid-chest height. Then, the elbow is slowly and passively moved in the direction of the opposite shoulder. After maximal adduction of the arm, the therapist firmly taps the lateral aspect of the shoulder with the heel of his/her hand. The arm is then carried back to the original start position, where the therapist gently moves superiorly and slightly laterally over the anterior fibers of the deltoid. The arm is then carefully lowered. The therapist strives to undertake a minimum of moves and procedures to trigger the body's own self-healing powers and assess how much pressure to use and where and when to perform a move to release the build-up of stress. 40-minute sessions thrice a week for 6 weeks.

Bowen's Technique
Conventional physical therapyOTHER

* Hot pack and transcutaneous electrical nerve stimulator (TENS) for 15 minutes. * Pendulum stretch, 10 revolutions. * Cross body stretch, 4 repetitions. * Towel stretch/hand behind the back, 4 repetitions. * Isometric internal and external rotation exercises. 40-minute sessions thrice a week for 6 weeks.

Conventional Physical Therapy

Eligibility Criteria

Age25 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Both genders
  • Age 25 to 60 years
  • History of worsening shoulder pain
  • Painful movement from at least 3 month
  • Grade 2 \& 3 adhesive capsulitis
  • Both Diabetic and non-diabetic
  • Limited Ranges in capsular pattern

You may not qualify if:

  • Fracture
  • Trauma
  • Dislocation
  • Ongoing physical therapy treatment
  • Cortisone injection prior 3 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, Pakistan

Location

Related Publications (8)

  • Neviaser AS, Neviaser RJ. Adhesive capsulitis of the shoulder. J Am Acad Orthop Surg. 2011 Sep;19(9):536-42. doi: 10.5435/00124635-201109000-00004.

    PMID: 21885699BACKGROUND

  • Sathe S, Khurana SK, Damke U, Agrawal PV. To Compare the Effects of Maitland Mobilization with Conventional Physiotherapy in Adhesive Capsulitis. Int J Cur Res Rev| Vol. 2020;12(14).

    BACKGROUND

  • Ewald A. Adhesive capsulitis: a review. Am Fam Physician. 2011 Feb 15;83(4):417-22.

    PMID: 21322517BACKGROUND

  • Hand GC, Athanasou NA, Matthews T, Carr AJ. The pathology of frozen shoulder. J Bone Joint Surg Br. 2007 Jul;89(7):928-32. doi: 10.1302/0301-620X.89B7.19097.

    PMID: 17673588BACKGROUND

  • Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).

    BACKGROUND

  • Wong PL, Tan HC. A review on frozen shoulder. Singapore Med J. 2010 Sep;51(9):694-7.

    PMID: 20938608BACKGROUND

  • Marr M, Baker J, Lambon N, Perry J. The effects of the Bowen technique on hamstring flexibility over time: a randomised controlled trial. J Bodyw Mov Ther. 2011 Jul;15(3):281-90. doi: 10.1016/j.jbmt.2010.07.008. Epub 2010 Sep 15.

    PMID: 21665103BACKGROUND

  • Carter B. A pilot study to evaluate the effectiveness of Bowen technique in the management of clients with frozen shoulder. Complement Ther Med. 2001 Dec;9(4):208-15. doi: 10.1054/ctim.2001.0481.

    PMID: 12184347BACKGROUND

MeSH Terms

Conditions

BursitisPain

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Nazish Rafique, MSPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 20, 2021

First Posted

April 21, 2021

Study Start

October 14, 2020

Primary Completion

June 15, 2021

Study Completion

July 10, 2021

Last Updated

August 6, 2021

Record last verified: 2021-08

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)