Pragmatic Posterior Capsular Stretch Versus Sleeper Stretch in Subject With Shoulder Pathologies

NCT05064033 | Unknown

• 1 other identifier: Rec.letter/st./2021/20/03/04
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The glenohumeral joint is an articulation between the glenoid of the scapula and the head of the humerus that is enclosed by a synovial capsule divided into three main components: anterior, posterior, and the axillary pouch. Symptoms of posterior capsule tightness are linked to altered shoulder biomechanics and impairments which includes glenohumeral internal rotation deficit, incomplete glenohumeral adduction, impaired inferior glenohumeral ligament (IGHL) function, and increased risk of impingement symptoms. In the literature the two techniques available for stretching posterior capsule are pragmatic posterior capsular stretch and sleeper stretch. Pragmatic posterior capsular stretch is therapist administered and sleeper stretch is patient-administered. The work on the pragmatic posterior capsular stretch is more specified and rational to mark the tightness in the posterior capsule.

Conditions

Shoulder Impingement; Shoulder Arthritis; Shoulder Injuries; Shoulder Capsulitis; Shoulder Bursitis; Shoulder Pain Chronic

Keywords

sleeper stretch; shoulder pathologies; Posterior capsular tightness; shoulder range of motion; pragmatic posterior capsular stretch; pragmatic intervention

Outcome Measures

Primary Outcomes (2)

• shoulder range of motion

  shoulder range of motion will be measured in degrees by using digital inclinometer

  6 weeks

• shoulder pain

  shoulder pain will be measured by numeric pain rating scale

  6 weeks

Secondary Outcomes (3)

• Shoulder related quality of life

  6 weeks

• Shoulder disability

  6 weeks

• satisfaction level of patient

  6 weeks

Study Arms (2)

GROUP A

EXPERIMENTAL

Pragmatic Set of intervention and posterior capsular stretch

Other: Pragmatic Set of intervention and posterior capsular stretch

GROUP B

ACTIVE COMPARATOR

Pragmatic Set of intervention and Sleeper Stretch

Other: Pragmatic Set of intervention and Sleeper Stretch

Interventions

Pragmatic Set of intervention and posterior capsular stretch OTHER

Group 1 will receive a pragmatic set of interventions, including Serratus Anterior Stretch,Rotator Cuff Facilitation,Acromilcalavicular joint Mobilization,Stretch of Pectoralis Major and Minor,Thoracic Manipulation and posterior capsular stretch.

GROUP A

Pragmatic Set of intervention and Sleeper Stretch OTHER

Group 2 will receive a pragmatic set of interventions, including Serratus Anterior Stretch, Rotator Cuff Facilitation, Acromilcalavicular joint Mobilization, Stretch of Pectoralis Major and Minor, Thoracic Manipulation and sleeper stretch.

GROUP B

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Limitation in range of motion abduction or internal rotation or external rotation or reaching up behind the back or reaching behind down the neck are only one of the limitations in comparison with the unaffected joint.
• A patient who fall in grade 1 and grade 2 of the shoulder mobility test of functional movement screening.

You may not qualify if:

• Patient with shoulder ligamentous instability Functional movement Screening score 0 or 3. Cancerous growth around the shoulder girdle Rheumatoid arthritis patients The patient has a recent fracture of less than the 6th-week duration or shoulder dislocation.
• Long term use of steroids Cervical joint dysfunction, radicular pain. Systemic diseases.

Sponsors & Collaborators

• Helping Hand Institute of Rehabilitation Sciences: lead

Study Sites (1)

HHIRST

Mansehra, Khyber Pakhtunkhwa, 213000, Pakistan

RECRUITING

Related Publications (7)

• Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech (Bristol). 2003 Jun;18(5):369-79. doi: 10.1016/s0268-0033(03)00047-0.

  PMID: 12763431 BACKGROUND

• Umer M, Qadir I, Azam M. Subacromial impingement syndrome. Orthop Rev (Pavia). 2012 May 9;4(2):e18. doi: 10.4081/or.2012.e18. Epub 2012 May 31.

  PMID: 22802986 BACKGROUND

• Cools AM, Johansson FR, Borms D, Maenhout A. Prevention of shoulder injuries in overhead athletes: a science-based approach. Braz J Phys Ther. 2015 Sep-Oct;19(5):331-9. doi: 10.1590/bjpt-rbf.2014.0109. Epub 2015 Sep 1.

  PMID: 26537804 BACKGROUND

• Lyons RP, Green A. Subscapularis tendon tears. J Am Acad Orthop Surg. 2005 Sep;13(5):353-63. doi: 10.5435/00124635-200509000-00009.

  PMID: 16148361 BACKGROUND

• Johnson JE, Fullmer JA, Nielsen CM, Johnson JK, Moorman CT 3rd. Glenohumeral Internal Rotation Deficit and Injuries: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2018 May 22;6(5):2325967118773322. doi: 10.1177/2325967118773322. eCollection 2018 May.

  PMID: 29845083 BACKGROUND

• 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.

  PMID: 33062302 BACKGROUND

• Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Athl Train. 2008 Jul-Aug;43(4):359-63. doi: 10.4085/1062-6050-43.4.359.

  PMID: 18668168 BACKGROUND

MeSH Terms

Conditions

Shoulder Impingement Syndrome; Shoulder Injuries

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Wounds and Injuries

Study Officials

• keramat ullah karamat, Ph.D.*

  HHIRST

  PRINCIPAL INVESTIGATOR

Central Study Contacts

keramat ullah karamat, Ph.D.*

CONTACT

+923330927670; karamatjee@yahoo.com

Abdul Haseeb Bhutta, M.Phil

CONTACT

+923479470947; abdul.haseeb@hhirs.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal HHIRS

Model Details: Randomized control trial(double-blind)

Study Record Dates

• First Submitted: September 29, 2021
• First Posted: October 1, 2021
• Study Start: May 24, 2021
• Primary Completion: December 24, 2021
• Study Completion: March 24, 2022
• Last Updated: October 1, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)