PNF Technique in Adhesive Capsulitis

NCT05151783 | Unknown

• 1 other identifier: 818-II
• Study Type: interventional
• Target: 48
• Locations: 0 countries
• Sites: N/A

Brief Summary

Adhesive capsulitis is painful movement restricted condition linked with pain, restricted range of motion and difficulty in performing daily life activities. Multiple treatment options are there for its treatment. However, role of peripheral neuromuscular facilitation in this regimen is still under consideration.

Conditions

Adhesive Capsulitis

Keywords

adhesive capsulitis; scapular PNF technique; shoulder range of motion

Outcome Measures

Primary Outcomes (4)

• change in pain intensity

  pain measured by visual analogue scale where o represents no pain and 10 represents severe pain

  Baseline data will be collected and then at 2nd week and 4th week.

• change in shoulder Range of motion

  shoulder range of motion through goniometer

  Baseline data will be collected and then at 2nd week and 4th week.

• change in shoulder functional activities

  shoulder functional activities by simple shoulder function test

  Baseline data will be collected and then at 2nd week and 4th week.

• change in scapular mobility

  scapular mobility through lateral scapular slide test

  Baseline data will be collected and then at 2nd week and 4th week.

Study Arms (2)

conventional physiotherapy

ACTIVE COMPARATOR

routine physical therapy for adhesive capsulitis

Other: conventional physiotherapy

PNF techniques

EXPERIMENTAL

PNF techniques along with conventional physiotherapy

Other: PNF technique

Interventions

conventional physiotherapy OTHER

Control group receivewill routine physical therapy including modalities like ultrasound (3 MHz continuous type; duration 10 minutes), heat modalities (apply to the involved region of shoulder joint shoulder for 10 minutes), shoulder ROM exercises, capsular stretching, and joint mobilization 5 times per week for four weeks. Duration of session will be 40 minutes. All Maitland mobilization will be given in supine position. After giving glenohumeral (GH) joint distraction, GH caudal glide, GH dorsal glide, and GH ventral glide were given at a rate of 2-3/second oscillations for 1-2 minutes to patients. Grade I or II rhythmic oscillations will be applied in pain free movement.

conventional physiotherapy

PNF technique OTHER

Group will receive scapular PNF techniques with routine physical therapy explained above For PNF techniques, patients will be lying on unaffected shoulder. In this group, 20 repetitions of diagonal scapular Pattern (Anterior Elevation and Posterior Depression and Posterior Elevation and Anterior Depression) with 20 sec rest period will be given to patients. Preparatory instructions for the desired movement will be given to patients at the start of procedure. PNF facilitation techniques of RI (Rhythmic initiation) \& repeated contractions will be used in all patterns

PNF techniques

Eligibility Criteria

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

You may qualify if:

• Diagnosed cases of stage II \& III adhesive capsulitis
• Referred by orthopedic physician
• Duration of stage approximately 1 month
• Both male and female
• Age: 40-70 years

You may not qualify if:

• Recent history of trauma
• Dislocation or fractures of shoulder
• History of diabetes and hypertension
• Congenital shoulder deformity
• Previous surgery patients
• Patients with diagnosed cardiovascular disease
• Patients with malignancy

Sponsors & Collaborators

• University of Lahore: lead

Related Publications (6)

• Eckert AJ, Plaumann M, Pehlke S, Beck C, Muhldorfer S, Weickert U, Laimer M, Pfeifer M, Stechemesser L, Holl R. Idiopathic Frozen Shoulder in Individuals with Diabetes: Association with Metabolic Control, Obesity, Antidiabetic Treatment and Demographic Characteristics in Adults with Type 1 or 2 Diabetes from the DPV Registry. Exp Clin Endocrinol Diabetes. 2022 Jul;130(7):468-474. doi: 10.1055/a-1543-8559. Epub 2021 Aug 23.

  PMID: 34425597 BACKGROUND

• Pandey V, Madi S. Clinical Guidelines in the Management of Frozen Shoulder: An Update! Indian J Orthop. 2021 Feb 1;55(2):299-309. doi: 10.1007/s43465-021-00351-3. eCollection 2021 Apr.

  PMID: 33912325 RESULT

• Prasanna KJ, Rajeswari R and Sivakuma V. Effectiveness of scapular proprioceptive neuromuscular facilitation (pnf) techniques in adhesive capsulitis of the Shoulder Joint. J Physiother Res 2017; 1: 9.

  RESULT

• Ebadi S, Forogh B, Fallah E, Babaei Ghazani A. Does ultrasound therapy add to the effects of exercise and mobilization in frozen shoulder? A pilot randomized double-blind clinical trial. J Bodyw Mov Ther. 2017 Oct;21(4):781-787. doi: 10.1016/j.jbmt.2016.11.013. Epub 2016 Nov 27.

  PMID: 29037627 RESULT

• Mishra N, Mishra A and Charaniya P. Effect of scapular proprioceptive neuromuscular facilitation on pain and disability in patients with adhesive capsulitis. Int J Yoga 2019; 4: 995-1000.

  RESULT

• Balci NC, Yuruk ZO, Zeybek A, Gulsen M, Tekindal MA. Acute effect of scapular proprioceptive neuromuscular facilitation (PNF) techniques and classic exercises in adhesive capsulitis: a randomized controlled trial. J Phys Ther Sci. 2016 Apr;28(4):1219-27. doi: 10.1589/jpts.28.1219. Epub 2016 Apr 28.

  PMID: 27190456 RESULT

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Muhammad sh butt

  University of Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Muhammad sh butt

CONTACT

00923338175571; pt.shazib198@yahoo.com

Study Design

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

Study Record Dates

• First Submitted: November 4, 2021
• First Posted: December 9, 2021
• Study Start: December 10, 2021
• Primary Completion: January 10, 2022
• Study Completion: January 20, 2022
• Last Updated: December 9, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share