Effects of IASTM in the Treatment of Adhesive Capsulitis

NCT05358730 | Completed

• 1 other identifier: 1008
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to determine the effects of IASTM in combination with exercise in frozen shoulder. Thirty-five patients with phase II frozen shoulder included in this single-blind, randomized study. Patients were divided into two groups. In the first group exercise programme (Group 1) and in the second group IASTM in combination with exercise programme (Group 2) were applied for twelve sessions (two days per week for six week). The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) score and secondary outcomes were the visual analogue scale (VAS), the range of motion (ROM), The Constant score and Short- Form-36 (SF-36). Outcome measures were performed at baseline, after the 6th session and the 12th session.

Conditions

Pain, Shoulder; Adhesion; Shoulder; Myofacial Pain

Keywords

Adhesive capsulitis; Function; Pain; Exercise

Outcome Measures

Primary Outcomes (1)

• Upper extremity function

  DASH is a 30-item questionnaire that evaluates functionality, pain, emotional and social parameters in the upper extremity. Twenty-one questions evaluate patients' difficulties in daily life activities, 5 questions symptoms, 4 questions social function, work, sleep and self-confidence. For each question, the participant marks the option that suits patients in the 5-point Likert system (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: inability). Score between 0 and 100 were obtained from each section.

  Baseline

Secondary Outcomes (14)

• Upper extremity function

  At the end of the 3-week intervention

• Upper extremity function

  At the end of the 6-week intervention

• The severity of pain

  Baseline

• The severity of pain

  At the end of the 3-week intervention

• The severity of pain

  At the end of the 6-week intervention

Study Arms (2)

IASTM + Standard Exercise Group

EXPERIMENTAL

Patients were applied IASTM in combination with standard exercise program two days a week for six weeks. The IASTM technique was performed using six titanium-plated instruments in different sizes, shapes and treatment styles. ROM, crutch, roller, scapulothoracic and stretching exercises were given as home exercises during the treatment.

Other: Standard Exercise; Other: Instrument Assisted Soft Tissue Mobilization (IASTM); Other: Home Exercise

Standard Exercise Group

ACTIVE COMPARATOR

Patients were given a standard exercise program two days a week for six weeks. ROM, crutch, roller, scapulothoracic and stretching exercises were given as home exercises during the treatment.

Other: Standard Exercise; Other: Home Exercise

Interventions

Standard Exercise OTHER

Glenohumeral exercises, scapulothoracic exercises, stretching exercises and mobilization exercises were performed under the supervision of a physiotherapist two days per week for six weeks at the clinical setting (Celik and Kaya Mutlu, 2016).

IASTM + Standard Exercise Group; Standard Exercise Group

Instrument Assisted Soft Tissue Mobilization (IASTM) OTHER

IASTM treatment was applied to the posterior-anterior-middle deltoid, latissimus dorsi, teres major, teres minor, supraspinatus and infraspinatus muscle fibers, superficial and deep fascia. IASTM was applied in parallel and vertical direction to the muscle fibers treated with the instrument at a 45° angle, each technique (SWEEP, BRUSH (straight short steps) techniques) for 20 seconds (Ikeda, Otsuka, Kawanishi, and Kawakami, 2019). It was performed two days per week for six weeks.

IASTM + Standard Exercise Group

Home Exercise OTHER

Hme exercise program consisted of glenohumeral exercises, scapulothoracic exercises, stretching exercises and mobilization exercises. It was asked to perform two days per week for six weeks.

IASTM + Standard Exercise Group; Standard Exercise Group

Eligibility Criteria

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

You may qualify if:

• Aged between 30 and 65 years;
• Duration of complaint of more than three months
• ROM in external rotation, abduction and flexion less than 50% in comparison to uninvolved shoulder in one or more of three movement directions

You may not qualify if:

• Having cervical radiculopathy
• Thoracic outlet syndrome
• Rheumatological disorders
• Fractures or tumors of either upper extremity
• Corticosteroid injections in the affected shoulder within the previous 4 weeks

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead
• Istanbul Aydın University: collaborator

Study Sites (1)

Istanbul University-Cerrahpasa

Istanbul, Bakırkoy, 34147, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Shoulder Pain; Tissue Adhesions; Facial Pain; Bursitis; Pain; Motor Activity

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cicatrix; Fibrosis; Pathologic Processes; Behavior

Study Officials

• Tansu Birinci, PT, PhD

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 28, 2022
• First Posted: May 3, 2022
• Study Start: March 10, 2019
• Primary Completion: August 10, 2019
• Study Completion: December 20, 2019
• Last Updated: October 8, 2024

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)