Effectiveness of SCS Technique Verses ART in Adhesive Capsulitis

NCT05402540 | Completed

• 1 other identifier: REC/01206 Khizar Hayat
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

To find out the effectiveness of Strain Counter strain Technique verses Active Release Technique on upper trapezius, subscapularis, anterior fiber of deltoid and supraspinatus muscles trigger points in adhesive capsulitis in term of pain intensity, range of motion and muscle strength.

Conditions

Adhesive Capsulitis

Keywords

ADHESIVE CAPSULITIS; SHOULDER PAIN; Range of Motion; Shoulder Muscle Strength

Outcome Measures

Primary Outcomes (1)

• Numerical Rating Scale (NRS):

  In a Numerical Rating Scale (NRS), patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity \[1\]. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible.

  4th week

Secondary Outcomes (3)

• Range of motion

  4th week

• Shoulder Pain and Disability Index (SPADI):

  4th week

• Manual Muscle Testing (MMT):

  4th week

Study Arms (2)

STRAIN COUNTER STRAIN GROUP

EXPERIMENTAL

Strain Counter Strain Technique in combination with conventional physiotherapy

Other: STRAIN COUNTER STRAIN GROUP

ACTIVE RELEASE TECHNIQUE GROUP

EXPERIMENTAL

Active Release Technique in combination with conventional physiotherapy

Other: ACTIVE RELESAE TECHNIQUE GROUP

Interventions

STRAIN COUNTER STRAIN GROUP OTHER

Strain Counterstrain Technique in combination with conventional physiotherapy (Hot pack, Codman"s exercises, active assisted exercises, Pendulum exercises, Finger Ladder Exercise, Maitland mobilization of shoulder joint. Therapist palpate surrounding and opposing tissues to locate trigger point by using one or two finger pads to monitor fasciculation and MTrP. Hold the POC (position of comfort) until fasciculation decreases significantly or ceases. Average positions hold time while pressure is 90 s to 3 min. Release tissue or joint slowly and reassess. Each patient will receive total 6 sessions (3sessions/week) over a period of 2 weeks. Assessment would be done on baseline and after every three sessions.

STRAIN COUNTER STRAIN GROUP

ACTIVE RELESAE TECHNIQUE GROUP OTHER

Active Release Technique in combination with conventional physiotherapy (Hot pack, Codman"s exercises, active assisted exercises, Pendulum exercises, Finger Ladder Exercise, Maitland mobilization of shoulder joint. The targeted muscle will be palpated while the therapist will looks for localized tenderness or trigger points with referred pain elicitation. With the thumb therapist will relieve the trigger point. In ART the particular muscle is taken from shortened to lengthened position or from lengthened to shortened position. Duration of treatment will be 8-15 minutes. Each patient will receive total 6 sessions (3sessions/week) over a period of 2 weeks. Assessment would be done on baseline and after every three sessions.

ACTIVE RELEASE TECHNIQUE GROUP

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Idiopathic Adhesive Capsulitis (AC)
• Stage 2 AC
• Both genders
• ROM limitation in capsular pattern
• AC having myofascial trigger points in upper trapezius, subscapularis, anterior fibers of deltoid and supraspinatus muscle

You may not qualify if:

• Cervical Radiculopathies
• Thoracic outlet syndrome
• Rotator cuff tear
• Diabetes mellitus.
• Patients with any neurological disorder like hemiplegia.
• Fracture in and around shoulder

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bacha Khan Medical Complex Swabi (BKMCS) and District Headquarter Hospital (DHQ) Swabi.

Swabi, Pakistan

Location

MeSH Terms

Conditions

Bursitis; Shoulder Pain

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Arthralgia; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• KINZA ANWAR, MS-OMPT

  RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN

  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: SPONSOR

Study Record Dates

• First Submitted: April 21, 2022
• First Posted: June 2, 2022
• Study Start: September 14, 2022
• Primary Completion: April 2, 2023
• Study Completion: April 2, 2023
• Last Updated: April 13, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)