Effects of Conventional Physical Therapy With and Without Scapular Stabilization Exercises in Adhesive Capsulitis.

NCT05403918 | Unknown

• 1 other identifier: REC/RCR & AHS/22/0119
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study will be to determine the Effects of conventional physical therapy with and without scapular stabilization exercises on pain, function, scapular dyskinesia, and proprioception in patients with adhesive capsulitis.

Conditions

Adhesive Capsulitis

Keywords

adhesive capsulitis; scapular dyskinesis; proprioception; scapular stabilization exercises

Outcome Measures

Primary Outcomes (5)

• NPRS for pain

  The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).

  6th week

• Bubble inclinometer for shoulder ROM and JPS

  A bubble Inclinometer is used for measuring the range of motion and joint position sense in patients.

  6th week

• SPADI for pain and disability

  Shoulder pain and disability index include thirteen questions measuring pain and disability on an eleven-point scale. O being no pain, difficulty and 10 being worst pain and difficulty.

  6th week

• LSST for static scapular movement

  A lateral scapular slide test is used to assess scapular position in shoulder pathologies.

  6th week

• SDT for dynamic scapular movement

  The scapular dyskinesia test is used to measure dynamic scapular movement.

  6th week

Study Arms (2)

conventional physiotherapy

ACTIVE COMPARATOR

15 patients will receive conventional physiotherapy including a hot pack, TENS, therapeutic ultrasound, shoulder anteroposterior, posteroanterior, and inferior glides followed by active and active-assisted range of motion exercises, isometric exercises, Codman's pendulum exercises, wand, pulley, and finger ladder exercises.

Other: conventional physiotherapy

scapular stabilization exercises along with conventional physiotherapy

EXPERIMENTAL

15 participants will receive conventional treatment along with scapular stabilization exercises program consisting of strengthening exercises (Middle Trapezius, Lower Trapezius, Serratus Anterior, and Rhomboid Muscles) and stretching exercises (Pectoralis Minor, Levator Scapulae, Upper Trapezius, Teres Major). Appropriate exercises will be given to patients according to the type of Scapular Dyskinesia.

Other: scapular stabilization exercises along with conventional physiotherapy

Interventions

conventional physiotherapy OTHER

Hot pack, TENS, and therapeutic ultrasound will be applied for 10 minutes. Then glides will be given 30 x 3 times in grades III and IV. The rest of the exercises will be prescribed as 3 sets for 10 repetitions with 2 minutes of rest between sets for 6 weeks with respect to 3 sessions per week.

conventional physiotherapy

scapular stabilization exercises along with conventional physiotherapy OTHER

Each stretch will be repeated 3 times. Each active exercise will be progressed from 3 sets of 10 reps to 3 sets of 15 reps. If the subject easily completed 3 sets of 15 reps of active exercise, they will go on to resisted exercises. These will be performed once a day, for 6 weeks, 3 sessions per week.

scapular stabilization exercises along with conventional physiotherapy

Eligibility Criteria

• Age: 30 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosis of idiopathic adhesive capsulitis for more than 4 months (Stage 2)
• Unilateral idiopathic adhesive capsulitis
• Shoulder Pain on NPRS ≥5
• Restricted ROM (loss of ≥ 25% relative to non-involved shoulder in one or multidirectional)
• Patients volunteered to participate in the study and signed informed consent.

You may not qualify if:

• History of shoulder surgery or manipulation under anesthesia
• Unstable fractures, rheumatoid arthritis and those with severe joint pain unrelieved by rest
• Neurologic deficits affecting shoulder functioning during daily activities
• Pain or disorders of the cervical spine, elbow, wrist, or hand
• Other pathological conditions involving the shoulder (rotator cuff tear, tendinitis, etc.)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Physical therapy department, Qari Hospital, Okara.

Okara, Punjab Province, 56300, Pakistan

Location

Related Publications (12)

• Gulwani AH. A study to find out the effect of scapular stabilization exercises on shoulder ROM and functional outcome in diabetic patients with stage 2 adhesive capsulitis of the shoulder joint - An interventional study. International Journal of Science and Healthcare Research. 2021;Vol.5(Issue: 2).

  BACKGROUND

• Rajpurohit B, Anap D. Scapular dyskinesis among patients with shoulder dysfunction-A Cross Sectional Study. VIMS JOURNAL OF PHYSICAL THERAPY. 2021;3(1).

  BACKGROUND

• Panagiotopoulos AC, Crowther IM. Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate. SICOT J. 2019;5:29. doi: 10.1051/sicotj/2019029. Epub 2019 Aug 20.

  PMID: 31430250 BACKGROUND

• Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a Conservative Rehabilitation Strategy Improve Shoulder Proprioception? A Systematic Review. J Sport Rehabil. 2020 Jul 31;30(1):136-151. doi: 10.1123/jsr.2019-0400.

  PMID: 32736342 BACKGROUND

• Bhale AA, Wani SK. Evaluation of shoulder kinesthesia in patients with unilateral frozen shoulder. 2019.

  BACKGROUND

• Turgut E, Duzgun I, Baltaci G. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2017 Oct;98(10):1915-1923.e3. doi: 10.1016/j.apmr.2017.05.023. Epub 2017 Jun 24.

  PMID: 28652066 BACKGROUND

• Tang L, Chen K, Ma Y, Huang L, Liang J, Ma Y. Scapular stabilization exercise based on the type of scapular dyskinesis versus traditional rehabilitation training in the treatment of periarthritis of the shoulder: study protocol for a randomized controlled trial. Trials. 2021 Oct 18;22(1):713. doi: 10.1186/s13063-021-05654-2.

  PMID: 34663424 BACKGROUND

• Kim JT, Kim SY, Oh DW. An 8-week scapular stabilization exercise program in an elite archer with scapular dyskinesis presenting joint noise: A case report with one-year follow-up. Physiother Theory Pract. 2019 Feb;35(2):183-189. doi: 10.1080/09593985.2018.1442538. Epub 2018 Feb 26.

  PMID: 29482465 BACKGROUND

• Nodehi Moghadam A, Rahnama L, Noorizadeh Dehkordi S, Abdollahi S. Exercise therapy may affect scapular position and motion in individuals with scapular dyskinesis: a systematic review of clinical trials. J Shoulder Elbow Surg. 2020 Jan;29(1):e29-e36. doi: 10.1016/j.jse.2019.05.037. Epub 2019 Aug 13.

  PMID: 31420226 BACKGROUND

• Krantz R, Rasmussen-Barr E. The Swedish version of the Lumbar Spine Instability Questionnaire: A clinimetric study of validity and reliability. Physiother Theory Pract. 2023 Jan;39(1):154-162. doi: 10.1080/09593985.2021.1999353. Epub 2021 Nov 1.

  PMID: 34724863 BACKGROUND

• Shadmehr A, Sarafraz H, Heidari Blooki M, Jalaie SH, Morais N. Reliability, agreement, and diagnostic accuracy of the Modified Lateral Scapular Slide test. Man Ther. 2016 Aug;24:18-24. doi: 10.1016/j.math.2016.04.004. Epub 2016 Apr 19.

  PMID: 27317502 BACKGROUND

• Christiansen DH, Moller AD, Vestergaard JM, Mose S, Maribo T. The scapular dyskinesis test: Reliability, agreement, and predictive value in patients with subacromial impingement syndrome. J Hand Ther. 2017 Apr-Jun;30(2):208-213. doi: 10.1016/j.jht.2017.04.002. Epub 2017 May 29.

  PMID: 28571725 BACKGROUND

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Muhammad Salman Bashir, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 31, 2022
• First Posted: June 3, 2022
• Study Start: June 1, 2022
• Primary Completion: January 1, 2023
• Study Completion: January 1, 2023
• Last Updated: June 3, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)