Effects of Combining Mobilization With Movement and Spencer's Technique in Diabetic Adhesive Capsulitis Patients

NCT05450068 | Completed DMC

• 1 other identifier: REC/1012 Bushra
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a randomized control trial conducted on 44 patients diagnosed as adhesive capsulitis in headquarter hospital Gujar khan. Subjects will be divided equally into 4 groups (n=11 in each group) that are Group A, B, C and D by sealed envelope method. Pre-intervention assessment will be done by using data collection tools and then intervention will be applied. Group A will receive mobilization with movement (MWM) technique along with Spencer's muscle energy technique (MET) with conventional therapy. Group B will receive MWM along with conventional therapy. Group C will receive Spencer's MET along with conventional therapy. Group D will receive conventional therapy alone. All subjects will be given a home exercise plan. Assessment will be done after 1st session, 1st week, 2nd week, 3rd week and finally after 2 weeks on follow up using data collection tool. Data collection tools are semi-structured questionnaire (informed consent, demographic details, goniometric measurements), Visual analogue scale (VAS), shoulder pain and disability index (SPADI) and universal goniometer.

Conditions

Adhesive Capsulitis

Outcome Measures

Primary Outcomes (3)

• Visual Analogue Scale

  A Visual Analogue Scale (VAS) is one of the pain rating scales used for measurement of pain intensity. The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain. It will be used at baseline, after first session and then every week up to 6th week.

  6th week.

• Shoulder Pain and Disability Index

  The Shoulder Pain and Disability Index (SPADI) is a patient completed questionnaire with 13 items assessing pain level and extent of difficulty with Activity of daily Livings requiring the use of the upper extremities. The pain subscale has 5-items and the Disability subscale has 8-items. It will be used at baseline, every week up to 4th week and then after 2 week follow up on 6th week

  6th week

• Range of Motion

  Ranges of motions of all shoulder movements will be measured. These include Flexion, Abduction, Eternal and Internal Rotation. It will be measured at baseline, after first session, every week up to 4th week and then after 2 week follow up on 6th week.

  6th week.

Study Arms (4)

Group A-Combined Group

ACTIVE COMPARATOR

Participants in this group will receive both Mulligan's mobilization with movement and Spencer's muscle energy technique along with conventional therapy and home exercise plan. 3 sessions per week will be given for 4 weeks.

Other: Mulligan's Mobilization with movement; Other: Spencer's muscle energy technique; Other: Conventional Therapy

Group B-Mulligan Group

ACTIVE COMPARATOR

Participants in this group will receive Mulligan's mobilization with movement along with conventional therapy and home exercise plan. 3 sessions per week will be given for 4 weeks.

Other: Mulligan's Mobilization with movement

Group C-Spencer Group

ACTIVE COMPARATOR

Participants in this group will receive Spencer's muscle energy technique along with conventional therapy and home exercise plan. 3 sessions per week will be given for 4 weeks.

Other: Spencer's muscle energy technique

Group D-Conventional Group

ACTIVE COMPARATOR

Participants in this group will receive conventional therapy alone in hospital with home exercise plan. 3 sessions per week will be given for 4 weeks.

Other: Conventional Therapy

Interventions

Mulligan's Mobilization with movement OTHER

The Mulligan's technique will be performed as described by Brian Mulligan. 3 sets of 10 repetitions with 1 minute rest between sets.

Group A-Combined Group; Group B-Mulligan Group

Spencer's muscle energy technique OTHER

Muscle energy technique that is composed of 7 stages repeated on after the other will be performed. Each movement will be repeated 10 times with 1 minute rest between each set.

Group A-Combined Group; Group C-Spencer Group

Conventional Therapy OTHER

Electrotherapy-Ultrasound (5-10 mins), Exercise therapy program (isometric, capsular stretching, pectoral stretch and scapular stabilization exercises)

Group A-Combined Group; Group D-Conventional Group

Eligibility Criteria

• Age: 30 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both male and female
• Age bracket is 30-70 years
• Pain in the shoulder for at least three months
• All active and passive shoulder movements restricted, with a reduction in external rotation of at least 50%.

You may not qualify if:

• Patients with
• Recent history of surgery on particular shoulder
• Post-traumatic and rotator cuff rupture
• Neurological deficits affecting shoulder function
• Pain or disorders of cervical spine, elbow, wrist or hand
• Tendon calcification
• Rheumatoid arthritis
• Osteoporosis
• Malignancies
• Pregnancy
• Open wounds or skin infections
• Recent steroid injection
• Previous manipulation under anesthesia of affected shoulder.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Tehsil headquarter hospital

Gujar Khān, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Interventions

Movement

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Study is single-blinded as the participants are unaware of the treatment given to them.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 9, 2022
• First Posted: July 8, 2022
• Study Start: April 15, 2022
• Primary Completion: July 31, 2022
• Study Completion: August 30, 2022
• Last Updated: September 7, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)