Effects of Sleeper Stretch and Mobilizations With Movement in Patients With Adhesive Capsulitis

NCT05649410 | Completed DMC

• 1 other identifier: REC -01394 Kiran Azam Khan
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Adhesive capsulitis is a condition characterized by progressive declination range of motion at the glenohumeral joint due to tightness of capsule. The joint capsule and its surrounding connective tissue becomes stiffed, inflamed and shortened which in return causes decrease in range of motion that progress to chronic pain and stiffness. Adhesive capsulitis is a self-limiting disorder that resolves within 1-3 years.

Conditions

Adhesive Capsulitis

Keywords

pain; sleeper stretch; mobilization with movement; range of motion

Outcome Measures

Primary Outcomes (4)

• NPRS (Numeric Pain Rating Scale)

  The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale from 0 to 10. "0" = no pain and "10" = the most intense pain imaginable. intraclass correlation coefficient = 0.74 for shoulder pain.

  four weeks

• Goniometer

  Shoulder range of motion i.e. Shoulder Flexion, Extension, Abduction, Adduction, Internal rotation, External rotation will be measured using goniometer, intraclass correlation coefficient for using goniometer for shoulder joint Range Of Motion ranges from 0.91 to 0.99

  four weeks

• SPADI (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 Activities of Daily Livings requiring the use of the upper extremities. The pain subscale has 5-items and the Disability subscale has 8-items. The patient is instructed to choose the number that best describes their level of pain and extent of difficulty using the involved shoulder. The pain scale is summed up to a total of 50 while the disability scale sums up to 80. The total SPADI score is expressed as a percentage. A score of 0 indicates best 100 indicates worst. A higher score shows more disability. SPADI is reliable for subjects with Adhesive capsulitis, intraclass correlation coefficient for pain scale=0.989 and intraclass correlation coefficient for disability=0.990

  four weeks

• Scapulohumeral Rhythm

  Scapular upward rotation will be measured using inclinometer placed at the spine of scapula. Patient will be advised to perform shoulder abduction and measurements will be taken at 3 degrees i.e. 0 to 45degree, 0 to 90 degree, 0 to 120 degree. 3 measurements will be taken at each range and then their mean will be calculated. Scapulohumeral rhythm will be measured by dividing humeral elevation with scapular upward rotation. Scapulohumeral rhythm=humeral elevation/scapular upward rotation. The intraclass correlation coefficient for measuring Scapulohumeral rhythm using inclinometer is \> 0.892.

  four weeks

Study Arms (2)

mobilization with movement and conventional therapy

EXPERIMENTAL

Mobilization with movement for Flexion, Abduction, Internal rotation, external rotation

Other: mobilization with movement and conventional therapy

sleeper stretch along with conventional therapy

EXPERIMENTAL

IT will be performed with the patient in side lying on the affected side to stabilize the scapula against the table and both the shoulder and elbow flexed to 90°.In this position, passive Internal Rotation is applied to the affected shoulder by the therapist or patients opposite hand.

Other: sleeper stretch along with conventional therapy

Interventions

mobilization with movement and conventional therapy OTHER

Mobilization with movement for Flexion, Abduction, Internal rotation, external rotation

mobilization with movement and conventional therapy

sleeper stretch along with conventional therapy OTHER

it will be performed with the patient in side lying on the affected side to stabilize the scapula against the table and both the shoulder and elbow flexed to 90°.In this position, passive Internal Rotation is applied to the affected shoulder by the therapist or patients opposite hand.

sleeper stretch along with conventional therapy

Eligibility Criteria

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

You may qualify if:

• Patients with Adhesive Capsulitis of stage 1 and 2.
• Patients with idiopathic adhesive capsulitis.
• Patients with unilateral involvement having painful stiff shoulder for 3 or more months without any shoulder trauma.
• Marked loss in active and passive Range of Motion (Abduction, external and internal rotation) minimum 50% compared to the unaffected side.
• cm asymmetry on bilateral comparison during lateral scapular slide test.

You may not qualify if:

• Patients with shoulder pain due to neurological abnormalities e.g. Hemiplegia.
• Patients with Rotator cuff injury or tear.
• Recent trauma to upper limb.
• Disorders of bones such as fractures, osteoporosis, glenohumeral arthritis.
• Cervical spondylosis or cervical radiculopathy.
• Any malignancy or tumor.
• Patients having any intra articular injection in the gleno-humeral joint during last three months.
• Patients with cardiovascular impairments

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

The Physiotherapy clinic Saidpur Road

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Bursitis; Pain

Interventions

Movement

Condition Hierarchy (Ancestors)

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

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: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 6, 2022
• First Posted: December 14, 2022
• Study Start: January 1, 2023
• Primary Completion: July 10, 2023
• Study Completion: July 10, 2023
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)