Comparison of Capsular Stretching and Passive Joint Mobilization in Idiopathic Adhesive Capsulitis

NCT05903768 | Completed

• 1 other identifier: Riphah IU Maria Safdar
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to determine the effects of capsular stretching versus passive joint mobilization on Pain, range of motion and Quality of life in patients with Idiopathic Adhesive capsulitis.

Conditions

Adhesive Capsulitis

Keywords

Range of motion; Shoulder; Pain

Outcome Measures

Primary Outcomes (6)

• Numeric Pain rating scale

  The Numeric Pain rating scale is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.

  4th week

• Range of motion (shoulder flexion)

  changes in shoulder flexion Range of motion from baseline to final session was measured

  4th week

• Range of motion (shoulder extension)

  changes in shoulder extension Range of motion from baseline to final session was measured

  4th week

• Range of motion (shoulder abduction)

  changes in shoulder abduction Range of motion from baseline to final session was measured

  4th week

• Range of motion (shoulder external rotation)

  changes in shoulder external rotation Range of motion from baseline to final session was measured

  4th week

• Range of motion (internal rotation)

  changes in shoulder internal rotation Range of motion from baseline to final session was measured

  4th week

Study Arms (2)

Cyriax capsular stretching

EXPERIMENTAL

Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises.Anterior, Posterior and inferior capsular stretching.

Other: Cyriax capsular stretching

Mobilization

ACTIVE COMPARATOR

Patient will be subjected to Hot Pack prior to treatment. Detailed intervention will include Active range of motion exercises,Home plan exercises and Maitland's Mobilization:

Other: Mobilization

Interventions

Mobilization OTHER

Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Maitland's Mobilization: Inferior glide (10x3), posterior glide, (10 reps x 3 sets), anterior glide (10 reps x 3 sets)

Mobilization

Cyriax capsular stretching OTHER

Hot Pack for 5mins,Active range of motion exercises (10 reps x 3 sets),Home plan include: wand exercises, wall-walking exercises, pendulum exercises,towel stretch exercises, Cross Body Adduction (10reps x 2 sets, each)Cold pack for 5 mins. Anterior, Posterior and inferior capsular stretching would be performed. Each stretch should be held15-30 seconds and repeated 2 to 4 times.

Cyriax capsular stretching

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders
• Age : 30-50 years
• Pain and Restricted movements of shoulder.
• Patient With Adhesive Capsulitis of Stage 2

You may not qualify if:

• Patient with any Intrinsic Etiology such as Haemarthrosis, rheumatoid arthritis ,infection or gout
• Patient with any severe trauma, Shoulder dislocation, subluxation or ligament injury of the shoulder
• Fractures of the shoulder
• Peripheral neurological involvement in the upper extremity.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Lady reading hospital

Peshawar, Khyber Pakhtunkhwa, 25000, Pakistan

Location

Related Publications (5)

• Eckert AJ, Plaumann M, Pehlke S, Beck C, Muhldorfer S, Weickert U, Laimer M, Pfeifer M, Stechemesser L, Holl R. Idiopathic Frozen Shoulder in Individuals with Diabetes: Association with Metabolic Control, Obesity, Antidiabetic Treatment and Demographic Characteristics in Adults with Type 1 or 2 Diabetes from the DPV Registry. Exp Clin Endocrinol Diabetes. 2022 Jul;130(7):468-474. doi: 10.1055/a-1543-8559. Epub 2021 Aug 23.

  PMID: 34425597 BACKGROUND

• Thomas SJ, McDougall C, Brown ID, Jaberoo MC, Stearns A, Ashraf R, Fisher M, Kelly IG. Prevalence of symptoms and signs of shoulder problems in people with diabetes mellitus. J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):748-51. doi: 10.1016/j.jse.2007.02.133.

  PMID: 18061115 BACKGROUND

• Mengiardi B, Pfirrmann CW, Gerber C, Hodler J, Zanetti M. Frozen shoulder: MR arthrographic findings. Radiology. 2004 Nov;233(2):486-92. doi: 10.1148/radiol.2332031219. Epub 2004 Sep 9.

  PMID: 15358849 BACKGROUND

• Janela D, Costa F, Molinos M, Moulder RG, Lains J, Francisco GE, Bento V, Cohen SP, Correia FD. Asynchronous and Tailored Digital Rehabilitation of Chronic Shoulder Pain: A Prospective Longitudinal Cohort Study. J Pain Res. 2022 Jan 8;15:53-66. doi: 10.2147/JPR.S343308. eCollection 2022.

  PMID: 35035234 BACKGROUND

• Paul A, Rajkumar JS, Peter S, Lambert L. Effectiveness of sustained stretching of the inferior capsule in the management of a frozen shoulder. Clin Orthop Relat Res. 2014 Jul;472(7):2262-8. doi: 10.1007/s11999-014-3581-2. Epub 2014 Mar 25.

  PMID: 24664198 BACKGROUND

MeSH Terms

Conditions

Bursitis; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Ramsha Tariq, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: June 15, 2023
• Study Start: November 1, 2022
• Primary Completion: June 15, 2023
• Study Completion: June 20, 2023
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)