Effects of Gong's Mobilization With and Without Stecco Fascial Therapy in Patients With Adhesive Capsulitis

NCT06064396 | Completed

• 1 other identifier: REC/RCR&AHS/23/0136 Ifra Awan
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine the effects of Gong's mobilization with and without Stecco Fascial therapy on pain, range of motion and function in patients with Adhesive capsulitis.

Conditions

Adhesive Capsulitis

Keywords

Adhesive Capsulitis; Pain; Range of Motion

Outcome Measures

Primary Outcomes (6)

• Pain: Numeric Pain Rating Scale (NPRS)

  Changes from baseline Numeric pain rating scale is The 11-point scale used to capture the patient's level of pain. The scale is anchored on the left with the phrase ''no pain'' and on the right with the phrase ''worst imaginable pain.'' Patients rate their current level of pain and their worst and least amount of pain in the last 24 hours. Numeric pain scales have been shown to be reliable and valid with validity range from 0.86 to 0.95 and high test-retest reliability r=0.96

  4th week

• Range of Motion Shoulder (Flexion)

  Changes from baseline ROM range of motion of shoulder flexion will be taken with the help of universal goniometer.

  4th week

• Range of Motion Shoulder (Abduction)

  Changes from baseline ROM range of motion of shoulder abduction will be taken with the help of universal goniometer.

  4th week

• Range of Motion Shoulder (External rotation)

  Changes from baseline ROM range of motion of shoulder external rotation will be taken with the help of universal goniometer.

  4th week

• Range of Motion Shoulder (Internal rotation)

  Changes from baseline ROM range of motion of shoulder internal rotation will be taken with the help of universal goniometer.

  4th week

• Function: Shoulder Pain and Disability Index (SPADI) Questionnaire

  Changes from baseline SPADI. SPADI questionnaire is used for the self-assessment of symptoms and function of the shoulder. 13 items (total score): 5 items for pain and 8 for function (sub scores). Response options/scale. All SPADI items are originally scored on a visual analog scale (VAS) from no pain/no difficulty to worst pain imaginable/so difficult required help. The VAS line was divided into 12 equal intervals to obtain a 12-point numerical rating scale (NRS) ranging from 0 (best) to 11 (worst).

  4th week

Study Arms (2)

Gong's Mobilization with Stecco Fascial Therapy

EXPERIMENTAL

Participants in this group will receive Gong's Mobilization with Stecco Fascial Therapy

Other: Gong's Mobilization; Other: Stecco Fascial Therapy

Gong's Mobilization

ACTIVE COMPARATOR

Participants in this group will receive Gong's Mobilization

Other: Gong's Mobilization

Interventions

Gong's Mobilization OTHER

The duration of intervention will be 4 weeks, 3 sessions a week, a total of 12 sessions will be given to the study participants. Each session will last for 30 minutes. Conventional physical therapy will be given to participants along with Gong's Mobilization.

Gong's Mobilization; Gong's Mobilization with Stecco Fascial Therapy

Stecco Fascial Therapy OTHER

The duration of intervention will be 4 weeks, 3 sessions a week, a total of 12 sessions will be given to the study participants. Each session will last for 30 minutes. Conventional physical therapy will be given to participants along with stecco fascial therapy.

Gong's Mobilization with Stecco Fascial Therapy

Eligibility Criteria

• Age: 35 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both male and female patients
• Patients with positive capsular pattern of glenohumeral joint which is external rotation, abduction and internal rotation
• Patients aged 35-60 years with shoulder pain and reduction in range of motion
• Unilateral stage II frozen shoulder with shoulder pain and stiffness for more than 3 months

You may not qualify if:

• Patients with additional cervical or shoulder pathology
• Patients with shoulder dislocation, rotator cuff rupture and injury
• Medical red flag history (tumor, metabolic diseases, rheumatoid arthritis, osteoporosis or Infection)
• Neurological disorder or symptomatic herniated disc or severe disorders of the cervical spine
• History of Severe trauma or any fracture or surgery

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Arif Memorial Teaching Hospital

Lahore, Punjab Province, 54600, Pakistan

Location

Related Publications (8)

• Neviaser AS, Hannafin JA. Adhesive capsulitis: a review of current treatment. Am J Sports Med. 2010 Nov;38(11):2346-56. doi: 10.1177/0363546509348048. Epub 2010 Jan 28.

  PMID: 20110457 BACKGROUND

• Tasto JP, Elias DW. Adhesive capsulitis. Sports Med Arthrosc Rev. 2007 Dec;15(4):216-21. doi: 10.1097/JSA.0b013e3181595c22.

  PMID: 18004221 BACKGROUND

• Wang K, Ho V, Hunter-Smith DJ, Beh PS, Smith KM, Weber AB. Risk factors in idiopathic adhesive capsulitis: a case control study. J Shoulder Elbow Surg. 2013 Jul;22(7):e24-9. doi: 10.1016/j.jse.2012.10.049. Epub 2013 Jan 24.

  PMID: 23352186 BACKGROUND

• Tighe CB, Oakley WS Jr. The prevalence of a diabetic condition and adhesive capsulitis of the shoulder. South Med J. 2008 Jun;101(6):591-5. doi: 10.1097/SMJ.0b013e3181705d39.

  PMID: 18475240 BACKGROUND

• Wadsworth CT. Frozen shoulder. Phys Ther. 1986 Dec;66(12):1878-83. doi: 10.1093/ptj/66.12.1878.

  PMID: 3786418 BACKGROUND

• Celik D. Comparison of the outcomes of two different exercise programs on frozen shoulder. Acta Orthop Traumatol Turc. 2010;44(4):285-92. doi: 10.3944/AOTT.2010.2367.

  PMID: 21252605 BACKGROUND

• Day JA, Stecco C, Stecco A. Application of Fascial Manipulation technique in chronic shoulder pain--anatomical basis and clinical implications. J Bodyw Mov Ther. 2009 Apr;13(2):128-35. doi: 10.1016/j.jbmt.2008.04.044. Epub 2008 Jun 24.

  PMID: 19329049 BACKGROUND

• Russell S, Jariwala A, Conlon R, Selfe J, Richards J, Walton M. A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. J Shoulder Elbow Surg. 2014 Apr;23(4):500-7. doi: 10.1016/j.jse.2013.12.026.

  PMID: 24630545 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

• Rabiya Noor, Phd

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Blinding,refers to a practice where study participants are prevented from knowing certain information that may somehow influence them-thereby tainting the results.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants are assigned to one of the treatment arms at the beginning of the trial and continue in that arm throughout the length of the trial.

Study Record Dates

• First Submitted: September 26, 2023
• First Posted: October 3, 2023
• Study Start: October 20, 2023
• Primary Completion: December 30, 2023
• Study Completion: January 25, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)