Frozen Shoulder (Scapular Mobilization Versus Scapular PNF)

NCT06201468 | Enrolling By Invitation

• 1 other identifier: Frozen shoulder
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to examine and compare the effects of SM versus SPNF on shoulder pain, ROM and functional disabilities in patients with frozen shoulder.

Conditions

Frozen Shoulder; Scapular Mobilization; Scapular Proprioceptive Neuromuscular Facilitation

Outcome Measures

Primary Outcomes (2)

• Shoulder disability

  Shoulder Pain and Disability Index (SPADI) The translated version of SPADI in the Arabic language showed excellent internal consistency and test-retest reliability. Validity was shown by substantial correlations between SPADI and Quick DASH, NRS, and active shoulder ROM. The Arabic SPADI is recommended for the evaluation of patients with shoulder dysfunction

  4 weeks

• Shoulder range of motion

  A goniometer is a device used to measure the range of motion (in degrees) of joints for either active or passive range. Shoulder flexion, extension, abduction adduction, internal rotation and external rotation will be assessed by Goniometer

  4 weeks

Secondary Outcomes (2)

• Scapular upward rotation

  4 weeks

• Lateral scapular slide test

  4 weeks

Study Arms (2)

group A

EXPERIMENTAL

Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks. Mulligan Mobilization with Movement for peripheral joints combines sustained manual application of 'gliding' force to a joint, with the aim of repositioning the positional faults with concurrent physiological motion of the joint, either performed actively by the subject or passively by the therapist

Other: Group A SCAPULAR MOBILIZATION

group B

EXPERIMENTAL

Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks. Scapular PNF incorporates functional or diagonal patterns (anterior elevation - posterior depression and posterior elevation - anterior depression) for performing the exercises and can be used to stretch or strengthen the muscles selectively. These techniques help the muscles to relearn the normal timing of recruitment and the amount of activation to sustain the balance between different groups of muscles

Other: Group A SCAPULAR MOBILIZATION

Interventions

Group A SCAPULAR MOBILIZATION OTHER

Two treatment groups will receive interventions as follows: Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks. Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks.

Also known as: GROUP B SCAPULAR PNF

group A; group B

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- All the patients refferd from orthopaedic surgeon with diagnosis of adhesive capsulitis. Patients will be included in this study if they fulfil the following criteria
• Case diagnosed with adhesive capsulitis, both primary and secondary.
• Both males and females of the age group 40 to 60 years.
• Limited active and passive movement of the shoulder joint movements, as well as difficulties with ADLs.
• The onset of symptoms between 3 to 12 months. 5. Unilateral adhesive capsulitis.

You may not qualify if:

• \. History of shoulder surgery or manipulation under anaesthesia, local corticosteroid injection administration to the affected shoulder within the last 6 months, 2. Neurological deficit affecting the shoulder function during daily activities, 3. Pathology of the shoulder joint other than adhesive capsulitis including rotator cuff tear, tendonitis at the shoulder and neck region, malignancies, history of trauma or accidental injuries of the upper limb.
• Other pathological conditions including, a history of stroke, history of mastectomy and coronary artery bypass grafting (CABG).
• \. Rheumatoid arthritis, osteoporosis, or disorders of the cervical spine, elbow, wrist or hand.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, 02, Egypt

Location

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Mona M ibrahim

  Cairo University

  STUDY DIRECTOR

• mahmoud alsehemy

  Cairo University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: triple-blinded clinical randomized trial
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Model Details: Two treatment groups will receive interventions as follows: Group A (n = 21): will receive scapular mobilization combined with mobilization with movement (MWM) and capsular stretch for 4 weeks. Group B (n = 21): will receive scapular proprioceptive neuromuscular facilitation combined with (MWM) and capsular stretch for 4 weeks.

Study Record Dates

• First Submitted: December 29, 2023
• First Posted: January 11, 2024
• Study Start: January 10, 2024
• Primary Completion: October 10, 2024
• Study Completion: December 1, 2024
• Last Updated: July 3, 2024

Record last verified: 2024-07

Locations

EG (1)