Effect of Spencer Muscle Energy Technique on Pain in Diabetic Stiff Shoulder

NCT06567288 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/004908
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Stiff shoulder is a painful and severely debilitating condition. The inflammatory contracture of the glenohumeral joint capsule in stiff shoulder restricts both active and passive range of motion, with loss of external rotation being especially characteristic of this condition (Dyer et al., 2023). Stiff shoulder is clinically described by the continuing onset of shoulder pain and advanced exacerbation of the shoulder joint leading to exertion in the higher extremity activity, significant disability, and functional restrictions. The most common symptom of a stiff shoulder is night pain, resulting in sleep impediment that leads to one-sided sleep on the uninfected shoulder (Mao et al., 2022). Spencer technique is a standardized series of treatments with broad application to diagnose, treat and establish prognosis for restricted mobility in shoulder. It was developed by Spencer in 1961. It is a multistep technique that combines Spencer's positioning, sequencing, slow stretching of the shoulder complex within pain-free limits done by physical therapist while incorporating muscular energy with post-isometric contraction and relaxation (Babu And Putcha., 2022).

Conditions

Frozen Shoulder

Outcome Measures

Primary Outcomes (2)

• pain pressure threshold algometry

  Algometers are devices that can be used to identify the pressure and/or force eliciting a pressure-pain threshold.

  will be measured at baseline, and it will be measured after eight weeks

• Visual Analogue Scale (VAS)

  was used to assess the severity of pain before and after treatment for both groups

  will be measured at baseline, and it will be measured after eight weeks

Secondary Outcomes (2)

• goniometer

  will be measured at baseline, and it will be measured after eight weeks

• SPADI (shoulder pain and disability index).

  will be measured at baseline, and it will be measured after eight weeks

Study Arms (1)

spencer muscle energy technique

EXPERIMENTAL

Spencer muscle energy technique (SMET) attempts to re-establish functional relationship between soft and articular tissues of the shoulder region, minimizes inflammatory and later developing fibrotic process, and restores arterial, venous, and lymphatic flow. Like other OMT procedures, it not only restores joint functions, but enhances positive well-being and full expression of a patient's life. In this technique, passive, smooth, rhythmic motion of the shoulder joint is done by the therapist to stretch contracted muscles, ligaments, and capsule (Babu And Putcha.,2022).

Procedure: spencer mscle energy technique

Interventions

spencer mscle energy technique PROCEDURE

The effectiveness of MET found in chronic capsulitis is due to its effect on relieving pain, ensuring ROM incretions, and developing functional activities due to the muscle contraction in a precise direction and in a monitored position over resistance to assist in improving joint range by advancing joint flexibility. This procedure is suggested for all joints with limited ROM (Butt \& Tanveer, 2022).

Also known as: spencer MET

spencer muscle energy technique

Eligibility Criteria

• Age: 45 Years - 55 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \) Women's age between 45 to 55 years old 2)Suffering from stiff shoulder for 2-12 months (stage 1 and 2) confirmed by an orthopaedic specialist.
• \) Diagnosed as type 2 DM for at least 5 years. 4) No treatment other than analgesics

You may not qualify if:

• \. cases of traumatic stiff shoulder. 2. Osteoporosis and malignance of shoulder region. 3. Neurological deficit affect shoulder function. 4. rheumatoid arthritis. 5. recurrent subluxation of shoulder. 6. cervical radiculopathy. 7. history of shoulder surgery. 8. vascular diseases.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• NESREEN GHAREEB, Vice Dean

  Professor

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Alaa El-moatasem, lecturer

CONTACT

01006625054; alaamotasem@cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer of physical therapy

Study Record Dates

• First Submitted: August 20, 2024
• First Posted: August 22, 2024
• Study Start: October 1, 2024
• Primary Completion: November 1, 2024
• Study Completion: December 1, 2024
• Last Updated: August 22, 2024

Record last verified: 2024-08