Proprioceptive Exercises in Acute Adhesive Capsulitis

NCT06674408 | Completed

• 1 other identifier: RCRAHS-ISB/REC/MS-PT/01871
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 3

Brief Summary

The purpose of the study is to explore the effect of proprioceptive and hand function exercises in management of acute adhesive capsulitis. A randomized control trial was conducted at RIH Sihala, DSK Bahria town phase 7 and MRC MIHS Rawalpindi. The sample size was 44 calculated through G-power 3.1. The participants were divided into two interventional groups each having 22 participants. The study duration was six months. Sampling technique applied was convenience sampling for recruitment and group randomization using flip coin method. Only 35 to 50 years participants with acute adhesive capsulitis were included in the study. Tools used in this study are Goniometer, NPRS, SPADI and DASH. Data was collected at baseline, at the end of 1st week and 2nd week. Data analyzed through SPSS version 26.

Conditions

Adhesive Capsulitis

Keywords

adhesive capsulitis; frozen shoulder

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating Scale

  Changes from Baseline pain values were taken with the help of Numeric Pain Rating Scale measures level of pain. Scoring is done by selecting a point from zero to ten as the current level of pain. Zero means minimum pain and 10 denotes maximum pain.

  2nd Week

• Range of motion

  Changes from Baseline shoulder range of motion taken with the help of universal goniometer

  2nd Week

Secondary Outcomes (2)

• Shoulder Pain and Disability Index

  2nd Week

• Disability of Arm, Shoulder and Hand

  2nd Week

Study Arms (2)

Prioprioceptive exercises

EXPERIMENTAL

Hot packs, mobilization, stretching and strengthening, closed and open chain kinetic exercises, hand function exercises, hand eye coordination exercises

Other: Prioprioceptive group

Conventional

ACTIVE COMPARATOR

Hot packs, mobilization, stretching and strengthening, finger ladder exercise, Codman's pendulum exercise, towel stretch exercise and wand exercises

Other: Traditional physical therapy

Interventions

Traditional physical therapy OTHER

Control group included Hot pack over shoulder region for 15 mins. Shoulder AP, PA and inferior glides (Maitland) Grade II, III, IV 30 reps x 3 sets per session, Stretching of levator scapula, upper trapezius, pectoralis major and minor with 15 second hold x 3 reps per session, Strengthening of rotator cuff muscles by manual resistance with 10 second hold x 5 reps x 2 sets per muscle per session, Finger Ladder Exercise, Codman's Pendulum Exercise, Towel Stretch Exercise and Wand Exercises 10 reps x 2 sets per session, Patients were assessed for baseline measurements against outcome measures. Patients were given a total of 10 sessions such that 5 sessions per week for the duration of 02 weeks. All patients were reassessed at the end of the 1st and 2nd week of treatment for outcome measures.

Conventional

Prioprioceptive group OTHER

Experimental group included Hot pack over shoulder region for 15 mins. Shoulder AP, PA and inferior glides (Maitland) Grade II, III, IV 30 reps x 3 sets per session, Stretching of levator scapula, upper trapezius, pectoralis major and minor with 15 second hold x 3 reps per session, Strengthening of rotator cuff muscles by manual resistance with 10 second hold x 5 reps x 2 sets per muscle per session, Plyometric CKC shoulder exercise 10 seconds each x 5 reps x 2 sets per session, CKC exercise on the ball 10 seconds each x 5 reps x 2 sets per session, Open KC exercises 10 seconds each x 5 reps x 2 sets per session, Hand-eye coordination exercises for 30 minutes/per day for 5x/per week, Hand Function Exercises for 30 minutes/per day for 5x/per week. Patients were assessed for baseline measurements against outcome measures. Patients were given a total of 10 sessions such that 5 sessions per week for the duration of 02 weeks. All patients were reassessed at the end of the 1st and 2nd week

Prioprioceptive exercises

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Painful and limited active and passive glenohumeral ROM
• Freezing or acute stage of adhesive capsulitis
• Positive Coracoid pain and DTPER tests
• Primary adhesive capsulitis/secondary due to diabetes mellitus
• Consenting to participate in the study

You may not qualify if:

• Bilateral adhesive capsulitis
• Sub-acute and chronic stages of adhesive capsulitis
• Unstable fractures or surgical fixation in the affected limb
• Rheumatoid arthritis
• Severe joint pain unrelieved by rest
• Osteoporosis
• Radiating pain due to cervical conditions
• Manipulations under anesthesia
• Shoulder conditions such as subacromial pain syndrome, rotator cuff tendinopathy, shoulder bursitis etc.
• Neurological damage due to stroke or Parkinsonism
• Cognitive deficits and not giving consent.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (3)

Riphah International Hospital

Islamabad, Pakistan

Location

DSK Physio and Rehab

Rawalpindi, Pakistan

Location

Margalla Rehab Center

Rawalpindi, Pakistan

Location

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Muhammad Affan Iqbal, PhD

  Riphah International University, Islamabad

  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: November 3, 2024
• First Posted: November 5, 2024
• Study Start: May 3, 2024
• Primary Completion: December 3, 2024
• Study Completion: December 3, 2024
• Last Updated: December 17, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (3)