Scapular Mobilization Versus Capsular Stretch

NCT06705426 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005349
• Study Type: interventional
• Target: 34
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this study is to compare the effect of scapular mobilization versus posterior capsular stretch on pain, function, range of motion, and posterior capsular tension in patient with frozen shoulder

Conditions

Frozen Shoulder

Outcome Measures

Primary Outcomes (7)

• Shoulder flexion range of motion to measure shoulder joint active range of motion (flexion) by bubble inclinometer

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• Shoulder abduction range of motion to measure shoulder joint active range of motion (abduction) by bubble inclinometer

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• Shoulder internal rotation range of motion to measure shoulder joint active range of motion (internal rotation) by bubble inclinometer

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• Shoulder external rotation range of motion to measure shoulder joint active range of motion (external rotation) by bubble inclinometer

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• Shoulder pain and disability index to measure the shoulder pain the maximum possible score for the pain scale is 50

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• Shoulder pain and disability index to measure the disability level the maximum possible score for the disability scale is 80

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

• poaterior capsular tension measurement by ruler

  pre-intervention, after 2 weeks of treatment and post treatment 4 weeks

Study Arms (2)

Scapular mobilization group A

EXPERIMENTAL

Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Other: Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Posterior capsular stretch group B

EXPERIMENTAL

Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Other: Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Interventions

Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises OTHER

Scapular mobilization with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Scapular mobilization group A

Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises OTHER

Posterior capsular stretch with addition anterior, posterior ,caudal glenohumeral mobilization, infrared therapy, ultrasound therapy, pendulum exercises

Posterior capsular stretch group B

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Males and females aged from 40-65 years old.
• Diabetic and non-diabetic patients' diagnosis of stage 3 frozen shoulder (frozen phase) by an orthopedist.
• The presence of pain and limited movement in the shoulder for at least 2 months.
• Passive joint movements are limited when compared with the normal side.
• Unilateral involvement.

You may not qualify if:

• Recent joint infection or surgery.
• History of shoulder subluxation, dislocation, or ligamentous injury.
• Shoulder arthroplasty.
• Shoulder and cervical pathology.
• Recent trauma.
• Neurological disorders with muscle weakness in the shoulder joint.
• Infection, pregnancy, carcinoma patients, severe cardiac or psychiatric conditions.
• Previous shoulder surgeries to the affected shoulder.
• Previous manipulations under anesthesia of the affected shoulder.
• Radiological evidence for glenohumeral joint arthritis.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (13)

• Ali SA, Khan M. Comparison for efficacy of general exercises with and without mobilization therapy for the management of adhesive capsulitis of shoulder - An interventional study. Pak J Med Sci. 2015 Nov-Dec;31(6):1372-6. doi: 10.12669/pjms.316.7909.

  PMID: 26870099 BACKGROUND

• Duzgun I, Baltaci G, Atay OA. Manual therapy is an effective treatment for frozen shoulder in diabetics: an observational study. Eklem Hastalik Cerrahisi. 2012;23(2):94-9.

  PMID: 22765488 BACKGROUND

• Duzgun I, Turgut E, Eraslan L, Elbasan B, Oskay D, Atay OA. Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization? J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):311-316.

  PMID: 31475938 BACKGROUND

• Kurtais Gursel Y, Ulus Y, Bilgic A, Dincer G, van der Heijden GJ. Adding ultrasound in the management of soft tissue disorders of the shoulder: a randomized placebo-controlled trial. Phys Ther. 2004 Apr;84(4):336-43.

  PMID: 15049727 BACKGROUND

• Klauser AS, Tagliafico A, Allen GM, Boutry N, Campbell R, Court-Payen M, Grainger A, Guerini H, McNally E, O'Connor PJ, Ostlere S, Petroons P, Reijnierse M, Sconfienza LM, Silvestri E, Wilson DJ, Martinoli C. Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology. Eur Radiol. 2012 May;22(5):1140-8. doi: 10.1007/s00330-011-2356-3. Epub 2012 Mar 28.

  PMID: 22453857 BACKGROUND

• Laudner KG, Sipes RC, Wilson JT. The acute effects of sleeper stretches on shoulder range of motion. J Athl Train. 2008 Jul-Aug;43(4):359-63. doi: 10.4085/1062-6050-43.4.359.

  PMID: 18668168 BACKGROUND

• Leung MS, Cheing GL. Effects of deep and superficial heating in the management of frozen shoulder. J Rehabil Med. 2008 Feb;40(2):145-50. doi: 10.2340/16501977-0146.

  PMID: 18509580 BACKGROUND

• Le HV, Lee SJ, Nazarian A, Rodriguez EK. Adhesive capsulitis of the shoulder: review of pathophysiology and current clinical treatments. Shoulder Elbow. 2017 Apr;9(2):75-84. doi: 10.1177/1758573216676786. Epub 2016 Nov 7.

  PMID: 28405218 BACKGROUND

• Lewis J. Frozen shoulder contracture syndrome - Aetiology, diagnosis and management. Man Ther. 2015 Feb;20(1):2-9. doi: 10.1016/j.math.2014.07.006. Epub 2014 Jul 18.

  PMID: 25107826 BACKGROUND

• McClure P, Balaicuis J, Heiland D, Broersma ME, Thorndike CK, Wood A. A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007 Mar;37(3):108-14. doi: 10.2519/jospt.2007.2337.

  PMID: 17416125 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

• Surenkok O, Aytar A, Baltaci G. Acute effects of scapular mobilization in shoulder dysfunction: a double-blind randomized placebo-controlled trial. J Sport Rehabil. 2009 Nov;18(4):493-501. doi: 10.1123/jsr.18.4.493.

  PMID: 20108851 BACKGROUND

• Zuckerman JD, Rokito A. Frozen shoulder: a consensus definition. J Shoulder Elbow Surg. 2011 Mar;20(2):322-5. doi: 10.1016/j.jse.2010.07.008. Epub 2010 Nov 4.

  PMID: 21051244 BACKGROUND

MeSH Terms

Conditions

Bursitis

Interventions

Ultrasonic Therapy

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Diathermy; Hyperthermia, Induced; Therapeutics

Study Officials

• Karima A Hassan

  Karima.abdelaty@pt.cu.edu.eg

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Omnia A Abd Elmeged

CONTACT

+201064454510; monyahmedomnia@gmail.com

Karima A Hassan

CONTACT

+201114032967; Karima.abdelaty@pt.cu.edu.eg

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: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investiator

Study Record Dates

• First Submitted: November 22, 2024
• First Posted: November 26, 2024
• Study Start: January 1, 2025
• Primary Completion: April 1, 2025
• Study Completion: July 1, 2025
• Last Updated: December 27, 2024

Record last verified: 2024-11