Compare the Effect of Spencer Technique With and Without AC Mobilization for FS Pathients

NCT06763679 | Recruiting

• 1 other identifier: REC/RCR &AHS/24/0126
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The propose of the study will help the clinicians provide an evidence-based approach for the application of Spencer technique and acromioclavicular mobilization, an application of these techniques on pain, range of motion and functional disability of patients of frozen shoulder. So, that it can be determined which treatment is superior in terms of achieving better results in the management regime.

Conditions

Shoulder Frozen

Keywords

Spencer Technique; Acromioclavicular joint; Mobilization; Frozen Shoulder

Outcome Measures

Primary Outcomes (1)

• Shoulder pain and disability index

  SPADI is one of the most often used PROMs to evaluate pain and impairment in individuals with frozen shoulder. When used to measure shoulder problems, SPADI has demonstrated exceptional construct validity and reliability, primarily in patients who come with shoulder discomfort at the primary care level. The SPADI was created to assess the extent of shoulder pain and discomfort during everyday activities by the patients themselves. There are 13 components total, with 5 related to pain and 8 related to disability, components were rated using a visual analog scale. The responses are added up and converted into a composite score of 100, where 100 represents the highest level of shoulder discomfort and disability and zero represents the lowest level.

  6th week

Secondary Outcomes (2)

• universal goniometer

  6th week

• numeric pain rating scale

  6th week

Study Arms (2)

mobilization

EXPERIMENTAL

Spencer Technique with Acromioclavicular mobilization

Other: mobilization

Traditional physical therapy

ACTIVE COMPARATOR

Spencer technique

Other: traditional physical therapy

Interventions

mobilization OTHER

Acromioclavicular joint mobilization: * The patient is placed in the supine position and the upper limb is placed in a physiological position with the patient's arm clinging to the body and the hand on the abdomen, which causes the capsule to stretch less and the technique to be less painful. * The therapist placed the tips of his both thumbs on the anterior surface of the clavicle adjacent to the ACJ and spread his other fingers out for stability and his forearm was situated in line with the posterior movement at the ACJ. * ACJ mobilization was performed in up to 30-minute individual sessions by a single trained therapist. * The treatment techniques were anterior to posterior passive accessory glides of the distal end of the clavicle categorized from Grade III * Grade III is used at a large amplitude from the middle of the joint ROM to the start of the constraint. Grade III will apply for stimulating a stretching to relieve joint stiffness in a shorter tissue

mobilization

traditional physical therapy OTHER

Spencer technique: * The patient was resting on their side, with the affected shoulder raised. * In 7 separate movements, the therapist used the proximal hand to stabilize the shoulder girdle, while the distal hand applied force to the restrictive barrier of the shoulder. * Shoulder extension, circumduction with compression, shoulder flexion, circumduction with distraction, abduction, adduction with internal rotation, and glenohumeral pump were the exercises performed. * The patients were advised to employ their muscle energy technique against the small resistance provided by the therapist for 3-5 seconds throughout each movement. * Over the course 5 days a week, the exercise was repeated 3-5 times per session, with rest breaks.

Traditional physical therapy

Eligibility Criteria

• Age: 50 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male and female both are included
• Age of 50-60 years
• Unilateral frozen shoulder stage 2 with pain lasting for more than 1 month
• Capsular pattern of motion restriction (lateral rotation, abduction, medial rotation)
• More than 50% loss of passive movement of shoulder

You may not qualify if:

• Rotator cuff tear
• Dislocation of shoulder
• Shoulder subluxation
• Upper limb fracture
• History of shoulder surgery
• All other co-morbidities are excluded

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bajwa hospital

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Phansopkar P, Qureshi MI. An Integrated Physical Therapy Using Spencer's Technique in the Rehabilitation of a Patient With a Frozen Shoulder: A Case Report. Cureus. 2023 Jun 30;15(6):e41233. doi: 10.7759/cureus.41233. eCollection 2023 Jun.

  PMID: 37529524 BACKGROUND

MeSH Terms

Conditions

Bursitis

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• Dr. Humera mubashar, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr. Yasir Awan, masters

CONTACT

0344 3436602; yasirawan379@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 1, 2025
• First Posted: January 8, 2025
• Study Start: August 5, 2024
• Primary Completion: January 13, 2025
• Study Completion: January 13, 2025
• Last Updated: January 8, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)