Kinesiophobia and Adhesive Capsulitis

NCT07534527 | Completed

• 1 other identifier: 2025/5751
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Frozen shoulder (also known as adhesive capsulitis) is a painful condition that affects the shoulder joint. This is a painful condition in which the movement of the shoulder becomes limited. Normally, the soft tissue surrounding the shoulder joint (capsule) is usually stretchy and elastic allowing joint mobility. Frozen shoulder occurs when the capsule around your shoulder joint becomes thickened and inflamed, causing pain, stiffness and reduced range of motion. This painful stiffening over time leads to sleep disturbance and limits your ability to use your arm in day-to-day activities. The exact cause of frozen shoulder is unknown. For some reason your body has an over reactive response to a minor injury and tries to heal your shoulder capsule with scar tissue. Kinesiophobia (fear of movement) defined as "an excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability due to painful injury or reinjury" is an important psychological factor in musculoskeletal disorders. Kinesiophobia has been implicated in the transition from acute to chronic pain and in the persistence of pain-related disability even after tissue healing. The goal of this observational study is to investigate the relationship between kinesiophobia and pain, range of motion, disability, and quality of life in patients with adhesive capsulitis.Participants in the study will only undergo a physical examination and complete some questionnaires; no invasive procedures will be performed.

Conditions

Adhesive Capsulitis of the Shoulder

Keywords

adhesive capsulitis; kinesiophobia; pain; disability; quality of life

Outcome Measures

Primary Outcomes (1)

• Range of Motion (ROM)

  Active and passive shoulder ROM were measured using a standard goniometer. Normal values were considered as follows: flexion and abduction 180°, external rotation 90°, internal rotation 70-90°, and extension 45-60°. Reductions in these measures were interpreted as functional limitations.

  Baseline

Secondary Outcomes (3)

• Tampa Scale for Kinesiophobia (TSK)

  Baseline

• Shoulder Pain and Disability Index (SPADI)

  Baseline

• Short Form-36 Health Survey (SF-36)

  Baseline

Study Arms (1)

adhesive capsulitis

Diagnostic Test: Active and passive shoulder range of motion will be measured using a standard goniometer

Interventions

Active and passive shoulder range of motion will be measured using a standard goniometer DIAGNOSTIC_TEST

shoulder range of motion measurement

adhesive capsulitis

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Outpatient clinic of the Department of Physical Medicine and Rehabilitation at Necmettin Erbakan University Faculty of Medicine in Konya

You may qualify if:

• Age between 18 and 65 years
• Clinical diagnosis of adhesive capsulitis according to Vermeulen criteria, defined as ≥50% loss of passive range of motion in at least one of the following planes compared to the contralateral side: abduction, flexion, or external rotation in abduction

You may not qualify if:

• Presence of other orthopedic, rheumatologic, neurological, or malignant conditions affecting the shoulder
• History of shoulder trauma, fracture, dislocation, or surgery
• Full-thickness rotator cuff tear (e.g., positive drop arm test, significant weakness)
• Cervical radiculopathy or thoracic outlet syndrome
• Receipt of intra-articular injection, physical therapy, or other shoulder treatments within the previous 6 months
• Cognitive impairment or psychiatric/neurological disorders affecting comprehension

Sponsors & Collaborators

• Necmettin Erbakan University: lead

Study Sites (1)

Necmettin Erbakan University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation

Konya, Meram, 42110, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Bursitis; Kinesiophobia; Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Phobic Disorders; Anxiety Disorders; Mental Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 9, 2026
• First Posted: April 16, 2026
• Study Start: June 1, 2025
• Primary Completion: April 3, 2026
• Study Completion: April 3, 2026
• Last Updated: April 16, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)