- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00873158
Dynamic Splinting for Patients With Adhesive Capsulitis (DS-SDH)
August 8, 2013 updated by: Dynasplint Systems, Inc.
Outcomes Following Dynamic Splinting and/or Physical Therapy for Patients With Adhesive Capsulitis
The purpose of this study is to compare two treatments for adhesive capsulitis.
Study Overview
Detailed Description
The purpose of this study is to examine the effects of two treatment regimens for adhesive capsulitis: dynamic splinting and/or manual physical therapy.
Study Type
Interventional
Enrollment (Actual)
10
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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California
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Solana Beach, California, United States, 92075
- Gaspar Physical Therapy
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Florida
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Gulf Breeze, Florida, United States, 32561
- Andrews Research & Education Institute
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Pennsylvania
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State College, Pennsylvania, United States, 16801
- University Orthopedics Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years to 64 years (ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Diagnosis of idiopathic adhesive capsulitis
- greater than 50% limitation in active flexion, internal rotation, or external rotation
- Tight GHJ capsule in at least 2 directions
- Capsular end-feel primarily limits ROM
- Age 40- 64
- Normal X-Rays
Exclusion Criteria:
- Acute adhesive capsulitis
- History of Diabetes Mellitus
- Evidence of a cuff tear
- Recent history of trauma
- Evidence of glenohumeral DJD
- History of shoulder surgery
- Calcification of tendonitis demonstrated on a current X-Ray
- Abnormal X-Ray
- Cervical Radiculopathy/brachial plexus lesions
- Less than 2+/5 muscle strength during mid-line manual muscle testing
- Muscle Atrophy
- Presence of associated systematic conditions
- History of prior therapy for current condition
- Manipulation under anesthesia
- Non compliance
- Shoulder-Hand syndrome, Complex Regional Pain Syndrome
- History of prior injections for the current problem
- Patient receiving worker's compensation
- Shoulder symptoms with cervical provocative testing
- Positive X-ray findings in the acromioclavicular or sternoclavicular joints
- Abnormal physical signs or symptoms in the A-C or S-C joint
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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NO_INTERVENTION: Physical Therapy Group
Patient's in the Physical Therapy Group will have the standard manual treatments during their usual physical therapy visits with no additional intervention
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EXPERIMENTAL: Dynasplint Group
Along with standard manual physical therapy, patients will have a stretching device (Dynasplint) used in rehabilitation to regain ROM in stiff joints.
Patients will use this device 20-30 minutes 2 times per day at home.
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Dynamic splinting utilizes the protocols of Low-Load Prolonged Stretch (LLPS) with calibrated adjustable tension to increase Total End Range Time (TERT)to reduce contracture.
The Dynasplint or "Experimental" group will add this therapy to their standard of care regimen
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of physical therapy treatments required
Time Frame: throughout trial
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throughout trial
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Weeks of Dynasplint treatment
Time Frame: throughout trial
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throughout trial
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Shoulder Range Of Motion
Time Frame: initial consultation, first visit following injection, and monthly following injection
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initial consultation, first visit following injection, and monthly following injection
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Sharp FAS Neck and Shoulder
Time Frame: initial consultation, immediatly prior to first treatment following injection, and monthly following injection
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initial consultation, immediatly prior to first treatment following injection, and monthly following injection
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Disabilities of Arm, Hand, and Shoulder Questionnaire
Time Frame: initial visit, first visit following injection, and weekly until discharge
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initial visit, first visit following injection, and weekly until discharge
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hamdan TA, Al-Essa KA. Manipulation under anaesthesia for the treatment of frozen shoulder. Int Orthop. 2003;27(2):107-9. doi: 10.1007/s00264-002-0397-6. Epub 2002 Sep 13.
- Othman A, Taylor G. Manipulation under anaesthesia for frozen shoulder. Int Orthop. 2002;26(5):268-70. doi: 10.1007/s00264-002-0348-2. Epub 2002 Mar 27.
- Placzek JD, Roubal PJ, Freeman DC, Kulig K, Nasser S, Pagett BT. Long-term effectiveness of translational manipulation for adhesive capsulitis. Clin Orthop Relat Res. 1998 Nov;(356):181-91. doi: 10.1097/00003086-199811000-00025.
- Omari A, Bunker TD. Open surgical release for frozen shoulder: surgical findings and results of the release. J Shoulder Elbow Surg. 2001 Jul-Aug;10(4):353-7. doi: 10.1067/mse.2001.115986.
- Pollock RG, Duralde XA, Flatow EL, Bigliani LU. The use of arthroscopy in the treatment of resistant frozen shoulder. Clin Orthop Relat Res. 1994 Jul;(304):30-6.
- Warner JJ, Allen A, Marks PH, Wong P. Arthroscopic release for chronic, refractory adhesive capsulitis of the shoulder. J Bone Joint Surg Am. 1996 Dec;78(12):1808-16. doi: 10.2106/00004623-199612000-00003.
- Carette S, Moffet H, Tardif J, Bessette L, Morin F, Fremont P, Bykerk V, Thorne C, Bell M, Bensen W, Blanchette C. Intraarticular corticosteroids, supervised physiotherapy, or a combination of the two in the treatment of adhesive capsulitis of the shoulder: a placebo-controlled trial. Arthritis Rheum. 2003 Mar;48(3):829-38. doi: 10.1002/art.10954.
- Arslan S, Celiker R. Comparison of the efficacy of local corticosteroid injection and physical therapy for the treatment of adhesive capsulitis. Rheumatol Int. 2001 Sep;21(1):20-3. doi: 10.1007/s002960100127.
- Hannafin JA, Chiaia TA. Adhesive capsulitis. A treatment approach. Clin Orthop Relat Res. 2000 Mar;(372):95-109.
- Vermeulen HM, Obermann WR, Burger BJ, Kok GJ, Rozing PM, van Den Ende CH. End-range mobilization techniques in adhesive capsulitis of the shoulder joint: A multiple-subject case report. Phys Ther. 2000 Dec;80(12):1204-13.
- Hsu AT, Hedman T, Chang JH, Vo C, Ho L, Ho S, Chang GL. Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther. 2002 Jun;82(6):544-56.
- Hsu AT, Ho L, Ho S, Hedman T. Joint position during anterior-posterior glide mobilization: its effect on glenohumeral abduction range of motion. Arch Phys Med Rehabil. 2000 Feb;81(2):210-4. doi: 10.1016/s0003-9993(00)90143-6.
- Hsu AT, Ho L, Ho S, Hedman T. Immediate response of glenohumeral abduction range of motion to a caudally directed translational mobilization: a fresh cadaver simulation. Arch Phys Med Rehabil. 2000 Nov;81(11):1511-6. doi: 10.1053/apmr.2000.9389.
- Kirkley A, Griffin S, Dainty K. Scoring systems for the functional assessment of the shoulder. Arthroscopy. 2003 Dec;19(10):1109-20. doi: 10.1016/j.arthro.2003.10.030.
- Gaspar PD, Willis FB. Adhesive capsulitis and dynamic splinting: a controlled, cohort study. BMC Musculoskelet Disord. 2009 Sep 7;10:111. doi: 10.1186/1471-2474-10-111.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2006
Primary Completion (ANTICIPATED)
January 1, 2014
Study Registration Dates
First Submitted
March 31, 2009
First Submitted That Met QC Criteria
March 31, 2009
First Posted (ESTIMATE)
April 1, 2009
Study Record Updates
Last Update Posted (ESTIMATE)
August 12, 2013
Last Update Submitted That Met QC Criteria
August 8, 2013
Last Verified
August 1, 2013
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Shoulder 100
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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