- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02353442
Changes in Subjects With Posterior Capsule Tightness
February 14, 2017 updated by: Dayana Patricia Rosa, Universidade Federal de Sao Carlos
Biomechanical and Neurophysiological Changes in Subjects With Posterior Capsule Tightness - Evaluation and Treatment
To identify biomechanical and sensibility changes in people with posterior capsule tightness in people with and without shoulder pain.
Study Overview
Status
Completed
Conditions
Detailed Description
Some studies have shown that posterior capsule tightness can be related with shoulder dysfunctions and kinematics alterations.
This study will be divided in two studies.
The purpose of study 1 will be to assess the scapular and humeral kinematics, the strength of the shoulder external rotators and the pressure pain threshold in subjects with posterior capsule tightness with and without shoulder pain.
Study 2 will verify the effects of two different treatments in subjects with posterior capsule tightness and shoulder pain on the same variables of study 1.
One-hundred subjects will participate in the first study and will be divided in 4 groups: Group 1 - 25 subjects with shoulder pain and posterior capsule tightness; Group 2 - 25 subjects with no shoulder pain and no posterior capsule tightness; Group 3 - 25 subjects with shoulder pain and no posterior capsule tightness; and group 4 - 25 subjects with no shoulder pain and no posterior capsule tightness.
All subjects will complete the DASH and Shoulder Pain and Disability Index questionnaires.
External and internal rotation range of motion, strength of the external rotators, scapular kinematics and humeral translations during arm elevation, and pressure pain threshold will be measured.
For the second study 50 subjects with shoulder pain and posterior capsule tightness will be recruited.
The subjects will be randomly divided in 2 groups: experimental group or control group.
The experimental group will receive glenohumeral posterior mobilization, stretching of posterior capsule and strengthening of the shoulder external rotators.
The control group will do ultrasound;, stretching for the upper trapezius and scapular squeezing.
Both groups will receive intervention for 3x/week/4 weeks.
All subjects will be supervised for one physiotherapist and same variables from study 1 will be analyzed at pre and post-intervention.
Study Type
Interventional
Enrollment (Actual)
59
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
-
-
São Paulo
-
São Carlos, São Paulo, Brazil, 13565-905
- UFSCar
-
-
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
18 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria: all subjects should have posterior capsule tightness and shoulder pain. So they should have:
- low flexion test (flexion + internal rotation) > 7°, between arms;
- symptoms consistent to shoulder impingement and arm elevation close to 150° as determined by digital inclinometer. The diagnosis for SIS was made based on a clinical examination and self-reported history. To be classified as having shoulder impingement, subjects had to present with at least 3 of the following: positive Neer test, positive Hawkins test, positive Jobe test, pain with passive or isometric resisted shoulder lateral rotation, pain with active shoulder elevation, and pain in the anterolateral shoulder region.
Exclusion Criteria: Individuals from both groups were excluded if they:
- were pregnant;
- had ligamentous laxity based on positive Sulcus test, Apprehension test or anterior drawer;
- had history of clavicle, scapula or humerus fracture;
- history of shoulder surgery or traumatic lesion; -had adhesive capsulitis or scoliosis; - had systemic illnesses;
- transpore tape allergy;
- body mass index > 28kg/m2;
- physical therapy treatment in the last 6 months;
- bilateral symptoms;
- steroid injection in the last 6 weeks;
- drugs with muscle relaxant in the last 72 hours.
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: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Control group
This group will perform during 4 weeks:
|
A second investigator performed 5min of placebo ultrassound for the control group, 3times/week during 4 weeks.
Individuals performed 3x10 repetitions scapular squeezing exercise 3times/week during 4 weeks.
Individuals performed 3x30s of upper trapezius stretching, 3times/week during 4 weeks.
|
Active Comparator: Experimental group
This group will perform during 4 weeks:
|
A second investigator performed 5min of posterior capsule shoulder mobilization for the experimental group, 3times/week during 4 weeks.
Individuals performed 3x10 repetitions of external rotators strengthening in sidelying position 3times/week during 4 weeks.
Individuals performed 3x30s of posterior capsule stretching, 3times/week during 4 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Scapular Kinematics at 4weeks (Pre and Post Treatment)
Time Frame: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
It was assessed in degrees with 3D system pre and post treatment.
|
4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
Humeral Translations at 4weeks (Pre and Post Treatment).
Time Frame: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
It was assessed in millimeters with 3D system pre and post treatment.
|
4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Strength of the Shoulder External Rotators at 4weeks (Pre and Post Treatment).
Time Frame: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
The strength was evaluated with digital dynamometer in Newton pre and post treatment.
|
4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
Pressure Pain Threshold at 4weeks (Pre and Post Treatment).
Time Frame: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
It was measured by a digital algometer in kPa pre and post treatment.
|
4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
Pain and Function at 4weeks (Pre and Post Treatment)
Time Frame: 4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
For these measures, the SPADI (Shoulder Pain and Disabilities Index) questionnaire was used, pre and post treatment.
The is a self-assessment questionnaire with 5 questions about pain and 8 about functional activities.
The final score (0-100) of the questionnaire is provided in percentage and a maximum score of 100 implies the worst possible condition.
|
4 weeks: Baseline (pre-treatment), and 4 weeks (post-treatment)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Dayana Rosa, Ms, UFSCar
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
March 1, 2015
Primary Completion (Actual)
August 1, 2016
Study Completion (Actual)
August 1, 2016
Study Registration Dates
First Submitted
January 18, 2015
First Submitted That Met QC Criteria
January 30, 2015
First Posted (Estimate)
February 2, 2015
Study Record Updates
Last Update Posted (Actual)
March 21, 2017
Last Update Submitted That Met QC Criteria
February 14, 2017
Last Verified
February 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 860.648
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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.
Clinical Trials on Shoulder Pain
-
Helping Hand Institute of Rehabilitation SciencesRecruitingShoulder Injuries | Shoulder Capsulitis | Shoulder Arthritis | Shoulder Impingement | Shoulder Bursitis | Shoulder Pain ChronicPakistan
-
University of Southern DenmarkRegion of Southern Denmark; The Danish Rheumatism Association; Esbjerg Municipality and other collaboratorsCompletedHypermobility Syndrome Shoulder | Shoulder Pain Chronic | Shoulder LuxationDenmark
-
Oslo University HospitalUnknownShoulder Impingement Syndrome | Subacromial Shoulder PainNorway
-
Şeyhmus KAPLANCompletedSubacromial Impingement | Pain, Shoulder
-
Istanbul University - Cerrahpasa (IUC)Istanbul Aydın UniversityCompletedPain, Shoulder | Myofacial Pain | Adhesion; ShoulderTurkey
-
Mohamed R El TahanCompletedUnilateral Chronic Shoulder Pain | Bilateral Chronic Shoulder PainEgypt
-
Makassed General HospitalRecruiting
-
Zagazig UniversityCompleted
-
Helping Hand Institute of Rehabilitation SciencesCompletedShoulder Injuries | Shoulder Pain | Shoulder Capsulitis | Frozen Shoulder | Shoulder ImpingementPakistan
-
Hasan Kalyoncu UniversityHacettepe UniversityCompletedShoulder Pain | Shoulder Injury | Shoulder ImpingementTurkey
Clinical Trials on Placebo ultrasound
-
Eskisehir Osmangazi UniversityCompletedCarpal Tunnel Syndrome
-
Ahram Canadian UniversityCompletedCarpal Tunnel Syndrome | Median Neuropathy, Carpal TunnelEgypt
-
Bursa Yüksek İhtisas Education and Research HospitalCompleted
-
Universidade Federal de Santa MariaCompletedTemporomandibular Joint DisordersBrazil
-
Tri-Service General HospitalCompleted
-
University of North Texas Health Science CenterNational Center for Complementary and Integrative Health (NCCIH); American... and other collaboratorsCompletedLow Back Pain | PregnancyUnited States
-
Fundació Institut de Recerca de l'Hospital de la...Completed
-
Galmed Pharmaceuticals LtdTerminated
-
University of California, San FranciscoCompletedUterine FibroidsUnited States
-
Daniela Ap. Biasotto-GonzalezCompletedTemporomandibular Joint DysfunctionBrazil