Comparison of Pragmatic Posterior Capsular Stretch and Crossbody Stretch on the Shoulder Mobility

Comparision of Shoulder Stretches

Various stretches are used to lengthen the posterior shoulder capsule. No study has reported the comparison of the pragmatic posterior capsular stretch and cross body stertch

Study Overview

• Status: Completed
• Conditions: Shoulder Pain; Rotator Cuff Tears; Adhesive Capsulitis; Shoulder Impingement; Posterior Capsule Tear; Glenohumeral Subluxation; Glenohumeral Dysplasia; Acromioclavicular; Sprain (Strain); Internal Rotation Contracture-shoulder; External Rotation Contracture-Shoulder; Flexion Contracture; Extension Contracture-Shoulder
• Intervention / Treatment: Other: pragmatic posterior capsular stretch; Other: cross body stretch

Detailed Description

Background: Posterior capsular tightness (PCT) is frequently seen in shoulders in athletic population and shoulder disoders. PCT leads to variation in scapular and humeral kinematics. Two techniques considered in our study for regaining normal range of motion at shoulder joint and improving PCT, one is the pragmatic posterior capsular stretch (PPCS) & the other one is cross body stretch (CBS) Objective: The aim of our study id to compare the short term/intermediate term effect of PPCS and CBS on range of motion on shoulder joint in healthy individuals. And to evaluate the feedback of subjects regarding both the interventions.

Methodology: Sixty a symtomatic shoulder of 30 subjects (15 males, 15 females) were recruited for this restricted randomised control trials. A simple random sampling technique was used. Subjects were screen through a functional movement screening tool of shoulder mobility. The change in hand behind neck and hand behind back will be measured through measuring tape. Shoulder ROM and functional movements for both the stretches will be campared. Particpants will be follwed for 4 weeks for the change in their shoulder range of motion.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Khyber Pakhtoon Khawa
    • Mansehra, Khyber Pakhtoon Khawa, Pakistan, 21300
      • Helping Hand Institute Of rehabilitation sciences

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 35 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age groups of males and females including 20-35 years
• Subjects who fall in grade 1 and 2 of functional movement screening of shoulder during the screening process.

Exclusion Criteria:

• Individual with shoulder pain, fracture or dislocation less than 1 year
• Individuals with any known shoulder pathology
• Subjects receiving current physiotherapy treatment
• Subjects having enough range of motion( can reach T2 hand behind neck)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: PPCS; Novel intervention	Other: pragmatic posterior capsular stretch; pragmatic posterior stretch is used to increase the length of the posterior capsule
Active Comparator: CBS; Cross arm stretch gave to individuals	Other: cross body stretch; crossbody stretch performed by an individual

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
shoulder flexion	range of motion of shoulder flexion	4 week
shoulder abduction	range of motion of shoulder abduction	4 week
shoulder internal rotation	range of motion of shoulder internal rotation	4 week
shoulder external rotation	range of motion of shoulder external rotation	4 week
hand behind neck	range of hand behind neck	4 week
hand behind back	range of hand behind back	4 week

Collaborators and Investigators

• Sponsor: Helping Hand Institute of Rehabilitation Sciences

Study record dates

Study Major Dates

• Study Start (Actual): January 5, 2021
• Primary Completion (Actual): March 10, 2021
• Study Completion (Actual): April 15, 2021

Study Registration Dates

• First Submitted: December 30, 2020
• First Submitted That Met QC Criteria: December 30, 2020
• First Posted (Actual): January 5, 2021

Study Record Updates

• Last Update Posted (Actual): May 3, 2022
• Last Update Submitted That Met QC Criteria: April 27, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Wounds and Injuries; Joint Diseases; Musculoskeletal Diseases; Muscular Diseases; Rupture; Shoulder Injuries; Tendon Injuries; Arthralgia; Joint Dislocations; Rotator Cuff Injuries; Shoulder Impingement Syndrome; Shoulder Pain; Sprains and Strains; Bursitis; Contracture; Shoulder Dislocation
• Other Study ID Numbers: HHIRS/REC/F2020/004

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No