Bowen's Technique in Patients With Adhesive Capsulitis

August 5, 2021 updated by: Riphah International University

Effectiveness of Bowen's Technique in Patients With Adhesive Capsulitis

This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The application of the Bowen technique, producing significant results, will be opted in treatment for the better, improved, and innovative noninvasive management of Adhesive Capsulitis. This study will help the physiotherapists in overcoming the challenges and barriers in the treatment. It will also help researchers in acquiring sufficient knowledge for further research on the Bowen technique and its various applications as this technique is not widely applied in the field of physical therapy treatment.

Study Type

Interventional

Enrollment (Actual)

74

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

  • Pakistan
    • Punjab
      • Rawalpindi, Punjab, Pakistan
        • Railway General Hospital

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

25 years to 60 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Both genders
  • Age 25 to 60 years
  • History of worsening shoulder pain
  • Painful movement from at least 3 month
  • Grade 2 & 3 adhesive capsulitis
  • Both Diabetic and non-diabetic
  • Limited Ranges in capsular pattern

Exclusion Criteria:

  • Fracture
  • Trauma
  • Dislocation
  • Ongoing physical therapy treatment
  • Cortisone injection prior 3 months

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Bowen's Technique
Other: Bowen's technique

Initially, cup move is performed which requires a vertically rolling Bowen move over the posterior border of the deltoid muscle above the axillary crease.

The subject's arm is held flexed at 90 degrees at mid-chest height. Then, the elbow is slowly and passively moved in the direction of the opposite shoulder.

After maximal adduction of the arm, the therapist firmly taps the lateral aspect of the shoulder with the heel of his/her hand.

The arm is then carried back to the original start position, where the therapist gently moves superiorly and slightly laterally over the anterior fibers of the deltoid. The arm is then carefully lowered.

The therapist strives to undertake a minimum of moves and procedures to trigger the body's own self-healing powers and assess how much pressure to use and where and when to perform a move to release the build-up of stress.

40-minute sessions thrice a week for 6 weeks.
Active Comparator: Conventional Physical Therapy
Conventional Physical Therapy including stretching and strengthening exercises
Other: Conventional physical therapy
  • Hot pack and transcutaneous electrical nerve stimulator (TENS) for 15 minutes.
  • Pendulum stretch, 10 revolutions.
  • Cross body stretch, 4 repetitions.
  • Towel stretch/hand behind the back, 4 repetitions.
  • Isometric internal and external rotation exercises. 40-minute sessions thrice a week for 6 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Goniometer
Time Frame: 6th week
A goniometer is an instrument that either measures an angle or allows an object to be rotated to a precise angular position of joints. Intra-class Correlation Coefficients (ICC≥ 0.94)
6th week
Numeric Pain Rating Scale
Time Frame: 6th week
Numerical Pain Rating Scale (NPRS) the Numerical Rating Scale (NPRS-11) is an 11-points scale for self-report of pain. It is the most commonly used unidimensional pain scale. Interclass correlation coefficient (ICC: 0.74)
6th week
Shoulder Pain and Disability Index (SPADI):
Time Frame: 6th week
self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder. Intra-class correlation coefficient (ICC ≥ 0.89)
6th week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

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

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 (Actual)

October 14, 2020

Primary Completion (Actual)

June 15, 2021

Study Completion (Actual)

July 10, 2021

Study Registration Dates

First Submitted

April 20, 2021

First Submitted That Met QC Criteria

April 20, 2021

First Posted (Actual)

April 21, 2021

Study Record Updates

Last Update Posted (Actual)

August 6, 2021

Last Update Submitted That Met QC Criteria

August 5, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/00859 Ferwa Tahrim

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

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.

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