Pragmatic Posterior Capsular Stretch (PPCS)

Shoulder Stertching

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 a problem frequently seen in shoulder disorder. 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 effect of PPCS versus CBS on range of motion on shoulder joint in healthy individuals. And to evaluate the feedback of subjects regarding both the interventions.

Methodology: Through RCT 30 asymptomatic subjects (15 males, 15 females) . A simple random sampling technique was used. Subjects were screen through a functional movement screening tool. 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

Results:

• Study Type: Interventional
• Enrollment (Actual): 30
• 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: Yes
• 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
• Masking: QUADRUPLE

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): May 5, 2020
• Primary Completion (ACTUAL): September 10, 2020
• Study Completion (ACTUAL): November 15, 2020

Study Registration Dates

• First Submitted: May 20, 2021
• First Submitted That Met QC Criteria: May 20, 2021
• First Posted (ACTUAL): May 25, 2021

Study Record Updates

• Last Update Posted (ACTUAL): May 25, 2021
• Last Update Submitted That Met QC Criteria: May 20, 2021
• Last Verified: December 1, 2020

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: rec/hhirs/batch4/002

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